Gastroesophageal reflux diagnosed by occlusal splint tintion.
The gastroesophageal reflux (GER) disease is a very frequent digestive disorder, mainly characterised by the reflux of the gastric acidic content to the esophage in abnormal quantities. There are different situations that favour this situation but almost in all of them rely an incompetence of the esophagic sphincter. The clinical consequences are many, including oral manifestations. Among all of them the most frequent is the esophagitis followed by symptoms at the pharynx or larynx and finally, the oral cavity. At this level fundamentally we will find enamel and oral mucosa erosions. We report the case of a patient who was indirectly diagnosed of her esophague disease by the observation of the alterations in the occlusal splint induced by the gastric reflux. We review the literature concerning the above topic and its possible association with the miofascial syndrome.
Cebrián-Carretero
José Luis
JL
Servicio de Cirugía Maxilofacial, Hospital Universitario La Paz, 28046 Madrid. drlopezarcas@tiscali.es
López-Arcas-Calleja
José María
JM
D000328:Adult; D004791:Enzyme Inhibitors / Q000627:therapeutic use; D005157:Facial Pain / Q000209:etiology* / Q000628:therapy; D005260:Female; D005744:Gastric Acid; D005745:Gastric Acidity Determination; D005764:Gastroesophageal Reflux / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D017090:Occlusal Splints; D054328:Proton Pump Inhibitors; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000150:complications* / Q000628:therapy; D014077:Tooth Erosion / Q000209:etiology*
D004791:Enzyme Inhibitors; D054328:Proton Pump Inhibitors