Consequências sistêmicas da cirurgia bariátrica e suas repercussões na saúde bucal

Moura-Grec, Patrícia Garcia de; Assis, Vivian Helena; Cannabrava, Vanessa Pavoni; Vieira, Vanessa Maira; Siqueira, Thalissa Laís Donalonso; Anaguizawa, Wellington Hideaki; Sales-Peres, Sílvia Helena de Carvalho

doi:10.1590/s0102-67202012000300008

Cited by 21 publications

(25 citation statements)

References 50 publications

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“…However, periodontal diseases (BOP, periodontal pockets, and CAL) and oral conditions (salivary pH) are subject to clinical intervention. The relationship between obesity and periodontal disease, irrefutably showed by logistic regression, was previously suggested by others authors [ 56 , 64 , 65 ].…”

Section: Discussionmentioning

confidence: 66%

Assessment of Oral Conditions and Quality of Life in Morbid Obese and Normal Weight Individuals: A Cross-Sectional Study

et al. 2015

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The aim of this study was to identify the impact of oral disease on the quality of life of morbid obese and normal weight individuals. Cohort was composed of 100 morbid-obese and 50 normal-weight subjects. Dental caries, community periodontal index, gingival bleeding on probing (BOP), calculus, probing pocket depth, clinical attachment level, dental wear, stimulated salivary flow, and salivary pH were used to evaluate oral diseases. Socioeconomic and the oral impacts on daily performances (OIDP) questionnaires showed the quality of life in both groups. Unpaired Student, Fisher’s Exact, Chi-Square, Mann-Whitney, and Multiple Regression tests were used (p<0.05). Obese showed lower socio-economic level than control group, but no differences were found considering OIDP. No significant differences were observed between groups considering the number of absent teeth, bruxism, difficult mastication, calculus, initial caries lesion, and caries. However, saliva flow was low, and the salivary pH was changed in the obese group. Enamel wear was lower and dentine wear was higher in obese. More BOP, insertion loss, and periodontal pocket, especially the deeper ones, were found in obese subjects. The regression model showed gender, smoking, salivary pH, socio-economic level, periodontal pocket, and periodontal insertion loss significantly associated to obesity. However, both OIDP and BOP did not show significant contribution to the model. The quality of life of morbid obese was more negatively influenced by oral disease and socio-economic factors than in normal weight subjects.

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Section: Discussionmentioning

confidence: 66%

Assessment of Oral Conditions and Quality of Life in Morbid Obese and Normal Weight Individuals: A Cross-Sectional Study

et al. 2015

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“…Other findings have linked obesity with bone loss [ 10 , 32 , 33 ]. It has been suggested that obese patients with bone loss may present missing teeth, which could damage their masticatory function.…”

Section: Discussionmentioning

confidence: 99%

“…Bariatric surgery is the surgical treatment for obesity. Mostly, this surgery has satisfying results concerning weight loss and its maintenance, assuring better quality of life to these individuals [ 10 , 18 , 35 – 39 ]. However, this treatment may also have some negative consequences, such as hyperparathyroidism, osteoporosis [ 10 , 40 – 42 ], chronic regurgitation [ 10 , 43 ], nutritional deficiencies [ 10 , 40 , 44 – 46 ], kidney problems [ 10 , 47 , 48 ] and oral problems [ 10 , 28 , 49 – 51 ].…”

Section: Discussionmentioning

confidence: 99%

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Presence of Serum Ferritin before and after Bariatric Surgery: Analysis in Dentate and Edentulous Patients

et al. 2016

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Society has changed its own lifestyle, specially its eating habits and physical activities, leading to excessive weight and a sedentary behavior, which has contributed to obesity increase. Bariatric surgery is the most effective treatment to obesity, allowing weight loss and its maintenance. However, it has been related high levels of iron deficiency after surgery. A person’s nutritional status might be affected by total or partial tooth loss. The aim of this longitudinal prospective cohort study was to evaluate the levels of serum ferritin before and after bariatric surgery and to identify if there is a relation with tooth loss. The sample was composed of 50 patients selected and assisted at Amaral Carvalho Hospital, located in Jaú city, Brazil. The use and necessity of prosthesis, dental absence or presence, and serum ferritin dosage were evaluated. Student’s t test, Univariate analysis, Chi-square and Odds Ratio were adopted (p<0.05). There was no significant difference regarding the serum ferritin levels between dentate and edentulous patients prior to surgery (p = 0.436). After surgery, the serum ferritin levels were higher in edentulous patients (prosthesis users) when compared to the pre-surgical levels, and the post-surgical levels presented significant difference regarding the dentate patients (p = 0.024). It can be concluded that rehabilitated patients in postoperative period showed better levels of serum ferritin after surgical intervention.

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“…To assess the salivary flow, the methodology of Moura-Grece et al [20] was applied: saliva at rest was collected in a plastic cup in which patients in first, swallowed the first saliva and expelled it for 5 continuous minutes; after so, stimulated saliva was obtained with latex pieces (1.0 cm thickness and 12 mm diameter) previously sterilized, patients expelled saliva into another plastic beaker for 5 minutes; after resting of the saliva to decrease foam interference, the saliva amount was quantified. Using a disposable 5 millimeter syringe, the volume was quantified and divided by 5 (collection time) to obtain the flow in ml/min.…”

Section: Methodsmentioning

confidence: 99%

Relationship of salivary flow of diabetic patients

Peres

Galato

Medeiros

2017

RSBO

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Introduction: Diabetes mellitus is a highly prevalent health condition. Its systemic changes cause oral manifestations that may or may not be associated. Objective: To investigate the presence of xerostomia in patients with diabetes. Materials and methods: This study consisted of a series of cases with 22 diabetic patients of the Family Health Strategy (FHS), neighborhood of Dehon, city of Tubarão (SC). A socio-demographic questionnaire was applied, the perception of dry mouth assessed, and the salivary flow measured at rest and after stimulation. To evaluate the association was adopted p<0.05. Results: 77% of patients had dry mouth feeling symptoms compatible with a diagnosis of xerostomia; of these, only 65% had stimulated salivary flow below the reference values (≤0.7ml/min) compatible with hyposalivation also demonstrating the association between xerostomia and hyposalivation. No statistically significant differences occurred between patients using xerostomic medication and decreased salivary flow when stimulated (p=0.15) and dry mouth sensation (p=0.30). Conclusion: The observed diabetic patients have a high prevalence of xerostomia, however, without association with any drug.

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Consequências sistêmicas da cirurgia bariátrica e suas repercussões na saúde bucal

Cited by 21 publications

References 50 publications

Assessment of Oral Conditions and Quality of Life in Morbid Obese and Normal Weight Individuals: A Cross-Sectional Study

Assessment of Oral Conditions and Quality of Life in Morbid Obese and Normal Weight Individuals: A Cross-Sectional Study

Presence of Serum Ferritin before and after Bariatric Surgery: Analysis in Dentate and Edentulous Patients

Relationship of salivary flow of diabetic patients

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