Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 1/2020

Open Access 01-01-2020 | Bariatric Surgery | Original Contributions

Oral Health–Related Quality of Life After Gastric Bypass Surgery

Authors: Negin Taghat, Malin Werling, Anna-Lena Östberg

Published in: Obesity Surgery | Issue 1/2020

Login to get access

Abstract

Objective

The aim was to examine how individuals treated for obesity with gastric bypass (GBP) surgery perceived their oral health and oral health–related quality of life (OHRQoL).

Method

All individuals in one Swedish region who had undergone GBP surgery (n = 1182) were sent a postal questionnaire 2 years after surgery. The questionnaire comprised items on sociodemographics, oral symptoms and the Oral Health Impact Profile-49 to assess the OHRQoL.

Results

The mean age was 47.6 years with 75% females, response rate 55.3%. The self-perceived oral health was rated low by 45% of the respondents. Gender differences were seen, for instance, regarding hypersensitive teeth (men 18.8%, women 30.8%, p = 0.003). Nine out of ten reported at least one oral impact experienced sometimes, fairly or very often, according to the Oral Health Impact Profile-49 (OHIP-49). The mean additive OHIP-49 score was 30.3 (SD 36.1). The associations between self-reported oral health and OHRQoL were consistent throughout. Tooth hypersensitivity generated an OR of 2.28 (95% CI 2.28–8.46) of having ≥ 2 impacts on OHRQoL.

