What is gastroesophageal reflux disease (GERD)?

Gastroesophageal reflux disease occurs when the stomach contents flow in reverse into the oesophagus (food pipe). GERD arises due to a weakened lower oesophageal sphincter, a muscle that refuses to shut completely. As a result, digestive juices rise in the oesophagus, causing an uncomfortable burning sensation in the throat or chest. A bad aftertaste from stomach fluid lingers at the back of the throat. Typically, the patient develops heartburn, difficulty swallowing, indigestion and a sensation as if something is stuck in the throat.

What are the common signs of GERD?

• A sour aftertaste in the mouth
• Voice hoarseness
• Chest pain
• Tight throat
• A feeling as if something is caught in the throat

How does Dr Patel check the teeth for signs of GERD?

Some signs reveal tooth erosion. As a result, Dr Patel checks for signs of pain in the mouth, sensitivity to cold or hot food and drink, sharpened tooth edges, and thinned or stained teeth.

In order to confirm GERD, your family doctor may order tests such as a Barium Swallow to check for ulcers and restriction within the oesophagus, an oesophageal manometry to assess how the oesophagus and lower oesophageal sphincter functions and pH monitoring for the assessment of acidic content in the oesophagus.

How do you treat symptoms of GERD?

Dr Patel is passionate about raising awareness concerning the impact of GERD on the teeth. Then, he will discuss dental treatments to restore the aesthetic appeal of the teeth, such as:

• Veneers & crowns are made from ceramic to restore the appearance of the teeth after damage due to erosion.
• Sometimes the teeth are so severely damaged due to the influx of stomach fluid that they need to be replaced by bridges, dental implants and prostheses.

Dr Patel will advise on what to avoid doing after an episode of reflux. For example, he will advise that you avoid brushing your teeth after reflux to avoid further damage to the teeth when weakened by exposure to acid.

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