Question: Lately, I’ve been battling stress-induced acid reflux, a nightly occurrence that’s been causing me a lot of concern. After each episode, I’ve been rinsing my mouth with water but unsure about the best approach to brushing my teeth. I’ve heard that acid reflux can be detrimental to teeth, mainly if it’s recurring. Despite my current struggles, I’m hopeful that the acid reflux will subside. However, I’m eager to learn what measures I can take to protect my teeth.

Reply: According to a study published in 2009, Dental erosion caused by gastroesophageal reflux disease:  Chronic regurgitation of gastric acids in patients with gastroesophageal reflux disease may cause dental erosion, which can lead in combination with attrition or bruxism to extensive loss of coronal tooth tissue. The Conclusion was that the significant loss of coronal tooth structure must be considered. Gastroesophageal reflux disease alone or combined with attrition, abrasion, or bruxism may be responsible for the loss. An extensive diagnostic evaluation is essential for the medical and dental effects of the problem.

One important term to keep in mind is “chronic.” In this context, chronic is a long-lasting and recurrent condition, often characterized by long suffering. If you are experiencing persistent acid reflux, it is advisable to schedule a visit to your dentist. In the following discussion, we will dive into the potential dental damage caused by acid reflux and provide helpful tips for maintaining oral health while dealing with acid reflux.

What is Acid Reflux?

Let’s start by exploring what acid reflux is and understanding its symptoms. Acid reflux occurs when stomach acid flows back into the esophagus, the tube that connects the mouth and the stomach. This backwash of acid can irritate the lining of the esophagus, leading to discomfort and potential long-term damage if left untreated.

The Symptoms of Acid Reflux May Include:

1. Heartburn: Heartburn, a common symptom of acid reflux, is a burning sensation in the chest that often occurs after eating and may worsen at night. It is caused by stomach acid backing up into the esophagus, leading to discomfort and a sour taste in the mouth. Heartburn often occurs due to a weakened lower esophageal sphincter, which allows stomach acid to flow back up. Lifestyle modifications, dietary changes, and over-the-counter medications can help manage and alleviate heartburn symptoms. If symptoms persist, seeking medical advice to rule out underlying conditions and receive proper treatment is essential.

2. Regurgitation: Acid reflux involves regurgitating sour or bitter-tasting acid from the stomach into the throat or mouth. Regurgitating occurs when the lower esophageal sphincter, a ring of muscle at the entrance to the stomach, doesn’t close properly. When this happens, stomach acid can flow back into the esophagus, leading to the unpleasant sensation of regurgitation. It can be accompanied by a sour or bitter taste in the mouth and a burning feeling in the chest or throat, commonly known as heartburn.

3. Difficulty swallowing: When it comes to acid reflux, difficulty swallowing can be a concerning symptom. Swallowing difficulty, also known as dysphagia, can occur when the esophagus becomes inflamed due to acid irritation. The sensation of food sticking in the throat or chest and discomfort or pain while swallowing might indicate a narrowing of the esophagus.

If you’re experiencing difficulty swallowing due to acid reflux, it’s essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Treatment might involve lifestyle changes, medication, or other interventions to manage acid reflux and alleviate the symptoms of dysphagia.

4. Sensation of a lump in the throat: The sensation of a lump in the throat, also known as the Globus sensation, can be a symptom of acid reflux. This feeling is often described as a persistent lump, tightness, or fullness in the throat. It can be uncomfortable and may cause difficulty swallowing or the need to clear the throat frequently. In the context of acid reflux, this sensation may be attributed to the backflow of stomach acid into the esophagus, leading to irritation and inflammation. It’s essential to consult a healthcare professional for proper diagnosis and treatment if you experience this symptom.

5. Chronic cough or asthma symptoms: Acid reflux can often manifest as chronic cough or asthma symptoms. When stomach acid flows back into the esophagus, it can irritate the throat and airways, causing a persistent cough or triggering asthma symptoms. Coughing occurs because the acid can stimulate nerves in the esophagus and cause the body to produce more mucus, leading to coughing. In some cases, the refluxed stomach contents can enter the lungs and cause asthma-like symptoms such as wheezing and shortness of breath.

6. Disrupted sleep due to discomfort: Acid reflux can often lead to disrupted sleep due to pain. The regurgitation of stomach acid into the esophagus can cause a burning sensation in the chest or throat, making it difficult to lie down and fall asleep comfortably. This discomfort can disrupt the natural sleep cycle, leading to fragmented or insufficient rest. Additionally, some individuals may experience nighttime coughing or choking due to acid reflux, further impacting the quality of their sleep. It’s essential to consult a healthcare professional for advice on managing acid reflux to improve sleep quality and overall well-being.

Reflux and Teeth Damage

Dealing with the effects of acid reflux on your teeth can be concerning. Acid reflux can lead to dental erosion, wearing away the enamel on the inside and chewing surfaces of your teeth. This erosion is permanent and may cause several issues, including:

1. Pain or sensitivity when consuming hot, cold, or sweet drinks: Dental erosion occurs when the enamel on the surface of teeth wears away due to the effects of acid. When this protective layer is compromised, it can lead to increased sensitivity to hot, cold, or sweet drinks. This is because the dentin, which lies beneath the enamel, contains tiny nerve endings that can become more exposed, causing discomfort or pain when these stimuli come into contact with the teeth.  

