Dental approach to erosive tooth wear in gastroesophageal reflux disease.

BACKGROUND The duration of gastro-esophageal reflux disease (GERD), the frequency of reflux, the pH and type of acid, and the quality and quantity of saliva affect the severity of dental erosion due to GERD. OBJECTIVE To summarize the diagnostic protocol and treatment of dental erosion due to GERD. METHODS A Medline literature search was performed to identify articles associated with a dental approach to GERD. RESULTS The dental professional must carry out a diagnostic protocol, which includes collecting data on the patient's medical and dietary history, occupational/recreational history, dental history, and oral hygiene methods. Intraoral, head and neck, and salivary function examinations should be performed to expose the dental implications of GERD symptoms. CONCLUSION Diagnosing the cause of erosive tooth wear can help prevent further damage. Patients must be informed about how to prevent GERD.