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- W2049079339 abstract "Background: This case report describes the dental management of a 30-year-old male with cerebral palsy and dyspraxia. Recall examination identified multiple erosive carious lesions despite previous oral hygiene and dietary related instruction. A comprehensive approach to patient management was required to identify the aetiological factors associated with the continued loss of tooth structure. Methods: The identification of the aetiological factors required a detailed medical history and clinical examination, as well as liaison with the patient’s general medical practitioner. Preventive measures were adopted prior to restorative intervention in order to stabilize and remineralize the dentition. Results: Medical intervention for gastro-oesophageal reflux disease (GORD) and a targeted prevention programme resulted in remineralization of all carious exposed dentine with stabilization of the dentition. Conclusions: Patients with cerebral palsy are known to have a higher incidence of GORD as well as problems with swallowing, vomiting and recurrent chest infections. Long-term gastric acid attacks can contribute to dental erosion, and dental professionals may be the first to diagnose silent GORD. The successful treatment of erosion caused by GORD requires a multidisciplinary and minimal intervention approach." @default.
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- W2049079339 date "2008-06-01" @default.
- W2049079339 modified "2023-09-24" @default.
- W2049079339 title "Oral impact of gastro-oesophageal reflux disease: a case report" @default.
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- W2049079339 doi "https://doi.org/10.1111/j.1834-7819.2008.00029.x" @default.
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