Top

Published in:

01-10-2014 | Brief Communication

Impact of Bariatric Surgery on the Oral Health of Patients with Morbid Obesity

Authors: Débora Deus Cardozo, Juliana Balbinot Hilgert, Lina Naomi Hashizume, Airton Tetelbom Stein, Katia Elisabete Pires Souto, Nelson Guardiola Meinhardt, Fernando Neves Hugo

Published in: Obesity Surgery | Issue 10/2014

Abstract

Background

The present study assessed the impact of bariatric surgery on the oral health.

Methods

All of the patients who underwent Roux-en-Y gastric bypass at Nossa Senhora da Conceição Hospital between October 2009 and January 2011 were invited to participate. In this longitudinal study, oral examinations and interviews were conducted in two stages. A descriptive analysis, McNemar’s test, Student’s t test for paired samples, and the Wilcoxon test were performed.

Results

Thirty-nine patients completed the protocol. There was a statistically significant reduction in the number of medications taken daily, sensation of dry mouth, and increased stimulated salivary flow rate.

Conclusions

The oral health of patients who underwent bariatric surgery improved; moreover, the sensation of dry mouth decreased.

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Vigitel Brasil 2011: Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico. Ministério da Saúde, Secretaria de Vigilância em Saúde –Brasília: Ministério da Saúde, 2012.

Gass M, Beglinger C, Peterli R. Metabolic surgery-principles and current concepts. Langenbecks Arch Surg. 2011;396:949–72.PubMedCrossRef

Heling I, Sgan-Cohen HD, Itzhaki M, et al. Dental complications following gastric restrictive bariatric surgery. Obes Surg. 2006;16:1131–4.PubMedCrossRef

Marsicano JA, Grec PGD, Belarmino LB, et al. Interfaces between bariatric surgery and oral health: a longitudinal survey. Acta Cir Bras. 2011;26:79–83.PubMedCrossRef

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.PubMedCentralPubMed

Silva BBF. Condição de saúde bucal em pacientes submetidos à cirurgia bariátrica. Dissertação de Mestrado [Oral health status of patients submitted to bariatric surgery. Master Thesis]. Faculdade de Odontologia de Piracicaba. Piracicaba, Universidade Estadual de Campinas [Piracicaba Dentistry School. Piracicaba, State University of Campinas], 2008.

Bessesen DH. Update on obesity. J Clin Endocrinol Metab. 2008;93:2027–34.PubMedCrossRef

Ismail AI, Sohn W, Tellez M, et al. Risk indicators for dental caries using the International Caries Detection and Assessment System (ICDAS). Community Dent Oral Epidemiol. 2008;36:55–68.PubMed

Fox PC, Busch KA, Baum BJ. Subjective reports of xerostomia and objective measures of salivary gland performance. J Am Dent Assoc. 1987;115(4):581–4.PubMed

10.

Atkinson JC, Baum BJ. Salivary enhancement: current status and future therapies. J Dent Educ. 2001;65:1096–101.PubMed

11.

Mandel ID. The role of saliva in maintaining oral homeostasis. J Am Dent Assoc. 1989;119:298–304.PubMed

12.

Sreebny LM. Saliva in health and disease: an appraisal and update. Int Dent J. 2000;50:140–61.PubMedCrossRef

13.

Pannunzio E, Amancio OM, Vitalle MS, et al. Analysis of the stimulated whole saliva in overweight and obese school children. Rev Assoc Med Bras. 2010;56:32–6.PubMedCrossRef

14.

Schubert MM, Izutsu KT. Iatrogenic causes of salivary gland dysfunction. J Dent Res. 1987;66:680–8.PubMed

15.

Villa A, Abati S. Risk factors and symptoms associated with xerostomia: a cross sectional study. Aust Dent J. 2011;56:290–5.PubMedCrossRef

16.

Villa A, Polimeni A, Strohmenger L, et al. Dental patients’ self-reports of xerostomia and associated risk factors. J Am Dent Assoc. 2011;142:811–6.PubMedCrossRef

17.

Heneghan HM, Meron-Eldar S, Brethauer SA, et al. Effect of bariatric surgery on cardio vascular risk profile. Am J Cardiol. 2011;108:1499–507.PubMedCrossRef

18.

Moura-Grec PG, Assis VH, Cannabrava VP, et al. Systemic consequences of bariatric surgery and its repercussions on oral health. Arq Bras Cir Dig. 2012;25(3):173–7.PubMedCrossRef

Title: Impact of Bariatric Surgery on the Oral Health of Patients with Morbid Obesity
Authors: Débora Deus Cardozo
Juliana Balbinot Hilgert
Lina Naomi Hashizume
Airton Tetelbom Stein
Katia Elisabete Pires Souto
Nelson Guardiola Meinhardt
Fernando Neves Hugo
Publication date: 01-10-2014
Publisher: Springer US
Published in: Obesity Surgery / Issue 10/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-014-1364-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of Bariatric Surgery on the Oral Health of Patients with Morbid Obesity

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 10/2014

Baseline Abdominal Lipid Partitioning Is Associated with the Metabolic Response to Bariatric Surgery

Effects of Bariatric Surgery on Male Obesity-Associated Secondary Hypogonadism: Comparison of Laparoscopic Gastric Bypass with Restrictive Procedures

Sliding Self-Locking First Stitch and Aberdeen Knot in Suture Reinforcement with Omentoplasty of the Laparoscopic Gastric Sleeve Staple Line

The Impact of Surgical Complications as a Main Risk Factor for Venous Thromboembolism: A Multicenter Study

The Long and Narrow Gastric Pouch for Laparoscopic Roux-en-Y Gastric Bypass

Adjustable Gastric Banding and Sleeve Gastrectomy in Bardet-Biedl Syndrome