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Oral health of children with gastro-oesophageal reflux disease: A controlled study

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A critical appraisal of this article by Linnet et al, which investigates the relationship between GERD and dental erosion in terms of the general oral health of children. Bibliography lists 9 sources

Page Count:

8 pages (~225 words per page)

File: JL5_JLteeth.rtf

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Unformatted sample text from the term paper:

study" by Linnet et al (2002) investigates the connection between dental erosion and gastro-esophageal reflux disease (GERD) in a sample group of children from the ages of 18 months to fifteen years. Dental erosion is classified as the loss of the hard tissue of the teeth, where neither bacterial action, caries, nor trauma are involved. Its connection to GERD is not a new phenomenon, and has already been the subject of various studies which have, however, mainly focused on adults. The Royal College of Surgeons for England (2005), for instance, notes that not only is dental erosion resulting from GERD more common than was previously thought in adults (possibly due to a greater awareness of bulimia and the prevalence of induced vomiting as a typical behaviour) but that it is not considered as serious when it occurs in children. This may be because it is thought that GERD in small children will only affect primary dentition, and therefore does not have the same long term impact as it would in adults. However, the RCSE also acknowledges that a British survey carried out in 1993 showed that over half of 5 year olds had "significant" erosion; whilst this may not be directly attributable to GERD it is clear that the issue, as Linnet et al state, merits further investigation. Lazarchik and Filler (1997) point out that dental erosion been "associated with the effects of acidic stomach contents and . . considered the predominant oral manifestation of gastroesophageal reflux disease" (Lazarchik and Filler, 1997, 1) for a number of years now. Schroeder et al (1995) state that erosion is a "common finding in patients with gastroesophageal reflux disease and should be considered an atypical manifestation of this disease" (Schroeder et al 1995, npa). ...

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