Palatal Ulcers due to Vomiting after Gastric Band Tightening

Archer-Dubon, Carla; Esquivel-Pedraza, Lilly; Ramírez-Anguiano, Jaqueline

doi:10.1007/s11695-007-9071-9

Cited by 9 publications

(7 citation statements)

References 12 publications

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“…This occurs because in most cases there are dysfunctional eating habits, such as overeating, eating too fast, or not chewing food well [7][8][9] . The side-effects of bariatric surgery may be reflected in the oral cavity and can cause alterations in oral health 7,8,[10][11][12] , such as dental caries, periodontal diseases, xerostomia and dentin hypersensitivity 8,10,[12][13][14] . There are few studies in the scientific literature evaluating the interfaces of dental aspects and side-effects of bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

Interfaces between bariatric surgery and oral health: a longitudinal survey

Marsicano¹,

Grec²,

Belarmino³

et al. 2011

Acta Cir. Bras.

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. Helped to design the protocol and supervised all phases of the study, responsible for intellectual and scientific content of the study, critical revision. ABSTRACT PURPOSE:To evaluate oral changes, such as dental caries, periodontal disease, dental wear and salivary flow in bariatric patients. Fifty four obese patients who underwent bariatric surgery were studied before (n=54), up after 3 months (n=24) and 6 months (n=16). METHODS: Indices for evaluating oral conditions were: DMFT, CPI, DWI and salivary flow. OIDP questionnaire was used to assess the impact of oral health on quality of life. ANOVA and Spearman correlation were used (p<0.05). RESULTS: DMFT was 17.6±5.7, 18.4±4.1 and 18.3±5.5 (P>0.05), presence of periodontal pockets in 50%, 58% and 50% of patients (p>0.05), tooth wear in dentin present in 81.5%, 87.5% and 87.5% before, 3 and 6 months after surgical treatment respectively. There were differences between the three periods for prevalence and severity of dental wear (p = 0.012). Salivary flow was 0.8±0.5 ml/min before surgery, 0.9±0.5 ml/min for 3 months and 1.1±0.5m/min for 6 months (p>0.05). The impact of oral health on quality of life decreased with time after bariatric surgery (p= 0.029). CONCLUSION: The lifestyle changes after bariatric surgery and these changes may increase the severity of pre-existing dental problems. However, these alterations in oral health did not influence the quality of life. Key words: Oral Health. Tooth Erosion. Dental Caries. Xerostomia. Obesity. Bariatric Surgery. RESUMO OBJETIVO:Avaliar alterações bucais, como cárie dentária, doença periodontal, desgaste dentário e fluxo salivar, em pacientes bariátricos. MÉTODOS: Cinquenta e quatro pacientes obesos, submetidos à cirurgia bariátrica, tiveram suas condições bucais avaliadas antes (n=54), aos 3 meses (n=24) e aos 6 meses (n=16) após a cirurgia bariátrica. Os índices para avaliação das condições bucais foram: CPOD, IPC, IDD e o volume de fluxo salivar. O questionário OIDP foi utilizado para verificar o impacto da saúde bucal na qualidade de vida. ANOVA e correlação de Spearman foram utilizados para análise estatística (p<0,05). RESULTADOS: CPOD foi 17,6±5,7, 18,4±4,1 e 18,3±5,5 (p>0,05), bolsa periodontal foi encontrada em 50%, 58% e 50% dos pacientes (p>0,05) e o desgaste dentário em dentina em 81,5%, 87,5% e 87,5% dos pacientes, respectivamente antes, 3 meses e 6 meses após a cirurgia bariátrica. Houve diferença significativa entre os três períodos estudados, quanto à prevalência e à severidade do desgaste dentário (p=0,012). O fluxo salivar foi 0,8±0,5 ml/min antes, 0,9±0,5 ml/min aos 3 e 1,1±0,5 ml/min aos 6 meses após cirurgia (p>0,05). O impacto da saúde bucal na qualidade de vida diminuiu com o tempo decorrido após cirurgia bariátrica (p=0,029). CONCLUSÕES: As mudanças no estilo de vida após a cirurgia bariátrica podem aumentar a gravidade de problemas bucais pré-existentes. Entretanto, esta alteração na condição bucal pode não influenciar a qualidade de vida.

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Section: Introductionmentioning

confidence: 99%

Interfaces between bariatric surgery and oral health: a longitudinal survey

Marsicano¹,

Grec²,

Belarmino³

et al. 2011

Acta Cir. Bras.

