Dear Bryan, Erosion of the dental enamel is one of the most common oral atypical manifestations of gastroesophageal reflux disease. Gastroesophageal reflux can occur without any symptoms present especially at night when in the recumbent position. Various tests are available to confirm this diagnosis. An upper GI series can document the presence of GERD on dynamic fluoroscopy. An upper GI endoscopy can also visualize a hiatal hernia and inflammatory changes.
Biopsies can also confirm the presence of reflux esophagitis.
However, the gold standard for confirming gastroesophageal reflux is the 24 hour pH monitoring study. If the diagnosis is fairly certain, an empirical trial of medicines to treat GERD may be helpful. I hope you find this information helpful. This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.