Gastroesophageal Refulx Disease (GERD)

Gastroesophageal Reflux Disease (GERD) is a chronic digestive disorder that affects a significant portion of the population, occurring when stomach acid or bile flows back into the food pipe. The constant backwash of acid irritates the lining of the esophagus and can cause severe damage to the oral cavity. This course provides an in-depth look at the etiology, pathophysiology, and clinical presentation of GERD, specifically tailored for the dental professional. It highlights the dentist's role in early detection, as oral manifestations often precede the diagnosis of the systemic condition. The curriculum focuses on the distinct pattern of dental erosion associated with GERD, differentiating it from other forms of tooth wear such as attrition and abrasion. Participants will learn to identify specific erosion patterns on the palatal surfaces of maxillary teeth and the occlusal cupping of molars. The course also covers the multifactorial nature of the disease, including lifestyle triggers, anatomical defects like hiatal hernias, and the side effects of common medications that relax the lower esophageal sphincter. Finally, this course outlines comprehensive management strategies, ranging from dietary modifications and pharmacological interventions to surgical options. It emphasizes the importance of collaboration between dental and medical providers to ensure holistic patient care. Dental-specific treatments, such as fluoride protocols, desensitizing agents, and restorative timing, are discussed to help clinicians protect and restore the dentition of patients suffering from this erosive condition.