Artigo
Impact of bariatric surgery on oral health conditions: 6-months cohort study
Registro en:
International Dental Journal. Hoboken: Wiley-blackwell, v. 64, n. 3, p. 144-149, 2014.
0020-6539
10.1111/idj.12090
WOS:000340189500004
3191894452135777
Autor
Moura-Grec, Patricia Garcia de
Yamashita, Joselene Martinelli
Marsicano, Juliane Avansini
Ceneviva, Reginaldo
Leite, Celso Vieira de Souza [UNESP]
Brito, Gilberto Borges de
Aparecido Brienze, Sergio Luis
Carvalho Sales-Peres, Silvia Helena de
Resumen
Objectives: We evaluate oral health conditions before and after bariatric surgery. Methods: The sample was composed of 59 patients who had undergone Roux-en-Y gastric bypass (RYGB). Salivary flow, periodontal pocket depth and dental wear were evaluated before and after 6 months of surgery. Body mass index (BMI), C-reactive protein (CRP) and glucose levels were obtained from the patient's medical files. A t-test was used for dependent samples. Results: The mean BMI decreased from 49.31 +/- 8.76 to 35.52 +/- 8.12 kg/m(2) in 6 months after surgery (P < 0.000). Before surgery, 67% of patients had high levels of CRP and 38% higher blood glucose levels and after surgery there were significant reductions in these levels (P < 0.001). Salivary flow ranged from 0.84 to 0.95 ml/min. There was increased prevalence of periodontal pockets (P = 0.022) and mean pocket depth increased to about 0.5 mm (P < 0.001). The percentage of surfaces with dental wear in dentine was significantly higher after bariatric surgery (P = 0.002), while dental wear in enamel decreased (P = 0.019). Conclusions: Bariatric surgery may improve systemic conditions. However, it had a negative impact on oral health conditions because of an increase in periodontal disease and dental wear. Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Univ Sao Paulo, Bauru Sch Dent, BR-17012901 Bauru, SP, Brazil Univ Sao Paulo, Ribeirao Preto Sch Med, BR-14049 Ribeirao Preto, SP, Brazil Botucatu Sch Med UNESP, Botucatu, SP, Brazil Sao Jose do Rio Preto Sch Med FAMERP, Sao Jose Do Rio Preto, SP, Brazil Botucatu Sch Med UNESP, Botucatu, SP, Brazil FAPESP: 08/00240-3 FAPESP: 08/05798-2