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Dental Disorders and Salivary Changes in Patients with Laryngopharyngeal Reflux

Background: Laryngopharyngeal reflux (LPR) is a common inflammatory condition of the upper aerodigestive tract tissues related to the effects of gastroduodenal content reflux, characterized by a wide variety of clinical manifestations. The aim of our study was to evaluate the possible association be...

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Autores principales: Casciaro, Sabrina, Gelardi, Matteo, Giancaspro, Rossana, Quaranta, Vitaliano Nicola, Porro, Giuseppe, Sterlicchio, Brigida, Abbinante, Antonia, Corsalini, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775268/
https://www.ncbi.nlm.nih.gov/pubmed/35054320
http://dx.doi.org/10.3390/diagnostics12010153
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author Casciaro, Sabrina
Gelardi, Matteo
Giancaspro, Rossana
Quaranta, Vitaliano Nicola
Porro, Giuseppe
Sterlicchio, Brigida
Abbinante, Antonia
Corsalini, Massimo
author_facet Casciaro, Sabrina
Gelardi, Matteo
Giancaspro, Rossana
Quaranta, Vitaliano Nicola
Porro, Giuseppe
Sterlicchio, Brigida
Abbinante, Antonia
Corsalini, Massimo
author_sort Casciaro, Sabrina
collection PubMed
description Background: Laryngopharyngeal reflux (LPR) is a common inflammatory condition of the upper aerodigestive tract tissues related to the effects of gastroduodenal content reflux, characterized by a wide variety of clinical manifestations. The aim of our study was to evaluate the possible association between dental disorders and LRP, focusing on the role of salivary changes. Methods: Patient’s dental status was evaluated according to Schiff Index Sensitivity Scale (SISS), Basic Erosive Wear Examination (BEWE) and Decayed, Missing, and Filled Teeth (DMFT) scores. Reflux-associated symptoms were assessed according to Reflux symptom index (RSI). A qualitative and quantitative examination of saliva was performed. Results: Patients suffering from LPR had a higher incidence of dental disorders, regardless the presence of salivary pepsin, and thus, statistically significant higher scores of RSI (p = 0.0001), SISS (p = 0.001), BEWE (p < 0.001) and VAS (p < 0.001). Moreover, they had lower salivary flow compared with healthy patients. Conclusions: The finding of demineralization and dental caries on intraoral evaluation must raise the suspicion of LRP. Reflux treatments should also be aimed at correcting salivary alterations, in order to preserve the buffering capacity and salivary pH, thus preventing mucosal and dental damage.
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spelling pubmed-87752682022-01-21 Dental Disorders and Salivary Changes in Patients with Laryngopharyngeal Reflux Casciaro, Sabrina Gelardi, Matteo Giancaspro, Rossana Quaranta, Vitaliano Nicola Porro, Giuseppe Sterlicchio, Brigida Abbinante, Antonia Corsalini, Massimo Diagnostics (Basel) Article Background: Laryngopharyngeal reflux (LPR) is a common inflammatory condition of the upper aerodigestive tract tissues related to the effects of gastroduodenal content reflux, characterized by a wide variety of clinical manifestations. The aim of our study was to evaluate the possible association between dental disorders and LRP, focusing on the role of salivary changes. Methods: Patient’s dental status was evaluated according to Schiff Index Sensitivity Scale (SISS), Basic Erosive Wear Examination (BEWE) and Decayed, Missing, and Filled Teeth (DMFT) scores. Reflux-associated symptoms were assessed according to Reflux symptom index (RSI). A qualitative and quantitative examination of saliva was performed. Results: Patients suffering from LPR had a higher incidence of dental disorders, regardless the presence of salivary pepsin, and thus, statistically significant higher scores of RSI (p = 0.0001), SISS (p = 0.001), BEWE (p < 0.001) and VAS (p < 0.001). Moreover, they had lower salivary flow compared with healthy patients. Conclusions: The finding of demineralization and dental caries on intraoral evaluation must raise the suspicion of LRP. Reflux treatments should also be aimed at correcting salivary alterations, in order to preserve the buffering capacity and salivary pH, thus preventing mucosal and dental damage. MDPI 2022-01-09 /pmc/articles/PMC8775268/ /pubmed/35054320 http://dx.doi.org/10.3390/diagnostics12010153 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Casciaro, Sabrina
Gelardi, Matteo
Giancaspro, Rossana
Quaranta, Vitaliano Nicola
Porro, Giuseppe
Sterlicchio, Brigida
Abbinante, Antonia
Corsalini, Massimo
Dental Disorders and Salivary Changes in Patients with Laryngopharyngeal Reflux
title Dental Disorders and Salivary Changes in Patients with Laryngopharyngeal Reflux
title_full Dental Disorders and Salivary Changes in Patients with Laryngopharyngeal Reflux
title_fullStr Dental Disorders and Salivary Changes in Patients with Laryngopharyngeal Reflux
title_full_unstemmed Dental Disorders and Salivary Changes in Patients with Laryngopharyngeal Reflux
title_short Dental Disorders and Salivary Changes in Patients with Laryngopharyngeal Reflux
title_sort dental disorders and salivary changes in patients with laryngopharyngeal reflux
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775268/
https://www.ncbi.nlm.nih.gov/pubmed/35054320
http://dx.doi.org/10.3390/diagnostics12010153
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