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

Čolak, Dejana; Gašperšič, Rok; Kučič, Alja Cmok; Pintar, Tadeja; Gašpirc, Boris

doi:10.5114/aoms/135880

Cited by 5 publications

(2 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We can attribute this to the high dental plaque levels and presence of calcium channel blockers combined with hyperinflammatory state [ 8 ], high-frequency intake of refined carbohydrates [ 10 ], and eating disorders [ 11 ], all common in obese patients. These results point to mandatory periodontal intervention in these patients before BS, especially if we consider a possible increase in risk for periodontitis during recovery from BS [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, evidence also points to the damaging effect of BS on other aspects of oral health i.e., the progression of caries lesions [ 24 ], tooth erosion [ 12 ] and hypersensitivity of the teeth [ 13 ]. Despite worsening oral and periodontal health during recovery from BS [ 15 – 18 ], existing guidelines do not advise dental screening for BS patients' care [ 6 , 25 ]. Even though obese patients are considered a risk group for periodontitis, the importance of oral health in these patients is commonly overlooked due to a lack of comprehensive data and awareness among medical personnel.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Periodontal and systemic health of morbidly obese patients eligible for bariatric surgery: a cross-sectional study

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background In obese patients, periodontitis might be associated with deprived systemic health. Edmonton obesity staging system (EOSS) is a new tool for classification of obesity that considers the metabolic, physical, and psychological health. The cross-sectional study aimed to evaluate the periodontal status of morbidly obese patients eligible for bariatric surgery and the association between periodontitis, obesity-related comorbidities, and EOSS. Methods Morbidly obese patients eligible for bariatric surgery underwent detailed periodontal examination and were divided into the periodontitis group (PG) and the non-periodontitis group (NPG). The medical and demographic data were obtained from medical files, while behavioural data were obtained by the interview. Descriptive statistics and simple statistical tests were used to summarise the characteristics of the sample and the differences between PG and NPG. The logistic regression models were used to calculate the association (odds ratio (OR)) between periodontitis and obesity-related diseases and EOSS. Results The study included 79 patients, with an average BMI of 44.6 kg/m2 (SD = 7.2). The prevalence of periodontitis was 65% (CI 95% 53%-75%). PG patients (n = 51) were older, more often smokers and were more often hypertensive than NPG patients (n = 28) (p < 0.05). Hypertension was positively associated with periodontitis with adjusted OR 3.98 (95% CI 1.23–12.8; p = 0.021)) and age with adjusted OR 1.06, (95% CI 1.01–1.13; p = 0.038)), while other tested conditions (diabetes, dyslipidaemia, and smoking habits) did not show significant association with periodontitis. Periodontitis did not correlate with EOSS or other obesity-related comorbidities (p > 0.05). Conclusion The morbidly obese patients eligible for bariatric surgery show a high prevalence of periodontitis and, therefore, are advised to be examined by a dentist before undergoing surgery. They have higher odds of hypertension but not of other obesity-related diseases or higher stages of EOSS. The medical personnel should raise awareness among obese patients on the potential association of poor periodontal health with hypertension. Trial registration NCT04653714.

show abstract