Dental Erosion in the Childhood and its Association with Gastroesophageal reflux

Cristiane Tomaz ROCHA, Cecilia Pedroso TURSSI, Suzeidi Bernardo CASTANHEIRA, Silmara Aparecida Milori CORONA

Abstract


Introduction: Dental erosion is defined as progressive and irreversible loss of dental hard tissue by a chemical process that does not involve bacterial action. Its etiology is multifactorial and is related has been related to extrinsic or intrinsic source of acid. Among the factors of intrinsic origin, this condition has been related to the presence of gastroesophageal reflux, especially in children. Gastroesophageal reflux refers to retrograde, repeated and involuntary flow of gastric contents to the esophagus, which can consist of gas (belching) or fluid (regurgitation). Objective: This study discussed through a literature review, the knowledge on the pathogenesis and diagnosis of gastroesophageal reflux. Moreover, scientific evidence about its association with dental erosion in children was presented and some strategies for prevention and control of these lesions have been suggested.
Conclusion: Control of erosion due to gastroesophageal reflux disease should prioritize the elimination or reduction of contact between the gastric juice with tooth structure, by treating the underlying pathology. However, during the management of reflux, the professional should be aware of the need to prescribe or adopt strategies to minimize the wear, such as rinsing with a baking soda aqueous solution and postpone brushing straight after regurgitation or vomiting, avoid frequent consumption of acidic foods and drinks and optimize the remineralization of enamel and dentin through the application of fluoridated products.

Keywords


Erosão dentária; Criança; Refluxo gastroesofágico



DOI: http://dx.doi.org/10.4034/pboci.v11i2.926

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