Gastroesophageal reflux disease flashcards

Treat the acid source and protect the remaining tooth structure together. Erosion suggests acid exposure; it does not establish GERD on its own.

• Find the source: ask about regurgitation, vomiting, rumination, acidic drinks, medicines, and feeding.
• Refer and document: arrange pediatric/GI evaluation when reflux is suspected; record the pattern and progression with photographs and an erosion index.
• Fluoride: age-appropriate toothpaste and professional application according to caries risk.
• Prescription-strength paste: requires an age- and swallowing-appropriate plan; fluoride does not replace reflux control.
• After acid exposure: rinse with water if the child can rinse safely; avoid immediate brushing.
• Routine hygiene: use a soft brush. Sugar-free gum is an option only if chewing and swallowing are safe.
• Restore selectively: address pain, exposed dentin, loss of function, or substantial structural loss; severely affected primary molars may need stainless steel crowns.
• Review response: reassess both symptoms and documented wear after medical and dental treatment.

The erosion measures above are supported by the supplemental ADA resource; AAPD fluoride guidance supports the caries-prevention plan.