MÒN NGÓT RĂNG DO ACID Ở BỆNH NHÂN TRÀO NGƯỢC DẠ DÀY THỰC QUẢN TẠI BỆNH VIỆN NGUYỄN TRÃI THÀNH PHỐ HỒ CHÍ MINH

Abstract

Objectives: To determine the prevalence and severity of dental erosion in patients with gastroesophageal reflux disease (GERD) at Nguyen Trai hospital, Ho Chi Minh city. Methods: A cross-sectional study were performed in 169 patients, aged from 18 to 70 years old, at Nguyen Trai hospital, Ho Chi Minh city from November 2021 to June 2022. Dental erosion (DE) was accessed in patients diagnosed with GERD (GerdQ ≥6). Three dentists evaluated dental erosion in a full-mouth recording using the Basic Erosive Wear Examination (BEWE). The severity of dental erosion was based on the BEWE sum score (<2: none, 3-8: mild, 9-13: average, >14: severe). Chi-square, Fisher’s exact test and logistic regression model were used in this study. The statistical significance was adopted as: p<0.05, CI95%. Results: Participants had age average 56.0 ± 10.6, 67.5% from female. Of the 169 individuals examined 78.1% presented dental erosion. Regarding severity, mild erosion accounted for 50%, moderate was 42% and severe was 8%. DE was more frequent in posterior teeth. The first molars presented more dental erosion (14-17%) and were significant severest than other teeth (p<0,05). Retired people had a DE 4.4 times higher than office workers with OR=4.4, CI95% (1.1-19.0). People with symptoms of dyspnea had a DE rate 3 times higher than those without this symptom, OR=3.0 CI 95% (1.2-7.8). Conclusion: DE was a common extraesophageal manifestation of GERD patients in the study, presented in posterior teeth both of jaws. Patients with GERD need to be examined, consulted for DE prevention and timely intervention.