How GERD Is More Than Just Heartburn

Oftentimes, I am the first to see patients' symptoms.

Dentists, like me, are often the first to recognize the signs or symptoms of what we know as GERD.  Gastroesophageal reflux disease (GERD) is an ailment in which a small muscular ring, positioned at the union of the stomach and esophagus, known as the esophageal sphincter, loses significant tone and relaxes several times per day.  When functioning properly, this ring acts to prevent acidic stomach contents from flowing back into the esophagus. Poorly functioning sphincters, as they are also called, allow the acidic contents of the stomach to regurgitate, or "reflux", into the esophagus and cause erosion of the tissues found there.  These acidic contents also have the capacity to reflux further up the pathway resulting in lung aspiration, respiratory difficulties, or even oral cavity ( mouth ) problems such as soft tissue irritation and tooth erosion.

GERD is more than just "heartburn".  Symptoms include, but are not limited to:

1. Halitosis ( Bad Breath )

2. Sour Taste

3. Swallowing Difficulties

4. Heartburn

5. Coughing

6. Chest Pain

7. Burning Sensations

8. Tooth Decay and Erosion

9. Soft Tissue Irritation (Red and Inflamed ) in the Oral Cavity

Patients who present to my office with these symptoms are referred to their medical practitioners for thorough examinations, a definitive diagnosis, and appropriate care. Additionally, making wise choices in diet and lifestyle will make positive changes in the progression of this condition.

Patients who exhibit GERD symptoms, or who have been definitively diagnosed with this condition, will require some dental treatment modifications...some as simple as properly managing the medications they are taking and avoiding others that may increase the risk of gastrointestinal side effects ( anti-inflammatory pain medications ).  Still other medications may have a direct impact on the dentistry itself.  A complete medical history , an occasional medical clearance from the patient's physician, and possible medication dosage alterations may be required.  In my practice, I find that certain GERD patients experience a more comfortable visit when placed in a semi-supine position.  

I welcome your questions, comments, and thoughts are GERD and how it may affect you or someone you love.

As always, our intention is to provide you with as comfortable an experience as possible while helping you create, and maintain, the smile you would be proud to wear...ANYWHERE!