Impact of bariatric surgery on oral health conditions: 6-months cohort study

Autor(es)

de Moura-Grec, Patricia Garcia ^[1] ; Yamashita, Joselene Martinelli ^[1] ; Marsicano, Juliane Avansini ^[1] ; Ceneviva, Reginaldo ^[2] ; de Souza Leite, Celso Vieira ^[3] ; de Brito, Gilberto Borges ^[4] ; Aparecido Brienze, Sergio Luis ^[4] ; de Carvalho Sales-Peres, Silvia Helena ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Bauru Sch Dent, BR-17012901 Bauru, SP - Brazil

^[2] Univ Sao Paulo, Ribeirao Preto Sch Med, BR-14049 Ribeirao Preto, SP - Brazil

^[3] Botucatu Sch Med UNESP, Botucatu, SP - Brazil

^[4] Sao Jose do Rio Preto Sch Med FAMERP, Sao Jose Do Rio Preto, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: INTERNATIONAL DENTAL JOURNAL; v. 64, n. 3, p. 144-149, JUN 2014.
• Citações Web of Science: 14

Resumo

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. (AU)

• Processo FAPESP: 08/00240-3 - Pacientes bariátricos: condições bucais e possíveis fatores protetores
• Beneficiário: Silvia Helena de Carvalho Sales Peres
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 08/05798-2 - Pacientes bariátricos e análise da presença de DNA de bactérias periodontopatogênicas: um estudo longitudinal.
• Beneficiário: Patrícia Garcia de Moura Grec
• Modalidade de apoio: Bolsas no Brasil - Doutorado