Gastroesophageal reflux disease (GERD) is a common condition affecting not only the digestive system but also the oral cavity, clinically manifesting with a variety of symptoms. This article analyzes the extraesophageal manifestations of GERD, specifically those associated with dental symptoms, such as enamel erosion, pathological wear, caries, and bruxism. An analysis of the scientific literature shows that the severity and prevalence of these symptoms are directly related to the duration of GERD, its clinical form, the patient's age and behavior, hygiene, and diet. However, pathogenetically substantiated approaches to the early detection and effective prevention of dental manifestations of this disease have not yet been developed. This article examines the impact of the disease on the acid-base balance in the oral cavity, the mechanisms of development of dental complications, and the possibilities for their elimination. Further study of the relationship between GERD and dental pathology requires an integrative approach and is considered an important direction for future research in this area.