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Sialorrhea and gastroesophageal reflux
1Salivary Gland Center, Columbia University School of Dental and Oral Surgery, New York 10032, USA.
Journal of the American Dental Association (1939)
|November 1, 1995
Summary
Gastroesophageal reflux can trigger an esophagosalivary reflex, causing increased salivation (sialorrhea). Dental practitioners may identify this reflex, necessitating medical consultation for pregnant patients or those with hiatal hernias.
Area of Science:
- Gastroenterology and Dental Medicine
Background:
- Pregnancy and hiatal hernias are common conditions associated with gastroesophageal reflux.
- Heartburn is a frequent symptom of gastroesophageal reflux disease (GERD).
Observation:
- Gastric acid reflux stimulates the esophagus, triggering a physiological response.
- This stimulation initiates an esophagosalivary reflex.
Findings:
- The esophagosalivary reflex results in a significant increase in salivary flow.
- Saliva produced acts to neutralize esophageal acid content, offering temporary relief.
Implications:
- Dental practitioners are well-positioned to recognize symptoms of sialorrhea related to GERD.
- Early recognition by dental professionals can prompt necessary medical consultation for patients experiencing these symptoms.
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