PMID- 32152820 OWN - NLM STAT- MEDLINE DCOM- 20200821 LR - 20200821 IS - 1618-1255 (Electronic) IS - 1618-1247 (Linking) VI - 108 IP - 4 DP - 2020 Oct TI - Predictors of dental erosions in patients evaluated with upper digestive endoscopy: a cross-sectional study. PG - 723-729 LID - 10.1007/s10266-020-00505-z [doi] AB - The most studied medical condition related with dental erosions is gastroesophageal reflux disease (GERD). The aim of this study was to assess other predictors of dental erosions besides GERD in outpatients referred for upper digestive endoscopy. In a cross-sectional study, we prospectively evaluated 235 patients who underwent upper digestive endoscopy. Patients were interviewed and examined by a trained dentist before the endoscopies, addressing dental health as well as clinical information and food intake. Dental erosion was classified using Basic Erosive Wear Examination score. Potential predictors for dental erosions were: gender, age, chronic use of antidepressants and proton pump inhibitors (PPI), diabetes mellitus, body mass index, heartburn and acid regurgitation scores, chocolate intake, reflux esophagitis and hiatal hernia. Overall prevalence of dental erosions was 23.4%. The most parsimonious Poisson regression model for dental erosions considered age, chocolate intake and acid regurgitation as predictors. Dental erosions were associated with acid regurgitation in patients younger than 50 years [adjusted prevalence ratio (PR) = 1.8 (95% CI 1.1-2.9)] and with chocolate intake in patients older than 50 years [PR = 2.1 (95% CI 1.2-3.9]. The surfaces most eroded were palatine/lingual (n = 25) and occlusal (n = 25), followed by vestibular (n = 5). In outpatients evaluated with upper digestive endoscopy, the variables associated with dental erosions were age younger than 50 years, acid regurgitation and chocolate intake. Referral for dental evaluation should be considered for young patients with GERD and frequent acid regurgitation. FAU - Rauber, Barbara Facco AU - Rauber BF AD - Program in Dentistry, Faculty of Dentistry, University of Passo Fundo, BR 285 Campus I, RS, Passo Fundo, CEP 99052900, Brazil. FAU - Milani, Daiane Cristina AU - Milani DC AD - Program in Dentistry, Faculty of Dentistry, University of Passo Fundo, BR 285 Campus I, RS, Passo Fundo, CEP 99052900, Brazil. FAU - Callegari-Jacques, Sidia Maria AU - Callegari-Jacques SM AD - Statistics Department, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil. FAU - Fornari, Laura AU - Fornari L AD - Burnaby South Secondary School, Burnaby, BC, Canada. FAU - Bonadeo, Nilton Maiolini AU - Bonadeo NM AD - Endoscopy Department, Sao Vicente de Paulo Hospital, Passo-Fundo, Brazil. FAU - Fornari, Fernando AU - Fornari F AD - Program in Dentistry, Faculty of Dentistry, University of Passo Fundo, BR 285 Campus I, RS, Passo Fundo, CEP 99052900, Brazil. fernandofornari@gmail.com. AD - Endoscopy Department, Endopasso, Passo Fundo, Brazil. fernandofornari@gmail.com. LA - eng PT - Journal Article DEP - 20200310 PL - Japan TA - Odontology JT - Odontology JID - 101134822 SB - IM MH - Cross-Sectional Studies MH - Endoscopy, Gastrointestinal MH - *Esophagitis, Peptic MH - *Gastroesophageal Reflux MH - Humans MH - Prevalence OTO - NOTNLM OT - Acid regurgitation OT - Chocolate intake OT - Dental erosions OT - Erosive tooth wear OT - Upper digestive endoscopy EDAT- 2020/03/11 06:00 MHDA- 2020/08/22 06:00 CRDT- 2020/03/11 06:00 PHST- 2019/10/06 00:00 [received] PHST- 2020/02/25 00:00 [accepted] PHST- 2020/03/11 06:00 [pubmed] PHST- 2020/08/22 06:00 [medline] PHST- 2020/03/11 06:00 [entrez] AID - 10.1007/s10266-020-00505-z [pii] AID - 10.1007/s10266-020-00505-z [doi] PST - ppublish SO - Odontology. 2020 Oct;108(4):723-729. doi: 10.1007/s10266-020-00505-z. Epub 2020 Mar 10.