ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY

Hüseyin Gencay Keçeli; Hasan Hatipoğlu; Faik Yaylak; Hümerya Aydemir Turkal

doi:10.24938/kutfd.305200

Research Article

ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY

Year 2017, Volume: 19 Issue: 3, 185 - 193, 18.12.2017

Hüseyin Gencay Keçeli Hasan Hatipoğlu Faik Yaylak Hümerya Aydemir Turkal

https://doi.org/10.24938/kutfd.305200

Abstract

Objective: Gastroesophageal reflux disease and laryngopharyngeal reflux are common public health problems, which are known to effect oral cavity. Subjective assessment of symptom severity in patients with gastroesophageal reflux and laryngopharyngeal reflux can be made with self-reported “Reflux Symptom Index”. In this study, possible relation of dental and periodontal conditions with Reflux Symptom Index scores was evaluated.

Material and Methods: This study was performed with 135 dental outpatients (52 female and 83 male; aged between 18-63 years). Demographic and clinical variables were procured and Reflux Symptom Index (a nine item and 45-point scale questionnaire) scores were evaluated. Dental and periodontal conditions were assessed with DMFT (decayed, missing, filled teeth) index and Community Periodontal Index scores. Patients were divided into two subgroups according to their RSI values (Reflux Symptom Index ≤13; normal and Reflux Symptom Index >13; abnormal) and differences were statistically investigated.

Results: Reflux Symptom Index subgroups showed significant difference in all intraoral parameters except decayed teeth number (p<0.05). In addition, Reflux Symptom Index scores did not show constant correlations with DMFT and Community Periodontal Index scores (p>0.05).

Conclusion: Self-reported Reflux Symptom Index merits further investigation before declaring dental and periodontal conclusions in patients with gastroesophageal reflux disease and laryngopharyngeal reflux.

Keywords

Gastroesophageal reflux, laryngopharyngeal reflux, dental caries, periodontal disease, questionnaires