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“…7,8 Some studies have shown that there could be an increase in the patient's risk for dental caries, periodontal diseases, xerostomia and dentin hypersensitivity after bariatric surgery. [8][9][10][11][12] However, the dental aspects and side-effects of bariatric surgery have not been adequately reported in the medical literature because there are few studies and the majority are case reports. 8 The mouth is anatomically and physiologically an integral component of the alimentary tract and the potential negative effects of gastric surgery may manifest in the oral health area as tooth wear, dental caries, periodontal diseases, and mucosal alterations.…”

mentioning

confidence: 99%

“…8 The mouth is anatomically and physiologically an integral component of the alimentary tract and the potential negative effects of gastric surgery may manifest in the oral health area as tooth wear, dental caries, periodontal diseases, and mucosal alterations. 8,9,[11][12][13]…”

mentioning

confidence: 99%

Evaluation of oral health status and salivary flow rate in obese patients after bariatric surgery

et al. 2012

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Objectives:The aim of this study was to identify the prevalence of dental caries, periodontal diseases and tooth wear in bariatric patients, and relate the oral health conditions to saliva flow.Methods:Fifty-two patients who had undergone bariatric surgery (Roux-en-Y gastric bypass) and 50 severely obese patients indicated for bariatric surgery were submitted to clinical examinations with regard to dental caries (DMFT index), periodontal condition (CPI index), dental wear (DWI index – Dental wear index) and saliva flow. The data were statistically analyzed by the Student’s-t, Mann-Whitney, Spearman Correlation and Chi-square (χ2) tests at 5% significance level.Results:The DMFT index was 16.11±5.19 in the surgical group and 16.06±6.29 in the control group (P>.05). The mean CPI was 3.05±0.84 for the operated group and 2.66±1.25 for the obese patients with no significant difference between them (P>.05). There was statistically significant difference between the groups for the presence of periodontal pockets (P=.021). All the patients presented some degree of tooth wear, however, with no significant difference between the two groups (P=.82). The mean saliva flow values of the surgical group and control group were 0.64±0.46 mL/min and 0.66±0.49 mL/min, respectively. There was no significant difference in saliva flow and all oral conditions analyzed (P>.05).Conclusion:The prevalence of oral diseases was similar in severely obese patients who were candidates for bariatric surgery and in patients who had been submitted to bariatric surgery. Nevertheless, there was higher prevalence of periodontal pockets in the operated group.

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“…Poucos estudos têm sido realizados para avaliar as condições de saúde bucal de pacientes bariátricos. As alterações bucais encontradas em pacientes após a cirurgia bariátrica relatadas na literatura científica foram: placa bacteriana generalizada, aumento na incidência de cárie dentária e doença periodontal, diminuição do fluxo salivar estimulado, aumento de hipersensibilidade dentinária, dor e ulceração no palato (ARCHER-DUBON; ESQUIVEL-PEDRAZA; RAMIREZ-ANGUIANO, 2007;GREENWAY;GREENWAY, 2000;HAGUE;BAECHLE, 2008;HELING et al, 2006; A escassez de estudos sobre as possíveis alterações na saúde bucal dos pacientes obesos e dos pacientes submetidos à cirurgia bariátrica e os naturais questionamentos justificam novas investigações a respeito. (FERREIRA, 2006;MONDINI;MONTEIRO, 1998;SUTER et al, 2006).…”

Section: Tabela 10-unclassified

Avaliação das condições bucais de pacientes obesos e de submetidos à cirurgia bariátrica

Marsicano¹

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The increase of obesity prevalence is being considered a problem of public health. The aim of this study was to identify the prevalence of dental caries, periodontal diseases and dental wear in bariatric patients, relating to the conditions of oral health and saliva flow. The sample was composed for patients who were treatment in the clinic of Bariatric Surgery of the Clinical Hospital of Ribeirão Preto (FMRP-USP). It participated of the research a total of 102 patients who had been separated in two groups: Experimental group (G1)-bariatric patient (n= 52) and Group Control (G2)-obese patient indicated for bariatric surgery (n= 50). The participants had been examined in relation of saliva flow, dental caries, using index DMFT, periodontal diseases, using index CPI and tooth wear, using index TWI. The statistics analysis used the test Student of "t", Mann Whitney, Spearman correlation, Chi-square and multivariate analysis to verify association among dental wear, periodontal diseases, saliva flow and bariatric surgery. The mean of the period of the bariatric surgery and oral examination was of 16.9±20.7 months. The mean of the saliva flow had presented hyposalivation in the majority of the patients of both the groups. The mean of the saliva flow was 0.65±0.47 ml/min. The mean of the saliva

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Palatal Ulcers due to Vomiting after Gastric Band Tightening

Cited by 9 publications

References 12 publications

Interfaces between bariatric surgery and oral health: a longitudinal survey

Interfaces between bariatric surgery and oral health: a longitudinal survey

Evaluation of oral health status and salivary flow rate in obese patients after bariatric surgery

Avaliação das condições bucais de pacientes obesos e de submetidos à cirurgia bariátrica

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