Erosive esophageal reflux vs. non erosive esophageal reflux: oral findings in 71 patients
Identifieur interne : 001174 ( Main/Exploration ); précédent : 001173; suivant : 001175Erosive esophageal reflux vs. non erosive esophageal reflux: oral findings in 71 patients
Auteurs : Herbert Deppe [Allemagne] ; Thomas Mücke [Allemagne] ; Stefan Wagenpfeil [Allemagne] ; Marco Kesting [Allemagne] ; Anna Rozej [Allemagne] ; Monther Bajbouj [Allemagne] ; Anton Sculean [Suisse]Source :
- BMC Oral Health [ 1472-6831 ] ; 2015.
Abstract
The purpose of this clinical study was to assess the prevalence of acidic oral mucosal lesions and periodontal conditions in patients suffering from erosive esophageal reflux disease (ERD) compared with non erosive esophageal reflux disease (NERD) patients, both treated with long term proton pump inhibitors (PPI).
Seventy-one patients with diagnosed GERD were studied: i.e. 29 ERD and 42 NERD patients. Thorough visual examination of the oral mucosa and a periodontal evaluation was performed. The primary outcome was defined as a statistically significant difference, between the two groups, in the presence of acidic lesions of the oral mucosa and specific periodontal parameters.
This study failed to demonstrate statistically significant differences between ERD and NERD patients with respect to the prevalence of oral mucosal lesions. However, significantly more ERD patients suffered from severe periodontitis (CAL ≥ 5 mm) as compared to NERD patients. Accordingly, it may be assumed that PPI-use had no adverse effects on the prevalence of acidic oral mucosal lesions and on periodontal destruction.
Within the limitations of this study it may be concluded that ERD and NERD patients need separate evaluation with respect to periodontal destruction. Moreover, long term PPI medication had no adverse clinical impact on acidic oral mucosal lesions and periodontal destruction. Further studies are necessary to elucidate the role of reflux in the periodontal destruction of ERD individuals.
Url:
DOI: 10.1186/s12903-015-0069-8
PubMed: 26208714
PubMed Central: 4513381
Affiliations:
- Allemagne, Suisse
- Bavière, Canton de Berne, District de Haute-Bavière
- Berne, Munich
- Université Louis-et-Maximilien de Munich, Université technique de Munich
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nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Wagenpfeil, Stefan" sort="Wagenpfeil, Stefan" uniqKey="Wagenpfeil S" first="Stefan" last="Wagenpfeil">Stefan Wagenpfeil</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Institute for Medical Biometry, Epidemiology and Medical Informatics, University of Saarland, Homburg/Saar, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Medical Biometry, Epidemiology and Medical Informatics, University of Saarland, Homburg/Saar</wicri:regionArea><wicri:noRegion>Homburg/Saar</wicri:noRegion><wicri:noRegion>Homburg/Saar</wicri:noRegion><wicri:noRegion>Homburg/Saar</wicri:noRegion></affiliation></author><author><name sortKey="Kesting, Marco" sort="Kesting, Marco" uniqKey="Kesting M" first="Marco" last="Kesting">Marco Kesting</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675 München, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675 München</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Rozej, Anna" sort="Rozej, Anna" uniqKey="Rozej A" first="Anna" last="Rozej">Anna Rozej</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675 München, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675 München</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Bajbouj, Monther" sort="Bajbouj, Monther" uniqKey="Bajbouj M" first="Monther" last="Bajbouj">Monther Bajbouj</name><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Internal Medical Department II, Technical University of Munich, Klinikum rechts der Isar, München, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Internal Medical Department II, Technical University of Munich, Klinikum rechts der Isar, München</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation></author><author><name sortKey="Sculean, Anton" sort="Sculean, Anton" uniqKey="Sculean A" first="Anton" last="Sculean">Anton Sculean</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Department of Periodontology, University of Berne, Bern, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Periodontology, University of Berne, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName></affiliation></author></analytic><series><title level="j">BMC Oral Health</title><idno type="eISSN">1472-6831</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The purpose of this clinical study was to assess the prevalence of acidic oral mucosal lesions and periodontal conditions in patients suffering from erosive esophageal reflux disease (ERD) compared with non erosive esophageal reflux disease (NERD) patients, both treated with long term proton pump inhibitors (PPI).