References

1. Mosca F, Rossillo V, Leone C. Manifestations of gastro-pharyngo-laryngeal reflux disease. Acta Otorhinolaryngol Ital. 2006;26(5):247.
2. DeVault KR. Extraesophageal symptoms of GERD. Cleve Clin J Med. 2003;70:S20-32.
3. Napierkowski J, Wong RK. Extraesophageal manifestations of GERD. Am J Med Sci. 2003;326(5):285-99.
4. Richter J. Review article: extraoesophageal manifestations of gastro‐oesophageal reflux disease. Alim pharma & therap. 2005;22(s1):70-80.
5. Di Fede O, Di Liberto C, Occhipinti G, et al. Oral manifestations in patients with gastro‐oesophageal reflux disease: a single‐center case–control study. J Oral Pathol Med 2008;37(6):336-40.
6. Ersin NK, Önçağ Ö, Tümgör G, Aydoğdu S, Hilmioğlu S. Oral and dental manifestations of gastroesophageal reflux disease in children: a preliminary study. Pediatric dent. 2006;28(3):279-84.
7. Linnett V, Seow W, Connor F, Shepherd R. Oral Health of Children with Gastro‐Esophageal Reflux Disease: A Controlled Study. Aust Dent J. 2002;47(2):156-62.
8. Marsicano JA, de Moura-Grec PG, Bonato RC, de Carvalho Sales-Peres M, Sales-Peres A, de Carvalho Sales-Peres SH. Gastroesophageal reflux, dental erosion, and halitosis in epidemiological surveys: a systematic review. J Gastroenterol. 2013;25(2):135-41.
9. Munoz J, Herreros B, Sanchiz V, et al. Dental and periodontal lesions in patients with gastro-oesophageal reflux disease. Dig Liver Dis. 2003;35(7):461-7.
10. Corrêa MCCSF, Lerco MM, Cunha MdLRd, Henry MACdA. Salivary parameters and teeth erosions in patients with gastroesophageal reflux disease. Arq Gastroenterol 2012;49(3):214-8.
11. Filipi K, Halackova Z, Filipi V. Oral health status, salivary factors and microbial analysis in patients with active gastro‐oesophageal reflux disease. J Int dental 2011;61(4):231-7.
12. Yoshikawa H, Furuta K, Ueno M, et al. Oral symptoms including dental erosion in gastroesophageal reflux disease are associated with decreased salivary flow volume and swallowing function. J Gastroenterol 2012;47(4):412-20.
13. Song JY, Kim HH, Cho EJ, Kim TY. The relationship between gastroesophageal reflux disease and chronic periodontitis. J Gut liver. 2014;8(1):35-40.
14. Wang G-R, Zhang H, Wang Z-G, Jiang G-S, Guo C-H. Relationship between dental erosion and respiratory symptoms in patients with gastro-oesophageal reflux disease. J Dent. 2010;38(11):892-8.
15. Silva MAGS, Damante JH, Stipp ACM, Tolentino MM, Carlotto PR, Fleury RN. Gastroesophageal reflux disease: new oral findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(3):301-10.
16. Belafsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index (RSI). J Voice. 2002;16(2):274-7.
17. Habermann W, Schmid C, Neumann K, DeVaney T, Hammer HF. Reflux symptom index and reflux finding score in otolaryngologic practice. J Voice. 2012;26(3):e123-e7.
18. Naiboglu B, Durmus R, Tek A, Toros SZ, Egeli E. Do the laryngopharyngeal symptoms and signs ameliorate by empiric treatment in patients with suspected laryngopharyngeal reflux? Auris Nasus Larynx 2011;38(5):622-7.
19. Ramzy I, El Shazly M, Marzaban R, Elbaz T, Safwat M, Latif B. Laryngopharengeal Reflux in Gastroesophageal Reflux Disease: Does “Silent Laryngopharengeal Reflux” Really Exist? J Gastroenterol. 2014;2014.
20. Zucato B, Behlau MS. Laryngopharyngeal reflux symptoms index: relation with the main symptoms of gastroesophageal reflux, voice usage level and voice screening. J Revista CEFAC. 2012;14(6):1197-203.
21. Park KH, Choi SM, Kwon SU, Yoon SW, Kim SU. Diagnosis of laryngopharyngeal reflux among globus patients. J Oto-Head and Neck Surgery. 2006;134(1):81-5.
22. WHO. Oral health surveys: basic methods. 2013.
23. Hayat E, Börekçi Ş, Gemicioğlu B. Reflux, Allergic Rhinitis, and Sleep Disorders with Asthma Control and Quality of Life. J Clin Anal Med. 2014;5(6):453-6.
24. Korkmaz M, Tarhan E, Unal H, Selcuk H, Yilmaz U, Ozluoglu L. Esophageal mucosal sensitivity: possible links with clinical presentations in patients with erosive esophagitis and laryngopharyngeal reflux. Dig Dis Sci. 2007;52(2):451-6.
25. Ogut F, Ersin S, Engin E, et al. The effect of laparoscopic Nissen fundoplication on laryngeal findings and voice quality. J Surg endoscopy. 2007;21(4):549.
26. Belafsky PC, Postma GN, Koufman JA. Laryngopharyngeal reflux symptoms improve before changes in physical findings. Laryngoscope 2001;111(6):979-81.
27. Catania RA, Kavic SM, Roth JS, et al. Laparoscopic Nissen fundoplication effectively relieves symptoms in patients with laryngopharyngeal reflux. J Gastrointest Surg 2007;11(12):1579-88.
28. Pizzo G, Guiglia R, Russo LL, Campisi G. Dentistry and internal medicine: from the focal infection theory to the periodontal medicine concept. Eur J Intern Med. 2010;21(6):496-502.
29. Daley TD, Armstrong JE. Oral manifestations of gastrointestinal diseases. Can J Gastroenterol Hepatol. 2007;21(4):241-4.
30. Logan RM. Links between oral and gastrointestinal health. Curr Opin Support Palliat Care 2010;4(1):31-5.
31. Nouraie M, Radmard AR, Zaer-Rezaii H, Razjouyan H, Nasseri-Moghaddam S, Malekzadeh R. Hygiene could affect GERD prevalence independently: a population-based study in Tehran. Am J Gastroenterol. 2007;102(7):1353-60.
32. Katunarić M, Jukić S, Staudt-Skaljac G, Mehulić K, Komar D. Some periodontological parameters in patients with oesophagogastric passage insufficiency. Coll Antropol. 1998;22:199-203.
33. Belafsky PC, Postma GN, Koufman JA. The validity and reliability of the reflux finding score (RFS). Laryngoscope 2001;111(8):1313-7.
34. Mesallam TA, Stemple JC, Sobeih TM, Elluru RG. Reflux symptom index versus reflux finding score. Annals of O, R & L. 2007;116(6):436-40.
35. Belafsky PC, Rees CJ. Laryngopharyngeal reflux: the value of otolaryngology examination. J Cur gastr reports. 2008;10(3):278-82.

