The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 17 , ISSUE 11 ( November, 2016 ) > List of Articles

RESEARCH ARTICLE

A Clinicopathologic Study of Oral Changes in Gastroesophageal Reflux Disease, Gastritis, and Ulcerative Colitis

KMK Masthan, E Vinesh, M Sathish Kumar, S Marytresa Jeyapriya, Aravindha Babu, Meera Thinakaran

Citation Information : Masthan K, Vinesh E, Kumar MS, Jeyapriya SM, Babu A, Thinakaran M. A Clinicopathologic Study of Oral Changes in Gastroesophageal Reflux Disease, Gastritis, and Ulcerative Colitis. J Contemp Dent Pract 2016; 17 (11):943-947.

DOI: 10.5005/jp-journals-10024-1959

Published Online: 01-11-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objectives

The aim and objectives of this study are to identify oral changes in certain gastrointestinal (GI) diseases, namely gastroesophageal reflux disease (GERD), ulcerative colitis, gastritis, and to evaluate these oral symptoms as indicators for assessing GI disorders.

Materials and methods

In this study, the oral manifestations of various GI disorders were assessed in a varying age group of 250 patients in Government Stanley Medical College and Hospital, Chennai. Out of 250 patients, 142 were affected by GERD, 99 were affected by gastritis, and 9 patients were affected by ulcerative colitis. Of these patients, 177 were males and 73 were females.

Results

Evaluation of patients with gastritis revealed that 66.7% affected with gingivitis, 19.2% with dental erosion on the palatal and lingual aspects of maxillary and mandibular teeth predominantly in the anterior region, 10.1% with periodontitis, 2% with gingival erythema. Among the patients with GERD, 44% of the cases showed dental erosion, 25.5% periodontitis, 9.9% gingivitis, 5.7% gingival erythema, 2.8% palatal erythema, 2.1% gingival ulcers, glossitis 2%, 1.4% floor of the mouth erythema, and 0.7% erythema of the tongue. Patients with ulcerative colitis showed 44.4% of gingival erythema, 33.3% of dental erosions, and 22.2% of gingival ulcers and periodontitis.

Conclusion

In our study of 250 patients, oral manifestations were observed in 88% of the patients. Both soft tissue and hard tissue changes were evident. There was a high correlation between various GI disease and dental erosion, erythema at various sites of the oral cavity, oral ulcers, gingivitis, periodontitis, and glossitis. Careful evaluation of oral cavity may unveil many GI disorders and help the patient by providing early diagnosis, which further facilitates the prognosis.

How to cite this article

Vinesh E, Masthan KMK, Kumar MS, Jeyapriya SM, Babu A, Thinakaran M. A Clinicopathologic Study of Oral Changes in Gastroesophageal Reflux Disease, Gastritis, and Ulcerative Colitis. J Contemp Dent Pract 2016;17(11):943-947.


PDF Share
  1. Oral manifestations of systemic diseases [Internet]. Medscape reference [cited 2016 July 27]. Available from: http://emedicine.medscape.com/article/1081029overview#a2
  2. Oral manifestations of gastrointestinal diseases. Can J Gastroenterol 2007;21(4):241-244.
  3. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol 2006 Aug;101(8):1900-1920.
  4. Gastroesophageal reflux disease (GERD): a review of conventional and alternative treatments. Altern Med Rev 2011 Jun;16(2):116-133.
  5. Gastroesophageal reflux disease and oral manifestations. Ital J Pediatr 2014 Aug;40(Suppl 1): A73.
  6. Ulcerative colitis. Orphanet encyclopedia; September 2003.
  7. Association of oral manifestations with ulcerative colitis. Gastroenterol Hepatol Bed Bench 2012 Summer;5(3):155-160.
  8. The relationship between periodontal disease attributes and helicobacter pylori, Infection among adults in the United States. Am J Public Health 2002 Nov;92(11):1809-1815.
  9. Is the presence of helicobacter pylori in the dental plaque of patients with chronic periodontitis a risk factor for gastric infection? Can J Gastroenterol 2009 Mar;23(3):177-179.
  10. Dental erosion and acid reflux disease. Ann Intern Med 2009 Jun;122(1):809-815.
  11. Dental erosion in gastroesophageal reflux disease. J Can Dent Assoc 2003 Feb;69(2):84-89.
  12. Evidence linking gastroesophageal reflux disease and dental erosion is not strong. J Am Dent Assoc 2009 Nov;140(11):1401-1402.
  13. Gastrointestinal illnesses and their effects on the oral cavity. Oral Maxillofac Surg Clin North Am 2008 Nov;20(4):625-634.
  14. Dental erosion and acid reflux disease. Ann Intern Med 1995 Jun;122(11):809-815.
  15. Important cutaneous manifestations of inflammatory bowel disease. Postgrad Med J 2005 Sep;81(959):580-585.
  16. Asymptomatic inflammatory bowel disease presenting with mucocutaneous findings. Paediatrics 2005 Sep;116(3):e439-e444.
  17. Potential role of microorganisms isolated from periodontal lesions in the pathogenesis of inflammatory bowel disease. Infect Immun 1986 Sep;53(3):671-677.
  18. Oral signs and symptoms in relation to disease activity and site of involvement in patients with inflammatory bowel disease. Oral Dis 2003 Jan;9(1):34-40.
  19. Extraintestinal manifestations of inflammatory bowel disease. J Pediatr Gastroentrol Nutr 2008 Feb;46(2):124-133.
  20. Dental management of patients with inflammatory bowel disease. J Clin Exp Dent 2010;2(4):191-195.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.