Skip to main content
Top
Published in: Obesity Surgery 8/2015

01-08-2015 | Brief Communication

Impact of Bariatric Surgery on the Saliva of Patients with Morbid Obesity

Authors: Lina N. Hashizume, Lucelen F. Bastos, Débora D. Cardozo, Juliana B. Hilgert, Fernando N. Hugo, Airton T. Stein, Kátia E. P. Souto, Nelson G. Meinhardt

Published in: Obesity Surgery | Issue 8/2015

Login to get access

Abstract

Background

The oral condition of obese patients may change following bariatric surgery owing to adverse effects that cause alterations in the oral cavity. The aim of this study was to evaluate the impact of bariatric surgery on the saliva of patients with morbid obesity.

Methods

Whole saliva samples were collected from 27 patients with morbid obesity (BMI >40 kg/m2), prior to and 6 months after bariatric surgery. Stimulated salivary flow rate, pH, buffering capacity, and microbial levels of mutans streptococci, Lactobacillus spp., and Candida albicans were analyzed from saliva.

Results

Values of all salivary variables before and after bariatric surgery were within the normal range, except for the level of C. albicans, which was elevated at both times. An increase in the level of mutans streptococci was observed after bariatric surgery (p < 0.05).

Conclusions

The results suggest that the salivary levels of mutans streptococci increase following bariatric surgery in morbidly obese patients.
Literature
1.
go back to reference Bjorntorp P. Definition and classification of obesity. In: Fairbuirn B, editor. Eating disorders and obesity, vol. 10. 2nd ed. New York: Guilford Press; 2003. p. 377–81. Bjorntorp P. Definition and classification of obesity. In: Fairbuirn B, editor. Eating disorders and obesity, vol. 10. 2nd ed. New York: Guilford Press; 2003. p. 377–81.
2.
go back to reference Santry HP, Gillen DL, Lauderdale DS. Trends in bariatric surgical procedures. JAMA. 2005;294:1909–17.PubMedCrossRef Santry HP, Gillen DL, Lauderdale DS. Trends in bariatric surgical procedures. JAMA. 2005;294:1909–17.PubMedCrossRef
3.
go back to reference Mathus-Vliegen EM, Nikkel D, Brand HS. Oral aspects of obesity. Int Dent J. 2007;57:249–56.PubMed Mathus-Vliegen EM, Nikkel D, Brand HS. Oral aspects of obesity. Int Dent J. 2007;57:249–56.PubMed
4.
go back to reference Mandel L, Da Silva K. Parotid hypertrophy and bariatric surgery: case report. J Oral Maxillofac Surg. 2008;66:572–4.PubMedCrossRef Mandel L, Da Silva K. Parotid hypertrophy and bariatric surgery: case report. J Oral Maxillofac Surg. 2008;66:572–4.PubMedCrossRef
5.
go back to reference Raja M, Hannan A, Ali K. Association of oral candidal carriage with dental caries in children. Caries Res. 2010;44:272–6.PubMedCrossRef Raja M, Hannan A, Ali K. Association of oral candidal carriage with dental caries in children. Caries Res. 2010;44:272–6.PubMedCrossRef
6.
go back to reference Heling I, Sgan-Cohen HD, Itzhaki M, et al. Dental complications following gastric restrictive bariatric surgery. Obes Surg. 2006;16:1131–4.PubMedCrossRef Heling I, Sgan-Cohen HD, Itzhaki M, et al. Dental complications following gastric restrictive bariatric surgery. Obes Surg. 2006;16:1131–4.PubMedCrossRef
7.
go back to reference 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 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
8.
go back to reference World Health Organization. Oral health survey: basic methods. 4th ed. Geneva, 1997. World Health Organization. Oral health survey: basic methods. 4th ed. Geneva, 1997.
9.
go back to reference Ericson D, Brathall D. Simplified method to estimate salivary buffer capacity. Scand J Dent Res. 1989;97:405–7.PubMed Ericson D, Brathall D. Simplified method to estimate salivary buffer capacity. Scand J Dent Res. 1989;97:405–7.PubMed
10.
go back to reference Fenoll-Palomares C, Muñoz-Montagud JV, Sanchiz V, et al. Unstimulated salivary flow rate, pH and buffer capacity of saliva in healthy volunteers. Rev Esp Enferm Dig. 2004;96:773–83.PubMedCrossRef Fenoll-Palomares C, Muñoz-Montagud JV, Sanchiz V, et al. Unstimulated salivary flow rate, pH and buffer capacity of saliva in healthy volunteers. Rev Esp Enferm Dig. 2004;96:773–83.PubMedCrossRef
11.