DENTAL/ PERİODONTAL DURUM VE HASTA TARAFINDAN BEYAN EDİLMIŞ REFLÜ SEMPTOM İNDEKSİ SKORLARI ARASINDAKI OLASI İLIŞKININ DEĞERLENDIRILMESI. ÖNÇALIŞMA

Year 2017, Volume: 19 Issue: 3, 185 - 193, 18.12.2017

Hüseyin Gencay Keçeli Hasan Hatipoğlu Faik Yaylak Hümerya Aydemir Turkal

https://doi.org/10.24938/kutfd.305200

Abstract

Amaç: Oral kaviteyi etkilediği bilinen gastroözofageal reflü hastalığı ve larengofarengeal reflü genel toplum sağlığı problemidir. Gastroözofageal reflü ve larengofaringeal reflü hastalarında semptom şiddetinin subjektif olarak değerlendirilmesi hasta tarafından beyan edilen "Reflü Semptom İndeksi" ile yapılabilir. Bu çalışmada, dental ve periodontal durumların Reflü Semptom İndeksi skorları ile olası ilişkisi değerlendirildi.

Gereç ve Yöntemler: Bu çalışma, ayakta tedavi gören 135 hasta (52 kadın 83 erkek, yaşları 18-63 yıl) ile gerçekleştirildi. Demografik ve klinik değişkenler alındı ve Reflü Semptom İndeksi (dokuz madde ve 45 puanlı anket) skorları değerlendirildi. Dental ve periodontal durumlar DMFT (çürük-kayıp-dolgulu diş) indeksi ve Toplum Periodontal İndeks skorları ile değerlendirildi. Hastalar Reflü Semptom İndeksi değerlerine göre (Reflü Semptom İndeksi ≤ 13, normal ve Reflü Semptom İndeksi >13; anormal) iki alt gruba ayrıldı ve istatistiksel farklılıklar araştırıldı.

Bulgular: Reflü Semptom İndeksi alt grupları çürük diş sayısı hariç tüm intraoral parametrelerde anlamlı farklılık gösterdi (p<0.05). Buna ek olarak Reflü Semptom İndeksi skorları DMFT ve Toplum Periodontal İndeks skorları ile sabit korelasyon göstermedi (p>0.05).

Sonuç: Gastroözofageal reflü ve larengofaringeal reflülü hastaların dental ve periodontal durum sonuçları bildirilmeden önce hasta tarafından beyan edilmiş Reflü Semptom İndeksi hakkında daha fazla araştırma yapılması gerekir.

Keywords

Gastroözofageal reflü, laringofarinjiyal reflü, diş çürükleri, periodontal hastalik, anketler

