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References

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The Dental Implications of Gastro-oesophageal Reflux Disease in Children

From Volume 51, Issue 1, January 2024 | Pages 34-41

Authors

Maleeha Gilani

BDSc, DClinDent (Paed Dent), MRACDS (Paed), Paediatric Dentist

University of Western Australia and Perth Children's Hospital

Articles by Maleeha Gilani

Robert Anthonappa

BDS, MDS(Paed Dent), PhD, AdvDipPaediatrDent, FDSRCS(Edin), MPaedRCS(Edin), MRACDS(Paed), BDS, MDS (Paed Dent), PhD, AdvDipPaediatrDent, FDSRCS(Edin), MPaedRCS(Edin), FADI, FICD, Professor

Discipline Lead and Program Convenor, Paediatric Dentistry, University of Western Australia

Articles by Robert Anthonappa

Email Robert Anthonappa

Abstract

Gastro-oesophageal reflux disease (GORD) is common in children and has numerous extra-oesophageal manifestations which dental practitioners should be aware of. This article illustrates the role of the dentist in recognizing the signs and symptoms of GORD in children. A risk-based management system is illustrated to guide clinicians in managing children exhibiting erosive tooth wear.

CPD/Clinical Relevance: Dental implications of GORD in children and its management provide useful clinical information for dental practitioners.

Article

Gastro-oesophageal reflux (GOR) is the passage of gastric contents into the oesophagus.1 It is a physiological phenomenon occurring multiple times daily in children and infants, most often resolving spontaneously by the second year of life.2 Gastro-oesophageal reflux disease (GORD) is when the reflux of gastric contents causes troublesome symptoms and/or complications.3 First described in the paediatric literature in 1982, and only a few decades later, is now one of the most common causes of foregut symptoms in children.4,5

The extra-oesophageal manifestations of reflux are often considered separate entities and bear many names, such as extra-oesophageal reflux disease, laryngopharyngeal reflux disease or pharyngeal reflux. However, the extra-oesophageal manifestations are significant because the acidic refluxate, composed of acid, pepsin, bile salts and trypsin, can reach the oral cavity with effects on the hard and soft tissues in the mouth.

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