go back to reference Barkeling B, Linné Y, Lindroos AK, et al. Intake of sweet foods and counts of cariogenic microorganisms in relation to body mass index and psychometric variables in women. Int J Obes Relat Metab Disord. 2002;26:1239–44.PubMedCrossRef Barkeling B, Linné Y, Lindroos AK, et al. Intake of sweet foods and counts of cariogenic microorganisms in relation to body mass index and psychometric variables in women. Int J Obes Relat Metab Disord. 2002;26:1239–44.PubMedCrossRef
12.
go back to reference García-Closas R, García-Closas M, Serra-Majem L. A cross-sectional study of dental caries, intake of confectionery and foods rich in starch and sugars, and salivary counts of Streptococcus mutans in children in Spain. Am J Clin Nutr. 1997;66:1257–63.PubMed García-Closas R, García-Closas M, Serra-Majem L. A cross-sectional study of dental caries, intake of confectionery and foods rich in starch and sugars, and salivary counts of Streptococcus mutans in children in Spain. Am J Clin Nutr. 1997;66:1257–63.PubMed
13.
go back to reference Karjalainen S, Tolvanen M, Pienihäkkinen K, et al. High sucrose intake at 3 years of age is associated with increased salivary counts of mutans streptococci and lactobacilli, and with increased caries rate from 3 to 16 years of age. Caries Res. 2015;49:125–32.PubMedCrossRef Karjalainen S, Tolvanen M, Pienihäkkinen K, et al. High sucrose intake at 3 years of age is associated with increased salivary counts of mutans streptococci and lactobacilli, and with increased caries rate from 3 to 16 years of age. Caries Res. 2015;49:125–32.PubMedCrossRef
14.
go back to reference Hörchner R, Tuinebreijer W, Kelder H. Eating patterns in morbidly obese patients before and after a gastric restrictive operation. Obes Surg. 2002;12:108–12.PubMedCrossRef Hörchner R, Tuinebreijer W, Kelder H. Eating patterns in morbidly obese patients before and after a gastric restrictive operation. Obes Surg. 2002;12:108–12.PubMedCrossRef
15.
go back to reference Palacios C, Joshipura K, Willett W. Nutrition and health: guidelines for dental practitioners. Oral Dis. 2009;15:369–81.PubMedCrossRef Palacios C, Joshipura K, Willett W. Nutrition and health: guidelines for dental practitioners. Oral Dis. 2009;15:369–81.PubMedCrossRef
16.
go back to reference Nguyen PT, Baldeck JD, Olsson J, et al. Antimicrobial actions of benzimidazoles against oral streptococci. Oral Microbiol Immunol. 2005;20:93–100.PubMedCrossRef Nguyen PT, Baldeck JD, Olsson J, et al. Antimicrobial actions of benzimidazoles against oral streptococci. Oral Microbiol Immunol. 2005;20:93–100.PubMedCrossRef
17.
go back to reference Ueta E, Tanida T, Doi S, et al. Regulation of Candida albicans growth and adhesion by saliva. J Lab Clin Med. 2000;136:66–73.PubMedCrossRef Ueta E, Tanida T, Doi S, et al. Regulation of Candida albicans growth and adhesion by saliva. J Lab Clin Med. 2000;136:66–73.PubMedCrossRef
18.
go back to reference Bond DS, Raynor HA, Vithiananthan S, et al. Differences in salivary habituation to a taste stimulus in bariatric surgery candidates and normal-weight controls. Obes Surg. 2009;19:873–8.PubMedCrossRef Bond DS, Raynor HA, Vithiananthan S, et al. Differences in salivary habituation to a taste stimulus in bariatric surgery candidates and normal-weight controls. Obes Surg. 2009;19:873–8.PubMedCrossRef
20.
go back to reference Mascarenhas P, Fatela B, Barahona I. Effect of diabetes mellitus type 2 on salivary glucose—a systematic review and meta-analysis of observational studies. Gong Y, ed. PLoS ONE. 2014;9, e101706.PubMedCentralPubMedCrossRef Mascarenhas P, Fatela B, Barahona I. Effect of diabetes mellitus type 2 on salivary glucose—a systematic review and meta-analysis of observational studies. Gong Y, ed. PLoS ONE. 2014;9, e101706.PubMedCentralPubMedCrossRef
21.
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
Metadata
Title
Impact of Bariatric Surgery on the Saliva of Patients with Morbid Obesity
Authors
Lina N. Hashizume
Lucelen F. Bastos
Débora D. Cardozo
Juliana B. Hilgert
Fernando N. Hugo
Airton T. Stein
Kátia E. P. Souto
Nelson G. Meinhardt
Publication date
01-08-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 8/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1741-4

Other articles of this Issue 8/2015

Obesity Surgery 8/2015 Go to the issue