References

1. Mosca F, Rossillo V, Leone C. Manifestations of gastro-pharyngo-laryngeal reflux disease. Acta Otorhinolaryngol Ital. 2006;26(5):247.
2. DeVault KR. Extraesophageal symptoms of GERD. Cleve Clin J Med. 2003;70:S20-32.
3. Napierkowski J, Wong RK. Extraesophageal manifestations of GERD. Am J Med Sci. 2003;326(5):285-99.
4. Richter J. Review article: extraoesophageal manifestations of gastro‐oesophageal reflux disease. Alim pharma & therap. 2005;22(s1):70-80.
5. Di Fede O, Di Liberto C, Occhipinti G, et al. Oral manifestations in patients with gastro‐oesophageal reflux disease: a single‐center case–control study. J Oral Pathol Med 2008;37(6):336-40.
6. Ersin NK, Önçağ Ö, Tümgör G, Aydoğdu S, Hilmioğlu S. Oral and dental manifestations of gastroesophageal reflux disease in children: a preliminary study. Pediatric dent. 2006;28(3):279-84.
7. Linnett V, Seow W, Connor F, Shepherd R. Oral Health of Children with Gastro‐Esophageal Reflux Disease: A Controlled Study. Aust Dent J. 2002;47(2):156-62.
8. Marsicano JA, de Moura-Grec PG, Bonato RC, de Carvalho Sales-Peres M, Sales-Peres A, de Carvalho Sales-Peres SH. Gastroesophageal reflux, dental erosion, and halitosis in epidemiological surveys: a systematic review. J Gastroenterol. 2013;25(2):135-41.
9. Munoz J, Herreros B, Sanchiz V, et al. Dental and periodontal lesions in patients with gastro-oesophageal reflux disease. Dig Liver Dis. 2003;35(7):461-7.
10. Corrêa MCCSF, Lerco MM, Cunha MdLRd, Henry MACdA. Salivary parameters and teeth erosions in patients with gastroesophageal reflux disease. Arq Gastroenterol 2012;49(3):214-8.
11. Filipi K, Halackova Z, Filipi V. Oral health status, salivary factors and microbial analysis in patients with active gastro‐oesophageal reflux disease. J Int dental 2011;61(4):231-7.
12. Yoshikawa H, Furuta K, Ueno M, et al. Oral symptoms including dental erosion in gastroesophageal reflux disease are associated with decreased salivary flow volume and swallowing function. J Gastroenterol 2012;47(4):412-20.
13. Song JY, Kim HH, Cho EJ, Kim TY. The relationship between gastroesophageal reflux disease and chronic periodontitis. J Gut liver. 2014;8(1):35-40.
14. Wang G-R, Zhang H, Wang Z-G, Jiang G-S, Guo C-H. Relationship between dental erosion and respiratory symptoms in patients with gastro-oesophageal reflux disease. J Dent. 2010;38(11):892-8.
15. Silva MAGS, Damante JH, Stipp ACM, Tolentino MM, Carlotto PR, Fleury RN. Gastroesophageal reflux disease: new oral findings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(3):301-10.
16. Belafsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index (RSI). J Voice. 2002;16(2):274-7.
17. Habermann W, Schmid C, Neumann K, DeVaney T, Hammer HF. Reflux symptom index and reflux finding score in otolaryngologic practice. J Voice. 2012;26(3):e123-e7.
18. Naiboglu B, Durmus R, Tek A, Toros SZ, Egeli E. Do the laryngopharyngeal symptoms and signs ameliorate by empiric treatment in patients with suspected laryngopharyngeal reflux? Auris Nasus Larynx 2011;38(5):622-7.
19. Ramzy I, El Shazly M, Marzaban R, Elbaz T, Safwat M, Latif B. Laryngopharengeal Reflux in Gastroesophageal Reflux Disease: Does “Silent Laryngopharengeal Reflux” Really Exist? J Gastroenterol. 2014;2014.
20. Zucato B, Behlau MS. Laryngopharyngeal reflux symptoms index: relation with the main symptoms of gastroesophageal reflux, voice usage level and voice screening. J Revista CEFAC. 2012;14(6):1197-203.
21. Park KH, Choi SM, Kwon SU, Yoon SW, Kim SU. Diagnosis of laryngopharyngeal reflux among globus patients. J Oto-Head and Neck Surgery. 2006;134(1):81-5.
22. WHO. Oral health surveys: basic methods. 2013.
23. Hayat E, Börekçi Ş, Gemicioğlu B. Reflux, Allergic Rhinitis, and Sleep Disorders with Asthma Control and Quality of Life. J Clin Anal Med. 2014;5(6):453-6.
24. Korkmaz M, Tarhan E, Unal H, Selcuk H, Yilmaz U, Ozluoglu L. Esophageal mucosal sensitivity: possible links with clinical presentations in patients with erosive esophagitis and laryngopharyngeal reflux. Dig Dis Sci. 2007;52(2):451-6.
25. Ogut F, Ersin S, Engin E, et al. The effect of laparoscopic Nissen fundoplication on laryngeal findings and voice quality. J Surg endoscopy. 2007;21(4):549.
26. Belafsky PC, Postma GN, Koufman JA. Laryngopharyngeal reflux symptoms improve before changes in physical findings. Laryngoscope 2001;111(6):979-81.
27. Catania RA, Kavic SM, Roth JS, et al. Laparoscopic Nissen fundoplication effectively relieves symptoms in patients with laryngopharyngeal reflux. J Gastrointest Surg 2007;11(12):1579-88.
28. Pizzo G, Guiglia R, Russo LL, Campisi G. Dentistry and internal medicine: from the focal infection theory to the periodontal medicine concept. Eur J Intern Med. 2010;21(6):496-502.
29. Daley TD, Armstrong JE. Oral manifestations of gastrointestinal diseases. Can J Gastroenterol Hepatol. 2007;21(4):241-4.
30. Logan RM. Links between oral and gastrointestinal health. Curr Opin Support Palliat Care 2010;4(1):31-5.
31. Nouraie M, Radmard AR, Zaer-Rezaii H, Razjouyan H, Nasseri-Moghaddam S, Malekzadeh R. Hygiene could affect GERD prevalence independently: a population-based study in Tehran. Am J Gastroenterol. 2007;102(7):1353-60.
32. Katunarić M, Jukić S, Staudt-Skaljac G, Mehulić K, Komar D. Some periodontological parameters in patients with oesophagogastric passage insufficiency. Coll Antropol. 1998;22:199-203.
33. Belafsky PC, Postma GN, Koufman JA. The validity and reliability of the reflux finding score (RFS). Laryngoscope 2001;111(8):1313-7.
34. Mesallam TA, Stemple JC, Sobeih TM, Elluru RG. Reflux symptom index versus reflux finding score. Annals of O, R & L. 2007;116(6):436-40.
35. Belafsky PC, Rees CJ. Laryngopharyngeal reflux: the value of otolaryngology examination. J Cur gastr reports. 2008;10(3):278-82.

