Impact of Bariatric Surgery in Anxiety and Oral Condition of Obese Individuals: A Cohort Prospective Study

Abstract

Background: Obesity and bariatric surgery may be related with mental and oral disorders. Aim: To evaluate the impact of bariatric surgery on anxiety, initial dental caries lesion and gingival bleeding in obese patients. Methods: Eighty-nine patients were divided in two groups: Control Group (CG) - obese patients and Experimental Group (EG) - patients submitted to bariatric surgery. EG was analyzed before and 12 months after bariatric surgery; for the CG, was respected an interval of 12 months between the evaluations. International Caries Detection and Assessment System, Gingival Bleeding Index and Trace-State Anxiety Inventory were used. Medical profile, anthropometrics data, sociodemographic and behavioral variables were considered. Results: There were no statistically significant differences between groups in evaluation times regarding to initial dental caries lesion and anxiety. However, the number of teeth with initial dental caries lesion (p=0.0033) and gingival bleeding (p<0.0001) increased significantly after bariatric surgery in EG. Conclusion: These results reinforce the need for multi-professional team follow-up, including dental care, for both obese and bariatric patients.

Depressive and Eating Disorders in Patients Post-Bariatric Surgery With Weight Regain: A Descriptive Observational Study

“…This study has yielded valuable data regarding WR after bariatric surgery. It reinforces previous results that indicate the influence of psychopathologies on bariatric procedures’ outcomes 31 . A Brazilian perspective on weight outcomes and its possible correlations have a great impact on scientific literature since Brazil currently holds second place in the worldwide ranking of bariatric procedures 7 .…”

“…Depression’s impact on surgical outcomes is not only limited to the statistical results but also it impairs cooperativeness 11 and impedes motivation, both of which interfere with overall adherence to protocols, diet 4 , physical activity 25 , behavioral change, and long-term follow-up adherence 8 . All of these are considered critical protectors for WR, long-term surgical success, and quality of life 9 , 31 , 32 . Therefore, the need for the implementation of a standardized follow-up program, such as the Ontario Bariatric Network, is clear, which includes a strict mental health aid to patients for protocol adherence and behavioral change 1 .…”

Impacto da periodontite na qualidade de vida de pacientes obesos: uma revisão sistemática

“…Uma revisão sistemática concluiu que a cirurgia bariátrica é uma intervenção eficaz e econômica para indivíduos obesos moderados a graves quando comparada às intervenções não cirúrgicas disponíveis (HUSSAIN & BLOOM, 2011;PICOT et al, 2009;SHIKORA et al, 2007). Existem estudos na literatura que descrevem a alteração da condição bucal do paciente após o tratamento cirúrgico (TINÓS et al, 2022;FONTANILLE et al, 2018;SALES-PERES et al, 2017).…”