[Erosion caused by gastric reflux in children. Discussion of etiology, clinical appearance and therapy in two cases].
Dental erosion is a disease occurring not only in adults but also in children. Thereby, deciduous and permanent teeth are involved. The cause of these lesions is an extended acid exposure due to extrinsic or intrinsic factors. Unlike caries, the erosive process occurs without involving bacteria. Main reasons are extensive consumption of erosive (soft) drinks and foodstuffs or gastrooesophageal reflux with regurgitation of gastric acid into the oral cavity. Often, the first signs of this disease are erosive lesions of the teeth and therefore dentists have an important role in early diagnosis. Two clinical cases are presented and the clinical diagnosis, the course and possible systemic and local preventive and therapeutic measures are discussed. Patients suffering from erosion can be treated successfully if the correct diagnosis and adequate preventive and therapeutic measures are performed.
Lussi
Adrian
A
Klinik für Zahnerhaltung Freiburgstrasse 7, 3010 Bern.
Jaeggi
Thomas
T
D000293:Adolescent; D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D002648:Child; D005460:Fluorides, Topical / Q000627:therapeutic use; D005764:Gastroesophageal Reflux / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male; D009853:Omeprazole / Q000627:therapeutic use; D054328:Proton Pump Inhibitors; D012969:Sodium Fluoride / Q000627:therapeutic use; D014077:Tooth Erosion / Q000209:etiology* / Q000473:pathology / Q000628:therapy
D000897:Anti-Ulcer Agents; D005460:Fluorides, Topical; D054328:Proton Pump Inhibitors; C023807:sodium fluoride topical preparation; D012969:Sodium Fluoride; D009853:Omeprazole