There are 35 citations in total.

Details

Subjects	Health Care Administration
Journal Section	Articles
Authors	Hüseyin Gencay Keçeli This is me Hasan Hatipoğlu This is me Faik Yaylak This is me Hümerya Aydemir Turkal
Publication Date	December 18, 2017
Submission Date	April 10, 2017
Published in Issue	Year 2017 Volume: 19 Issue: 3

Cite

APA	Keçeli, H. G., Hatipoğlu, H., Yaylak, F., Aydemir Turkal, H. (2017). ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 19(3), 185-193. https://doi.org/10.24938/kutfd.305200
AMA	Keçeli HG, Hatipoğlu H, Yaylak F, Aydemir Turkal H. ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY. Kırıkkale Uni Med J. December 2017;19(3):185-193. doi:10.24938/kutfd.305200
Chicago	Keçeli, Hüseyin Gencay, Hasan Hatipoğlu, Faik Yaylak, and Hümerya Aydemir Turkal. “ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 19, no. 3 (December 2017): 185-93. https://doi.org/10.24938/kutfd.305200.
EndNote	Keçeli HG, Hatipoğlu H, Yaylak F, Aydemir Turkal H (December 1, 2017) ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 19 3 185–193.
IEEE	H. G. Keçeli, H. Hatipoğlu, F. Yaylak, and H. Aydemir Turkal, “ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY”, Kırıkkale Uni Med J, vol. 19, no. 3, pp. 185–193, 2017, doi: 10.24938/kutfd.305200.
ISNAD	Keçeli, Hüseyin Gencay et al. “ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 19/3 (December 2017), 185-193. https://doi.org/10.24938/kutfd.305200.
JAMA	Keçeli HG, Hatipoğlu H, Yaylak F, Aydemir Turkal H. ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY. Kırıkkale Uni Med J. 2017;19:185–193.
MLA	Keçeli, Hüseyin Gencay et al. “ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, vol. 19, no. 3, 2017, pp. 185-93, doi:10.24938/kutfd.305200.
Vancouver	Keçeli HG, Hatipoğlu H, Yaylak F, Aydemir Turkal H. ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY. Kırıkkale Uni Med J. 2017;19(3):185-93.

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