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Cited by 18Dental Erosion and TreatmentErosion and Abrasive MachiningAsthma and respiratory diseases

Asthma and Dental Erosion

Open access
Manuel, ST, Kundabaka, M, Shetty, N, Parolia, A·2009·Kathmandu University Medical Journal
DOI 10.3126/kumj.v6i3.1714
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Abstract

Asthma is a chronic inflammatory condition of the airway, characterised by the presence of airflow obstruction which is variable over short periods of time, or is reversible with treatment. Medication comprises of bronchodilators, corticosteroids and anticholinergic drugs. Most asthma drugs are inhaled using various forms of inhalers or nebulizers. Inhaled drugs must be used regularly. The effects of these drugs on the dentition such as tooth decay and erosion have been a subject of debate among dental practitioners. Asthmatic medications can place the patient at risk of dental erosion by reducing salivary protection against extrinsic or intrinsic acids. Asthmatic individuals are one of the higher risk groups suffering from dental erosion. Therefore patients with bronchial asthma should receive special prophylactic attention. This article presents a case of an asthmatic with dental manifestations and reviews the possible causes and management of the same. Key words: Asthma, dry powder inhalers, beta-2 agonist, gastro-esophageal reflux, dental erosion. doi: 10.3126/kumj.v6i3.1714 Kathmandu University Medical Journal (2008), Vol. 6, No. 3, Issue 23, 370-374

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Crossref · 10.3126/kumj.v6i3.1714

Cites

15 of 15 references verified0 citation errors · 0 not checkable

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  • Inhalers containing salbutamol and fluticasone propionate decrease salivary flow 30 minutes after inhalation.

    “Manuel et al. [104], reported that inhalers containing salbutamol and fluticasone propionate decrease salivary flow 30 min after inhalation of the drug”

    From Drugs Prescribed for Asthma and Their Adverse Effects on Dental Health (2023) · cites this paper as [104]

    The Review of the literature says asthma inhalers can reduce saliva production and names salbutamol and fluticasone propionate inhalers. But its finding for the 30 minutes after inhalation is a decrease in saliva and plaque pH, not salivary flow. It does not establish the claimed 30-minute flow decrease for those inhalers. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

  • Anti-asthmatic medications can contribute to dental erosion by reducing salivary protection against extrinsic and intrinsic acids.

    “an example being anti-asthmatic medications that can contribute to the development of this non carious lesion by reducing salivary protection against extrinsic and intrinsic acids [104,105,106].”

    From Drugs Prescribed for Asthma and Their Adverse Effects on Dental Health (2023) · cites this paper as [104]

  • Higher bronchodilator doses are associated with greater reductions in salivary IgA, calcium, lactoferrin, and total protein.

    “indicating that higher bronchodilator doses are associated with greater reductions in the levels of immunoglobulin A (IgA), calcium, lactoferrin, and total protein in the saliva”

    From Drugs Prescribed for Asthma and Their Adverse Effects on Dental Health (2023) · cites this paper as [104]

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Cites

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Research works printed but not linked: 5

  1. [9]9. Ryberg M, Moller C, Ericson T. Effect of beta-2 9. adrenoceptor agonists on saliva proteins and dental caries in asthmatic children. Journal of Dental Research. 1987; 66: 1404-6.
  2. [14]14. Harding SM. Gastroesophageal reÀ ux and 14. asthma: Insight into the association. Journal of Allergy and Clinical Immunology. 1999; 104: 251-9.
  3. [15]15. Sontage SJ. Gastroesophageal reÀ ux and 15. asthma. American Journal of Medicine. 1997; 103: 84S-90S.
  4. [16]16. Bartlett DW, Evans DF, Smith BGN. The 16. relationship between gastro-oesophageal reÀ ux disease and dental erosion. Journal of Oral Rehabilitation. 1996; 23: 289-297.
  5. [17]17. Lazarchik DA, Filler SJ. Effects of 17. gastroesophageal reÀ ux on the oral cavity. American Journal of Medicine. 1997; 103: 107S-113S. Imfeld

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Related

Authors
Manuel, S., Kundabaka, M., Shetty, N., & Parolia, A.
Affiliations
Manipal Academy of Higher Education (IN)
ORCID
Venue
Kathmandu University Medical Journal
Publisher
Nepal Journals Online (JOL)
Published
2009-04-06
Volume
6
Issue
3
Pages
370-374
ISSN
  • 1812-2027 (ISSN-L)
  • 1812-2078
DOI
10.3126/kumj.v6i3.1714
OpenAlex
W2087281965
Cited by
18
References
14
Citations by year
2025: 2 · 2024: 3 · 2023: 3 · 2022: 2 · 2018: 2 · 2016: 3 · 2015: 1 · 2014: 1 · 2013: 1
FWCI
0.00
Type
journal article
Language
en
Open access
Locations
  • Kathmandu University Medical Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Orthodontics › Dental Erosion and Treatment
  • Physical Sciences › Environmental Science › Ecological Modeling › Erosion and Abrasive Machining
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
Keywords
asthma, dental erosion, dry powder inhaler, beta2-adrenergic agonists, gastroesophageal reflux, salivary flow, dental caries, asthma treatment
MeSH terms
Adult, Asthma, Humans, Male, Powders, Salivation, Tooth Erosion, Anti-Asthmatic Agents, Metered Dose Inhalers, Inhalation Spacers

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