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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-8775268 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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