Comparison of Oral Health Status of Pediatric Patients with Gastroesophageal Reflux and Bile Reflux Disease

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dc.authoridDündar Sarı, Makbule Buse / 0000-0002-8848-8850
dc.authoridSarı, Eren / 0000-0002-4480-2051
dc.contributor.authorDündar Sarı, Makbule Buse
dc.contributor.authorSarı, Eren
dc.contributor.authorArslan, Melike
dc.contributor.authorAksoy, Merve
dc.contributor.authorBal, Cenkhan
dc.contributor.authorBalamtekin, Necati
dc.date.accessioned2026-02-03T12:00:41Z
dc.date.available2026-02-03T12:00:41Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction: Gastroesophageal reflux disease (GERD) and bile reflux disease (BRD) are two distinct conditions that may affect oral health through different mechanisms. This study investigated whether these reflux types lead to differing oral and dental outcomes in pediatric patients, aiming to inform clinical practice and promote interdisciplinary care. Methods: Patients diagnosed with BRD or GERD between 2017 and 2020 were included. Clinical oral examinations, salivary analyses, and questionnaires on potential etiological factors for erosive tooth wear (ETW) were conducted. Oral health was assessed using the Basic Erosive Wear Examination (BEWE), dental caries experience (DMFT), Silness and Löe plaque index (PI), and gingival index (GI). Salivary pH and flow rates were recorded. Results: Sixty-six patients (33 with BRD, 33 with GERD; 75.8% female; mean age: 14.9 +/- 3.1) were included. BEWE scores were significantly higher in GERD patients (median: 6 vs. 4) (p < 0.001), though both groups were classified as low risk for ETW. GERD patients had higher PI (p = 0.018) and GI scores (p < 0.001), while DMFT scores were similar (p = 0.639). BRD patients exhibited significantly higher median values for unstimulated and stimulated salivary pH (7 vs. 6 and 8 vs. 7, respectively) and flow rates (0.6 vs. 0.36 mL/min and 1.7 vs. 1.22 mL/min, respectively) (all p < 0.001), although stimulated flow in GERD patients remained within normal limits (>= 1 mL/min). Conclusion: GERD was associated with poorer oral health, particularly ETW and gingival status. Early, multidisciplinary intervention may help prevent erosion and promote remineralization. (c) 2025 S. Karger AG, Basel.
dc.identifier.doi10.1159/000547887
dc.identifier.issn0008-6568
dc.identifier.issn1421-976X
dc.identifier.pmid40784328
dc.identifier.scopus2-s2.0-105026598597
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1159/000547887
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34662
dc.identifier.wosWOS:001574995200001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKarger
dc.relation.ispartofCaries Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20260130
dc.subjectDuodenogastroesophageal reflux
dc.subjectErosive tooth wear
dc.subjectGingival index
dc.subjectOral health
dc.subjectPlaque index
dc.subjectSalivary flows
dc.titleComparison of Oral Health Status of Pediatric Patients with Gastroesophageal Reflux and Bile Reflux Disease
dc.typeArticle

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