DENTAL WEAR AND TOOTH LOSS IN MORBID OBESE PATIENTS AFTER BARIATRIC SURGERY

Overview

Journal Arq Bras Cir Dig

Specialties Gastroenterology
General Surgery

Date 2019 Dec 12

PMID 31826085

Citations 6

Authors

Fabiano Duarte Aznar

Fabio D Aznar

Jose R Lauris

Elinton Adami Chaim

Everton Cazzo

Silvia Helena de Carvalho Sales-Peres

Affiliations

Soon will be listed here.

Abstract

Background: Obesity and its surgical treatment have been related with oral diseases. Aim: To evaluate and compare dental wear and dental loss in eutrophic and morbidly obese patients submitted to Roux-en-Y gastric bypass.

Method: Observational and analytical study with gender and age matching. The sample consisted of 240 patients, divided into four groups: eutrophic (GC=60), morbidly obese (GO=60), operated with up to 24 months (G24=60) and operated on for more than 36 months (G36=60). The following variables were analyzed: race, schooling, economic class, hypertension, diabetes, triglycerides, cholesterol, BMI, weight loss, waist-hip ratio, smoking, alcoholism, tooth loss and tooth wear.

Results: GO presented lower economic class (p=0.012), hypertension (p<0.001), diabetes (p<0.001), cholesterol (p=0.001), BMI (p<0.001), waist-hip ratio (p<0.001) and percentage of weight loss percent (p<0.001) than groups G24 and G36. Dental wear was higher among the II and V sextants.

Conclusion: Individuals submitted to Roux-en-Y gastric bypass, regardless of the surgery period, presented more dental wear on the incisal/occlusal surfaces, and the anterior teeth were the most affected. Dental wear was associated with age and number of missing teeth.

Citing Articles

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Class 3 Obesity and Oral Health in Adults: A Scoping Review of the Challenges for Oral Healthcare Services.

Malik Z, Sohn W, Williams K J Clin Med. 2024; 13(13).

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Impact of bariatric surgery on oral health: a systematic review and meta-analysis.

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Colak D, Kucic A, Pintar T, Gaspersic R J Clin Med. 2022; 11(22).

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Stomatognathic System Changes in Obese Patients Undergoing Bariatric Surgery: A Systematic Review.

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