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首页> 外文期刊>The Journal of Prosthetic Dentistry >Evaluation of dental erosion in patients with gastroesophageal reflux disease.
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Evaluation of dental erosion in patients with gastroesophageal reflux disease.

机译：胃食管反流病患者牙齿侵蚀的评估。

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STATEMENT OF PROBLEM: The cause of dental erosion may be difficult to establish because of its many presentations. Determination of the cause is an important aspect of diagnosis before extensive prosthodontic rehabilitation. PURPOSE: This cross-sectional study evaluated the association between loss of tooth structure as a result of dental erosion and gastroesophageal reflux disease. MATERIAL AND METHODS: Twenty consecutive adult dentate subjects referred to the Division of Gastroenterology for investigation of gastroesophageal tract disease were also evaluated for signs of dental erosion. All subjects underwent a dental evaluation that included a patient history to determine potential etiologic factors responsible for dental erosion. Subjects were examined clinically to quantify loss of tooth structure using a Tooth Wear Index (TWI). Endoscopic examination and 24-hour pH manometry were carried out to determine which subjects met the criteria for gastroesophageal reflux disease (GERD). Scores for maxillary versus mandibular dentition and anterior versus posterior dentition were also compared. Data were analyzed with the Kruskal-Wallis test (P =.004). RESULTS: Ten subjects were diagnosed with GERD and 10 subjects had manometry scores below the level indicating GERD. Overall, subjects diagnosed with GERD had significantly higher TWI scores compared with control subjects (mean difference = 0.6554; P =.004). GERD subjects had higher TWI scores in all quadrants, except in the mandibular anterior region where there was no difference. CONCLUSION: The results indicated that a relationship exists between loss of tooth structure, as measured by the TWI index, and the occurrence of GERD in this group of subjects.
机译：问题陈述：由于其表现形式很多，可能难以确定牙齿腐蚀的原因。确定原因是广泛的义齿修复之前诊断的重要方面。目的：这项横断面研究评估了由于牙齿侵蚀而导致的牙齿结构丧失与胃食管反流疾病之间的关系。材料和方法：还对二十名连续的成年齿科受试者进行了胃食管疾病的调查，这些受试者被转至胃肠病学科以调查胃食管疾病。所有受试者均接受了包括患者病史在内的牙科评估，以确定可能导致牙科侵蚀的病因。临床上对受试者进行了检查，以使用牙齿磨损指数（TWI）量化牙齿结构的损失。进行内窥镜检查和24小时pH测压法以确定哪些受试者符合胃食管反流病（GERD）的标准。还比较了上颌牙与下颌牙的得分以及前牙与后牙的得分。用Kruskal-Wallis检验分析数据（P = .004）。结果：10名受试者被诊断为GERD，10名受试者的测压得分低于指示GERD的水平。总体而言，与对照组相比，诊断为GERD的受试者的TWI评分显着更高（平均差异= 0.6554; P = .004）。 GERD受试者在所有象限中的TWI得分均较高，除了下颌前部区域无差异外。结论：结果表明，在该组受试者中，以TWI指数衡量的牙齿结构缺失与GERD的发生之间存在关系。

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