GERD and Sleep Apnea

When we repair and replace teeth at the Shoal Creek Prosthodontic Group in Austin, we are often fixing damage caused by gastroesophageal reflux disease (GERD). Acid reflux causes enamel erosion on the back teeth, making them more sensitive. In order to prevent it, patients need to understand how it has been linked to another disease with dental repercussions, obstructive sleep apnea.

The two diseases are often comorbid and mostly occur in people who are overweight. It is possible that one contributes to the other. When people suffer from obstructive sleep apnea, their bodies move their jaws in an attempt to keep their airways open. They may be doing this in response to the acid in their esophagi obstructing air flow. When people grind their teeth in their sleep, enamel is lost and they often wake up with pain in their teeth, as well as their jaw, head, and neck muscles. This pain may also cause them to get less or lower-quality sleep.

Recent studies have shown that common treatments for sleep apnea, such as CPAP machines, also reduce the frequency of acid reflux, leading scientists to think sleep apnea may cause the brain to send a signal which contributes to acid reflux. Other things people can do to reduce their risk of acid reflux include cutting back on dairy and fatty meats, as well as onions, garlic, alcohol, and chocolate, and avoiding large meals before bed.

Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38^th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit Frederick Shaw DDS and fill out a contact form.

 

Acid Reflux and Tooth Sensitivity

At the Shoal Creek Prosthodontic Group, we see teeth that are damaged for all sorts of reasons. While most people understand the role of plaque in tooth decay, they may not know about how much gastroesophageal reflux disease, also known as GERD or acid reflux, contributes to enamel erosion.

Acid reflux is what happens when the sphincter that divides the stomach from the esophagus fails to prevent hydrochloric acid from backing up into the throat and mouth. The acid burns tissues it comes into contact with, including teeth, gums, and salivary glands. As enamel wears down, tooth nerves become exposed, resulting in tooth sensitivity. Damage to salivary glands also contributes to dry mouth, which increases the risk of infection.

Preventing acid reflux usually requires changes in posture and diet. Patients should avoid slouching as well as alcohol, caffeine, smoking, and acidic foods and drinks such as garlic, tomatoes, and citrus juices. It is also wise to not eat before bed. As for existing damage, there are remineralization therapies such as fluoride treatments to help strengthen enamel. Patients can also stimulate new saliva production by chewing sugar-free gum.

Frederick Shaw, DDS, operates the Shoal Creek Prosthodontic Group at 1500 W 38^th Street, Suite 34, Austin, Texas, 78731. To schedule an appointment, call 512-451-7491 or visit FrederickShawDDS.com and fill out a contact form.