2. Yellowish discoloration of the teeth: Dental erosion can lead to yellowish discoloration due to the weakening of the enamel. When the enamel, the outermost layer of the teeth, is eroded, it exposes the underlying dentin. Dentin is naturally yellowish, and when it becomes more visible due to enamel erosion, it can cause the teeth to appear yellowish or discolored. In addition, eroded enamel is more prone to staining from food, drinks, and smoking, further contributing to the yellowish discoloration of the teeth. Therefore, dental erosion weakens the teeth and affects their aesthetic appearance.

3. Changes in your fillings: Dental erosion, the gradual wearing away of the tooth enamel due to acid, can lead to changes in your fillings. When enamel is eroded, it can cause existing fillings to become more prominent as the surrounding tooth structure diminishes. This can result in fillings appearing raised or standing out compared to the surrounding tooth surface. Additionally, erosion can compromise the seal between the filling and the tooth, leading to potential leakage and further decay. Therefore, it’s important to address dental erosion promptly to prevent adverse changes in fillings and maintain overall oral health.

4. Increased risk of developing cavities over time: Dental erosion can lead to an increased risk of developing cavities due to the weakening of the tooth enamel. When the enamel erodes, the protective barrier of the teeth is compromised, making them more susceptible to decay. This can occur due to acidic foods and drinks, certain medical conditions, or gastrointestinal issues. As the enamel wears away, it exposes the underlying dentin, which is softer and more vulnerable to decay. Without intervention, this can increase the likelihood of cavity formation and other severe dental issues. Taking steps to prevent dental erosion, such as reducing acidic food consumption and maintaining good oral hygiene, is crucial in safeguarding against the risk of developing cavities.

5. Potential development of an abscess in extreme cases: Dental erosion can lead to the potential development of an abscess in extreme cases due to the weakening of the tooth enamel. When erosion occurs, the protective layer of the teeth is gradually worn down, leaving the teeth more susceptible to bacterial infection. If left untreated, this can eventually lead to an abscess, a painful collection of pus caused by a bacterial infection. The acid from foods and drinks and acid reflux can contribute to dental erosion and increase the risk of abscess development. Additionally, erosion can expose the sensitive inner layers of the teeth, leading to heightened sensitivity and discomfort. Therefore, it’s crucial to address dental erosion promptly through professional dental care and adopting preventive measures to minimize its potential adverse effects, including the development of abscesses.

6. Risk of tooth loss, also in extreme cases: Dental erosion, which is the gradual wearing away of the tooth enamel due to acids, can potentially lead to the risk of tooth loss, especially in extreme cases. When the enamel, the protective outer layer of the tooth, erodes, it can expose the underlying dentin, making it more susceptible to decay and damage. As the erosion progresses, the teeth can weaken, leading to potential tooth loss, particularly when combined with other factors such as poor oral hygiene or teeth grinding. It’s essential to address dental erosion early on to prevent the risk of tooth loss and maintain good oral health.

Once tooth erosion occurs, you may require treatments such as fillings, crowns, root canals, or even tooth removal. Veneers could be an option to restore the appearance of your teeth and smile. Addressing dental erosion caused by acid reflux is essential to prevent further damage and maintain oral health. Regular dental check-ups and discussions with your dentist will help effectively manage and address these concerns.

Acid Reflux and Dental Care Tips

When dealing with acid reflux, taking extra care of your dental health is essential to minimize the potential damage caused by stomach acid. Here are some dental care tips to consider:

1. Rinse with water: After experiencing acid reflux, rinse your mouth thoroughly to help neutralize the acid and wash it away from your teeth.

2. Wait before brushing: Avoid brushing your teeth immediately after an acid reflux episode. Brushing while the enamel is still softened by stomach acid can cause additional damage. Instead, wait at least 30 minutes to an hour before brushing.

3. Use fluoride toothpaste: Consider using fluoride toothpaste, which can help strengthen enamel and protect your teeth from acid erosion.

4. Chew sugar-free gum: Chewing sugar-free gum can stimulate saliva production, which helps neutralize acids and wash away food particles.

5. Regular dental check-ups: Schedule regular dental check-ups to monitor your oral health and address any signs of acid erosion or other dental issues.

6. Discuss with your dentist: Inform your dentist about your acid reflux condition so that they can provide personalized advice and treatments to safeguard your dental health.

Remember to seek guidance from your dentist for specific recommendations tailored to your oral health needs.

Dental Insurance Help You Save Money on Your Dental Care Needs.

Dealing with acid reflux can take a toll on your oral health. While dental insurance may not directly address the underlying cause of acid reflux, it can help mitigate the costs of necessary dental care. It’s essential to seek guidance from a healthcare professional to address acid reflux, but in the meantime, having dental coverage can provide financial relief for any related dental treatments. At ConsulateDentalPlans.com, we understand the importance of comprehensive dental care and offer dental insurance plans designed to meet your specific needs. To explore our dental plan options and receive a free dental insurance quote, contact us at 310-534-3444 during our business hours, Monday to Friday, from 8 am to 4 pm. Our team is ready to assist you in finding the right dental insurance plan that aligns with your dental care requirements.