XỬ LÝ MÒN NGÓT RĂNG DO ACID Ở BỆNH NHÂN TRÀO NGƯỢC DẠ DÀY THỰC QUẢN: HIỆU QUẢ PHỐI HỢP CAN THIỆP NHA KHOA - NỘI KHOA TỚI CHẤT LƯỢNG CUỘC SỐNG

Abstract

Objectives: To conduct a study to facilitate intradepartmental collaborations between medicine and dentistry and to evaluate effective invention through oral health related quality of life in the patients with gastroesophageal reflux disease (GERD presented dental erosion at Nguyen Trai hospital, Ho Chi Minh city. Methods: A clinical trial was performed in GERD patients, aged from 18 to 70 years old, at Nguyen Trai hospital, Ho Chi Minh city from November 2021 to June 2022. GerdQ questionnaire was used for the diagnosis of GERD (GerdQ ≥6). Three dentists accessed dental erosion (DE) using the Basic Erosion Wear Examination (BEWE). A dental-medical integration was applied in a clinical trial in order to manage dental erosion in GERD patients. GERD patients with mild and medium risk of erosion (BEWE between 3 and 13) were randomly assigned to two treatment regimens (A and B).  Both groups received GERD treatment and dental health care consultation. Group A regimen includes 5% NaF varnish application, 1450 ppm F toothpaste and night guard; Group B regimen includes 5% NaF varnish application, 1450 ppm F toothpaste and night guard with CPP-ACP.  Oral health related quality of life was evaluated before and after 1 month (T1) and 3 months (T3) treatment using Oral Health Impact Profile -14 (OHIP-14).  Chi-square, Fisher’s exact test, Paired T- test was replaced by Mann-Whitney test and Paired T- test were used in this study. The statistical significance was adopted as: p<0.05, CI95%. Results: Total 169 patients (mean age 56.0 ± 10.6 years, 67.5% female) were examined, 78.1% presented dental erosion. Regarding severity, mild erosion accounted for 50%, moderate was 42% and severe was 8%. The clinical trial includes 99 patients (48 group A and 51 group B). At T1 and T3 the mean OHIP-14 score of the both two groups were significantly decreased (p<0.05) in all domains and in the total OHIP-14 score. Both treatments were effective, both were observed to improve the quality-of-life. Both groups had the mean OHIP-14 score at T3 was significantly decreased compared to T1 (p<0.05) in all domains and total OHIP-14 score. At baseline, the quality of life in group B was lower than that in group A, however no significant difference was obsevered at T3. Conclusion: With dental- medical integration, both two treatment regimens were observed to improve the quality-of-life. Wearing night guard with CPP-ACP seems to improve the efficacy of the treatment regimen.