Conclusion

A large proportion of individuals having undergone GBP surgery reported problems with their oral health and impacts on their OHRQoL, indicating a need for medical and dental staff—surgeons and general practitioners as well as other health professionals—to offer oral health promotion and prevention measures.
Literature
1.
2.
3.
Sjöström LV. Morbidity of severely obese subjects. Am J Clin Nutr. 1992;55(Suppl 2):508–15.
4.
Whitlock G, Lewington S, Sherliker P, et al. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009;373:1083–96.PubMed
5.
Ul-Haq Z, Mackay DF, Fenwick E, et al. Meta-analysis of the association between body mass index and health-related quality of life among adults, assessed by the SF-36. Obesity. 2013;21:322–7.
6.
7.
Suvan J, D’Aiuto F, Moles DR, et al. Association between overweight/obesity and periodontitis in adults. A systematic review. Obes Rev. 2011;12:381–404.
8.
Nascimento GG, Leite FR, Do LG, et al. Is weight gain associated with the incidence of periodontitis? A systematic review and meta-analysis. J Clin Periodontol. 2015;42:495–505.PubMed
9.
Bray GA, Fruhbeck G, Ryan DH, et al. Management of obesity. Lancet. 2016;387:1947–56.PubMed
10.
11.
Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial - a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273:219–34.PubMed
12.
Melissas J, Stavroulakis K, Tzikoulis V, et al. Sleeve gastrectomy vs Roux-en-Y gastric bypass. Data from IFSO-European Chapter Center of Excellence Program. Obes Surg. 2017;27:847–55.PubMed
13.
14.
Marsicano JA, Grec PG, Belarmino LB, et al. Interfaces between bariatric surgery and oral health: a longitudinal survey. Acta Cir Bras. 2011;26(Suppl 2):79–83.PubMed
15.
Marsicano JA, Sales-Peres A, Ceneviva R, et al. Evaluation of oral health status and salivary flow rate in obese patients after bariatric surgery. Eur J Dent. 2012;6:191–7.PubMedPubMedCentral
16.
Netto BD, Moreira EA, Patino JS, et al. Influence of Roux-en-Y gastric bypass surgery on vitamin C, myeloperoxidase, and oral clinical manifestations: a 2-year follow-up study. Nutr Clin Pract. 2012;27:114–21.PubMed
17.
Sales-Peres SH, de Moura-Grec PG, Yamashita JM, et al. Periodontal status and pathogenic bacteria after gastric bypass: a cohort study. J Clin Periodontol. 2015;42:530–6.PubMed
18.
Jaiswal GR, Jain VK, Dhodapkar SV, et al. Impact of bariatric surgery and diet modification on periodontal status: a six month cohort study. J Clin Diagn Res. 2015;9:43–5.
19.
Cardozo DD, Hilgert JB, Hashizume LN, et al. Impact of bariatric surgery on the oral health of patients with morbid obesity. Obes Surg. 2014;24:1812–6.PubMed
20.
Salgado-Peralvo AO, Mateos-Moreno MV, Arriba-Fuente L, et al. Bariatric surgery as a risk factor in the development of dental caries: a systematic review. Public Health. 2018;155:26–34.21.PubMed
21.
Andersen JR, Aasprang A, Karlsen TI, et al. Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies. Surg Obes Relat Dis. 2015;11:466–73.PubMed
22.
Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health. 1994;11:3–11.PubMed
23.
Larsson P, List T, Lundström I, et al. Reliability and validity of a Swedish version of the Oral Health Impact Profile (OHIP-S). Acta Odontol Scand. 2004;62:147–52.PubMed
24.
Allen PF, Locker D. Do item weights matter? An assessment using the oral health impact profile. Community Dent Health. 1997;14:133–8.PubMed
25.
Fox-Wasylyshyn SM, El-Masri MM. Handling missing data in self-report measures. Res Nurs Health. 2005;28:488–95.PubMed
26.
27.
28.
Porter SR, Whitcomb ME, Weitzer WH. Multiple surveys of students and survey fatigue. New Dir Inst Res. 2004;2004(121):63–73.
29.
Kolotkin RL, Crosby RD, Gress RE, et al. Health and health-related quality of life: differences between men and women who seek gastric bypass surgery. Surg Obes Relat Dis. 2008;4:651–8.PubMedPubMedCentral
30.
31.
Van de Mortel T. Faking it: social desirability response bias in self-report research. Aust J Adv Nurs. 2008;25:40–8.
32.
Chapple IL, Bouchard P, Cagetti MG, et al. Interaction of lifestyle, behavior or systemic diseases with dental caries and periodontal diseases: consensus report of group 2 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017;44(Suppl 18):39–51.
33.
Lier HO, Aastrom S, Rortveit K. Patients’ daily life experiences five years after gastric bypass surgery-a qualitative study. J Clin Nurs. 2016;25:322–31.PubMed
34.
Östberg AL, Nyholm M, Gullberg B, et al. Tooth loss and obesity in a defined Swedish population. Scand J Public Health. 2009;37:427–33.PubMed
35.
Åström AN, Gulcan F, Ekbäck G, et al. Long-term healthy lifestyle patterns and tooth loss studied in a Swedish cohort of middle-aged and older people. Int J Dent Hyg. 2015;13:292–300.PubMed
36.
Naka O, Anastassiadou V, Pissiotis A. Association between functional tooth units and chewing ability in older adults: a systematic review. Gerodontology. 2014;31:166–77.PubMed
37.
Bartlett D, Ganss C, Lussi A. Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Investig. 2008;12(Suppl 1):65–8.PubMedCentral
38.
Kanzow P, Wegehaupt FJ, Attin T, et al. Etiology and pathogenesis of dental erosion. Quintessence Int. 2016;47:275–8.PubMed
39.
Madalosso CA, Gurski RR, Callegari-Jacques SM, et al. The impact of gastric bypass on gastroesophageal reflux disease in morbidly obese patients. Ann Surg. 2016;263:110–6.PubMed
40.
Heling I, Sgan-Cohen HD, Itzhaki M, et al. Dental complications following gastric restrictive bariatric surgery. Obes Surg. 2006;16(9):1131–4.PubMed
41.
Holmberg D, Santoni G, Xie S, et al. Gastric bypass surgery in the treatment of gastro-oesophageal reflux symptoms. Aliment Pharmacol Ther. 2019;50(2):159–66.PubMed
42.
Tahmassebi JF, Duggal MS, Malik-Kotru G, et al. Soft drinks and dental health: a review of the current literature. J Dent. 2006;34:2–11.PubMed
43.
Fox B, Chen E, Suzo A, et al. Dietary and psych predictors of weight loss after gastric bypass. J Surg Res. 2015;197:283–90.PubMedPubMedCentral
44.
Meany G, Conceicao E, Mitchell JE. Binge eating, binge eating disorder and loss of control eating: effects on weight outcomes after bariatric surgery. Eur Eat Disord Rev. 2014;22:87–91.PubMedPubMedCentral
45.
Piva F, Pereira JT, Luz PB, et al. Caries progression as a risk factor for increase in the negative impact on OHRQOL-a longitudinal study. Clin Oral Investig. 2018;22(2):819–28.PubMed
46.
Karlsson L, Carlsson J, Jenneborg K, et al. Perceived oral health in patients after bariatric surgery using oral health-related quality of life measures. Clin Exp Dent Res. 2018;4:230–40.PubMedPubMedCentral
47.
Locker D, Matear D, Stephens M, et al. Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality of life of the elderly. Community Dent Oral Epidemiol. 2001;29:373–81.PubMed
48.
Larsson P, John MT, Hakeberg M, et al. General population norms of the Swedish short forms of oral health impact profile. J Oral Rehabil. 2014;41:275–81.PubMed
49.
Wamala S, Merlo J, Boström G. Inequity in access to dental care services explains current socioeconomic disparities in oral health: the Swedish National Surveys of Public Health 2004-2005. J Epidemiol Community Health. 2006;60:1027–33.PubMedPubMedCentral
50.
Kochkodan J, Telem DA, Ghaferi AA. Physiologic and psychological gender differences in bariatric surgery. Surg Endosc. 2018;32:1382–8.PubMed
51.
Dao TT, LeResche L. Gender differences in pain. J Orofac Pain. 2000;14:169–95.PubMed
52.
Leaper C, Friedman CK. The Socialization of Gender. In JE. Grusec & PD. Hastings (Eds.), Handbook of socialization: Theory and research. New York, NY, US: Guilford Press; 2007. p. 561–87.
Metadata
Title
Oral Health–Related Quality of Life After Gastric Bypass Surgery
Authors
Negin Taghat
Malin Werling
Anna-Lena Östberg
Publication date
01-01-2020
Publisher
Springer US
Published in
Obesity Surgery / Issue 1/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-04172-0

Other articles of this Issue 1/2020

Obesity Surgery 1/2020 Go to the issue

Original Contributions

The Short-Term Effects of Roux-en-Y Gastric Bypass on Renal Excretion of Sodium and Its Association with Blood Pressure

Original Contributions

Micronutrient Deficiencies After Roux-en-Y Gastric Bypass: Long-Term Results

Original Contributions

Robotic Roux-en-Y Gastric Bypass as a Revisional Bariatric Procedure: a Single-Center Prospective Cohort Study

Original Contributions

Comparison of Two Types of Liver Retractors in Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity

Original Contributions

Duodenal-Jejunal Bypass Ameliorates Type 2 Diabetes Mellitus by Activating Insulin Signaling and Improving Glucose Utilization in the Brain

Original Contributions

Changes in Bone Metabolism After Sleeve Gastrectomy Versus Gastric Bypass: a Meta-Analysis