</p></sec><sec><title>Methods</title><p>Seventy-one patients with diagnosed GERD were studied: i.e. 29 ERD and 42 NERD patients. Thorough visual examination of the oral mucosa and a periodontal evaluation was performed. The primary outcome was defined as a statistically significant difference, between the two groups, in the presence of acidic lesions of the oral mucosa and specific periodontal parameters.</p></sec><sec><title>Results</title><p>This study failed to demonstrate statistically significant differences between ERD and NERD patients with respect to the prevalence of oral mucosal lesions. However, significantly more ERD patients suffered from severe periodontitis (CAL ≥ 5 mm) as compared to NERD patients. Accordingly, it may be assumed that PPI-use had no adverse effects on the prevalence of acidic oral mucosal lesions and on periodontal destruction.</p></sec><sec><title>Conclusions</title><p>Within the limitations of this study it may be concluded that ERD and NERD patients need separate evaluation with respect to periodontal destruction. Moreover, long term PPI medication had no adverse clinical impact on acidic oral mucosal lesions and periodontal destruction. Further studies are necessary to elucidate the role of reflux in the periodontal destruction of ERD individuals.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Dent, J" uniqKey="Dent J">J Dent</name></author><author><name sortKey="El Serag, Hb" uniqKey="El Serag H">HB El-Serag</name></author><author><name sortKey="Wallander, Ma" uniqKey="Wallander M">MA Wallander</name></author><author><name sortKey="Johansson, S" uniqKey="Johansson S">S Johansson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bajbouj, M" uniqKey="Bajbouj M">M Bajbouj</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hershcovici, T" uniqKey="Hershcovici T">T Hershcovici</name></author><author><name sortKey="Fass, R" uniqKey="Fass R">R Fass</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Armstrong, D" uniqKey="Armstrong D">D 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ChangLai</name></author><author><name sortKey="Liao, Kk" uniqKey="Liao K">KK Liao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Campisi, G" uniqKey="Campisi G">G Campisi</name></author><author><name sortKey="Lo Russo, L" uniqKey="Lo Russo L">L Lo Russo</name></author><author><name sortKey="Di Liberto, C" uniqKey="Di Liberto C">C Di Liberto</name></author><author><name sortKey="Di Nicola, F" uniqKey="Di Nicola F">F Di Nicola</name></author><author><name sortKey="Butera, D" uniqKey="Butera D">D Butera</name></author><author><name sortKey="Vigneri, S" uniqKey="Vigneri S">S Vigneri</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Suisse</li></country><region><li>Bavière</li><li>Canton de Berne</li><li>District de Haute-Bavière</li></region><settlement><li>Berne</li><li>Munich</li></settlement><orgName><li>Université Louis-et-Maximilien de Munich</li><li>Université technique de Munich</li></orgName></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Deppe, Herbert" sort="Deppe, Herbert" uniqKey="Deppe H" first="Herbert" last="Deppe">Herbert Deppe</name></region><name sortKey="Bajbouj, Monther" sort="Bajbouj, Monther" uniqKey="Bajbouj M" first="Monther" last="Bajbouj">Monther Bajbouj</name><name sortKey="Deppe, Herbert" sort="Deppe, Herbert" uniqKey="Deppe H" first="Herbert" last="Deppe">Herbert Deppe</name><name sortKey="Kesting, Marco" sort="Kesting, Marco" uniqKey="Kesting M" first="Marco" last="Kesting">Marco Kesting</name><name sortKey="Mucke, Thomas" sort="Mucke, Thomas" uniqKey="Mucke T" first="Thomas" last="Mücke">Thomas Mücke</name><name sortKey="Rozej, Anna" sort="Rozej, Anna" uniqKey="Rozej A" first="Anna" last="Rozej">Anna Rozej</name><name sortKey="Wagenpfeil, Stefan" sort="Wagenpfeil, Stefan" uniqKey="Wagenpfeil S" first="Stefan" last="Wagenpfeil">Stefan Wagenpfeil</name></country><country name="Suisse"><region name="Canton de Berne"><name sortKey="Sculean, Anton" sort="Sculean, Anton" uniqKey="Sculean A" first="Anton" last="Sculean">Anton Sculean</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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