PMID- 26208714 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20181113 IS - 1472-6831 (Electronic) IS - 1472-6831 (Linking) VI - 15 DP - 2015 Jul 25 TI - Erosive esophageal reflux vs. non erosive esophageal reflux: oral findings in 71 patients. PG - 84 LID - 10.1186/s12903-015-0069-8 [doi] LID - 84 AB - BACKGROUND: The purpose of this clinical study was to assess the prevalence of acidic oral mucosal lesions and periodontal conditions in patients suffering from erosive esophageal reflux disease (ERD) compared with non erosive esophageal reflux disease (NERD) patients, both treated with long term proton pump inhibitors (PPI). METHODS: Seventy-one patients with diagnosed GERD were studied: i.e. 29 ERD and 42 NERD patients. Thorough visual examination of the oral mucosa and a periodontal evaluation was performed. The primary outcome was defined as a statistically significant difference, between the two groups, in the presence of acidic lesions of the oral mucosa and specific periodontal parameters. RESULTS: This study failed to demonstrate statistically significant differences between ERD and NERD patients with respect to the prevalence of oral mucosal lesions. However, significantly more ERD patients suffered from severe periodontitis (CAL >/= 5 mm) as compared to NERD patients. Accordingly, it may be assumed that PPI-use had no adverse effects on the prevalence of acidic oral mucosal lesions and on periodontal destruction. CONCLUSIONS: Within the limitations of this study it may be concluded that ERD and NERD patients need separate evaluation with respect to periodontal destruction. Moreover, long term PPI medication had no adverse clinical impact on acidic oral mucosal lesions and periodontal destruction. Further studies are necessary to elucidate the role of reflux in the periodontal destruction of ERD individuals. FAU - Deppe, Herbert AU - Deppe H AD - Department of Oral and Maxillofacial Surgery, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675, Munchen, Germany. herbert.deppe@mkg.med.tum.de. AD - Klinik und Poliklinik fur Mund-Kiefer-Gesichtschirurgie, Technische Universitat Munchen, Klinikum rechts der Isar, Ismaninger Strasse 22, D-81675, Munchen, Germany. herbert.deppe@mkg.med.tum.de. FAU - Mucke, Thomas AU - Mucke T AD - Department of Oral and Maxillofacial Surgery, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675, Munchen, Germany. th.mucke@gmx.de. FAU - Wagenpfeil, Stefan AU - Wagenpfeil S AD - Institute for Medical Biometry, Epidemiology and Medical Informatics, University of Saarland, Homburg/Saar, Germany. sw@med-imbei.uni-saarland.de. FAU - Kesting, Marco AU - Kesting M AD - Department of Oral and Maxillofacial Surgery, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675, Munchen, Germany. kesting@mkg.med.tum.de. FAU - Rozej, Anna AU - Rozej A AD - Department of Oral and Maxillofacial Surgery, Technical University of Munich, Klinikum rechts der Isar, Ismaninger Strasse 22, 81675, Munchen, Germany. anna.rozej@campus.lmu.de. FAU - Bajbouj, Monther AU - Bajbouj M AD - Department of Internal Medical Department II, Technical University of Munich, Klinikum rechts der Isar, Munchen, Germany. monther.bajbouj@lrz.tum.de. FAU - Sculean, Anton AU - Sculean A AD - Department of Periodontology, University of Berne, Bern, Switzerland. anton.sculean@zmk.unibe.ch. LA - eng PT - Comparative Study PT - Journal Article DEP - 20150725 PL - England TA - BMC Oral Health JT - BMC oral health JID - 101088684 RN - 0 (Anti-Ulcer Agents) RN - 0 (Proton Pump Inhibitors) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Anti-Ulcer Agents/therapeutic use MH - Dental Plaque Index MH - Erythema/etiology MH - Female MH - Gastric Acid MH - Gastroesophageal Reflux/*complications/drug therapy MH - Humans MH - Male MH - Middle Aged MH - Mouth Diseases/*etiology MH - Oral Ulcer/etiology MH - Periodontal Attachment Loss/etiology MH - Periodontal Diseases/*etiology MH - Periodontal Index MH - Periodontal Pocket/etiology MH - Periodontitis/etiology MH - Photography, Dental/methods MH - Proton Pump Inhibitors/therapeutic use MH - Stomatitis/etiology MH - Tongue Diseases/etiology MH - Young Adult PMC - PMC4513381 EDAT- 2015/07/26 06:00 MHDA- 2016/12/15 06:00 PMCR- 2015/07/25 CRDT- 2015/07/26 06:00 PHST- 2015/01/15 00:00 [received] PHST- 2015/07/14 00:00 [accepted] PHST- 2015/04/26 00:00 [revised] PHST- 2015/07/26 06:00 [entrez] PHST- 2015/07/26 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] PHST- 2015/07/25 00:00 [pmc-release] AID - 10.1186/s12903-015-0069-8 [pii] AID - 69 [pii] AID - 10.1186/s12903-015-0069-8 [doi] PST - epublish SO - BMC Oral Health. 2015 Jul 25;15:84. doi: 10.1186/s12903-015-0069-8.