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Predictors of dental erosions in patients evaluated with upper digestive endoscopy: a cross-sectional study

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Abstract

The most studied medical condition related with dental erosions is gastroesophageal reflux disease (GERD). The aim of this study was to assess other predictors of dental erosions besides GERD in outpatients referred for upper digestive endoscopy. In a cross-sectional study, we prospectively evaluated 235 patients who underwent upper digestive endoscopy. Patients were interviewed and examined by a trained dentist before the endoscopies, addressing dental health as well as clinical information and food intake. Dental erosion was classified using Basic Erosive Wear Examination score. Potential predictors for dental erosions were: gender, age, chronic use of antidepressants and proton pump inhibitors (PPI), diabetes mellitus, body mass index, heartburn and acid regurgitation scores, chocolate intake, reflux esophagitis and hiatal hernia. Overall prevalence of dental erosions was 23.4%. The most parsimonious Poisson regression model for dental erosions considered age, chocolate intake and acid regurgitation as predictors. Dental erosions were associated with acid regurgitation in patients younger than 50 years [adjusted prevalence ratio (PR) = 1.8 (95% CI 1.1–2.9)] and with chocolate intake in patients older than 50 years [PR = 2.1 (95% CI 1.2–3.9]. The surfaces most eroded were palatine/lingual (n = 25) and occlusal (n = 25), followed by vestibular (n = 5). In outpatients evaluated with upper digestive endoscopy, the variables associated with dental erosions were age younger than 50 years, acid regurgitation and chocolate intake. Referral for dental evaluation should be considered for young patients with GERD and frequent acid regurgitation.

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Authors and Affiliations

  1. Program in Dentistry, Faculty of Dentistry, University of Passo Fundo, BR 285 Campus I, RS, Passo Fundo, CEP 99052900, Brazil

    Bárbara Facco Rauber, Daiane Cristina Milani & Fernando Fornari

  2. Statistics Department, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil

    Sidia Maria Callegari-Jacques

  3. Burnaby South Secondary School, Burnaby, BC, Canada

    Laura Fornari

  4. Endoscopy Department, São Vicente de Paulo Hospital, Passo-Fundo, Brazil

    Nilton Maiolini Bonadeo

  5. Endoscopy Department, Endopasso, Passo Fundo, Brazil

    Fernando Fornari

Authors
  1. Bárbara Facco Rauber
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  2. Daiane Cristina Milani
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  3. Sidia Maria Callegari-Jacques
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  4. Laura Fornari
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  5. Nilton Maiolini Bonadeo
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  6. Fernando Fornari
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Correspondence to Fernando Fornari.

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Rauber, B.F., Milani, D.C., Callegari-Jacques, S.M. et al. Predictors of dental erosions in patients evaluated with upper digestive endoscopy: a cross-sectional study. Odontology 108, 723–729 (2020). https://doi.org/10.1007/s10266-020-00505-z

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  • DOI: https://doi.org/10.1007/s10266-020-00505-z

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