Clinical periodontal conditions in individuals after bariatric surgery: a systematic review and meta-analysis

Santos, Melanie Calheiros Miranda dos; Pellizzer, Eduardo Piza; Souto-Maior, Juliana Raposo; Casado, Bruno Gustavo da Silva; Gomes, Jéssica Marcela de Luna; Vasconcelos, Belmiro Cavalcanti do Egito; Moraes, Sandra Lúcia Dantas de

doi:10.1016/j.soard.2019.07.008

Cited by 9 publications

(6 citation statements)

References 34 publications

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“…They also were directed to eat slower and avoid discomfort resulting in reflux. The improvement in periodontal conditions at 12 months after bariatric surgery which was observed in the present study and in the study by de Carvalho Sales-Peres et al (14), regarding the first 6 months, could correspond to a period of equilibrium and adaptation of patients to a new lifestyle and the amelioration of the symptoms of any complication related to bariatric surgery when they returned to conventional eating habits and a complete restoration of salivary flow (30,34).…”

Section: Discussionsupporting

confidence: 79%

Impact of bariatric surgery on periodontal status in an obese cohort at one year of follow‑up

Arboleda

Pianeta

Vargas

et al. 2021

Med Int

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The effect of weight loss on the periodontal condition remains unclear. The present prospective study thus aimed to evaluate the effect of weight loss on the periodontal status of 57 obese patients (BMI ≥30 kg/m 2 ) with ages ranging from 18 to 60 years, at 12 months following bariatric surgery. Demographic, biological and behavioral variables were analyzed. All participants underwent a periodontal examination, including plaque index (PI), bleeding on probing (BOP), pocket depth (PD) and clinical attachment level (CAL). Anthropometric measurements, such as weight, height and body mass index (BMI) were calculated. Fisher's exact test, ANOVA, Bonferroni, Spearman's rank correlation and Wilcoxon signed-rank tests were used for the statistical analysis (P<0.05). Prior to surgery, 49% of patients were classified as having obesity class I, 33% as obesity class II and 18% as obesity class III. Variables, such as BMI and PD exhibited statistically significant differences among the obesity class I, II and III groups (P<0.05). As regards periodontal diagnosis, 37% of patients were classified as having gingivitis, 46% as having periodontitis stages I-II, and 17% as having periodontitis stages III-IV. BMI, PI, BOP and PD exhibited statistically significant differences following bariatric surgery (P<0.0001). No statistically significant differences were observed in the CAL (P>0.05). Thus, the findings of the present study suggest that weight loss was associated with decreased periodontal inflammation and an improved plaque control following bariatric surgery. CAL remained unaltered during the study period.

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Section: Discussionsupporting

confidence: 79%

Impact of bariatric surgery on periodontal status in an obese cohort at one year of follow‑up

Arboleda

Pianeta

Vargas

et al. 2021

Med Int

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“…The meta-analysis of data pooled from only four medium-quality studies fulfilling inclusion criteria revealed worsening of BOP, CAL, PPD and % PPD 4-5 mm 6 months after BS. These findings were similar to the reviews by Miranda dos Santos et al [25] and by Fontanille et al [26], but differ from the review by Maria de Souza et al [27]. The significant decrease in BMI and FGL after BS indicated that the included patients experienced the expected improvement in weight and fasting glucose after BS [5,28].…”

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confidence: 86%

The effect of bariatric surgery on periodontal health: systematic review and meta-analyses

et al. 2021

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IntroductionWe aimed to determine if periodontal health deteriorates after bariatric surgery (BS).Material and methodsA search was performed in Medline and Embase, for prospective cohort studies with data on change in periodontal parameters after BS. Me�ta-analysis was performed with available data.ResultsThe results of 4 included studies consistently show significant (p<0.05) worsening of bleeding on probing (4.21% (CI: 0.32, 8.11)), clinical attachment loss (0.16mm (CI: 0.05, 0.27)), periodontal pockets depth (PPD) (0.14mm(CI: 0.06, 0.23)) and percentage of PPD 4-5 mm: 1.72% (CI: 0.11, 3.34) 6-months after BS, but no change after 12-months.ConclusionsBS may have a transient negative consequence on periodontal health.

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“…The impact of weight loss has also been evaluated concerning periodontal status after bariatric surgery or dietary therapy [ 71 ••, 72 ••, 88 •]. Dos Santos et al [ 88 •] performed a systematic review to assess whether bariatric surgery would have any influence on the clinical periodontal conditions in obese patients with periodontitis. Four out of 6 included studies showed that patients had worst periodontal conditions after bariatric procedures up to 12 months of observation.…”

Section: Impact Of Obesity On Periodontal Treatmentmentioning

confidence: 99%

What Are the Clinical and Systemic Results of Periodontitis Treatment in Obese Individuals?

Silva-Boghossian

Dezonne

2021

Curr Oral Health Rep

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Purpose of Review Periodontitis and obesity are characterized by a dysregulated inflammatory state. Obese individuals have a higher chance of presenting periodontitis. Clinical studies in different populations demonstrate that individuals with obesity have worse periodontal conditions. This current review aims to explore recent literature to understand what the impacts of obesity on periodontal treatment outcomes are and to learn whether periodontal treatment can improve systemic biomarkers in obese individuals. Recent Findings Short- and long-term evaluations demonstrated that non-surgical periodontal treatment could improve clinical parameters in obese individuals, represented as the reduction in mean probing depth, sites with probing depth ≥ 4 mm, and extension of bleeding on probing. However, obese individuals may have less clinical improvement when compared to normal-weight individuals with a similar periodontal profile. Additionally, periodontal treatment may contribute to a reduction in systemic levels of retinol-binding protein 4 and leptin, while promoting an increase in systemic levels of adiponectin. Summary Overall, obese individuals with periodontitis can significantly benefit from non-surgical periodontal treatment. However, clinical improvements seem to be less prominent in obese individuals with periodontitis compared to non-obese individuals with similar periodontal status. Nevertheless, periodontal treatment may impact significantly on the reduction of several biochemical biomarkers of obesity with or without weight reduction. Further investigations are needed to improve our comprehension of the mechanisms underlying those findings.

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Clinical periodontal conditions in individuals after bariatric surgery: a systematic review and meta-analysis

Cited by 9 publications

References 34 publications

Impact of bariatric surgery on periodontal status in an obese cohort at one year of follow‑up

Impact of bariatric surgery on periodontal status in an obese cohort at one year of follow‑up

The effect of bariatric surgery on periodontal health: systematic review and meta-analyses

What Are the Clinical and Systemic Results of Periodontitis Treatment in Obese Individuals?

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