Erosão dental em pacientes portadores de refluxo gastresofágico
2008
Gastroesophagic reflux disease is a set of organic manifestations caused by gastric reflux to the esophagus. The association between Gastroesophagic reflux disease and dental erosion demonstrates the result of acid reflux. Dental erosion is defined as the irreversible loss of dental structure caused by a chemical process that does not involve bacterial action. This study evaluated Dental Erosion associated with Gastroesophagic reflux disease, according to age, sex and educational level in patients with an endoscopic diagnosis of esophagi is caused by gastroesophagic reflux using modified Savary-Miller classification, group (E) compared to patients without this diagnosis (endoscopically normal), a normal group (N), treated at Centro de Endoscopia Digestiva do Hospital Sirio-Libanes de Sao Paulo. 120 patients were examined, with ages ranging from 20 to 80 (average age 46.76), of both sexes presenting with an endoscopic diagnosis of esophagi is caused by gastroesophagic reflux, and a further 60 patients aged between 20 and 80 (average age 39.97) of both sexes not diagnosed with esophagi is caused by gastroesophagic reflux. Specific protocol was answered by the patient or their legal representative. The methodology adopted involved, in the first stage, an endoscopic examination of the upper digestive tract and a test for esophagi is caused by gastroesophagic reflux, diagnosed according to modified Savary-Miller classification. This was followed by an oral examination and dental erosion was classified when present in accordance with the Eccles and Jenkins Scale. For statistical analysis the results were tested for each variable using the Pearson Chi-square test (X²). The statistical results indicated that esophagi is caused by gastroesophagic reflux is a significant factor in the presence of dental erosion. Age is a significant factor in the presence of dental erosion, 49 years old group N and 59 years old group E. The male is a significant factor for not presence of dental erosion in the groups studied, other wise female is significant factor for not presence of dental erosion in the group N and not a significant factor in the group E. Educational level 3 was significant in the not presence of dental erosion.
These results lead to the conclusion that patients who presented with dental erosion and a high degree of esophagi is caused by gastroesophagic reflux, 30 - 49 years old, and had a lower level of education.
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