Intermaxillary fixation as co-adjuvant treatment for morbid obesity

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Data

2004-06-01

Autores

Vassimon, H. S.
Pigoli, D. R.
Viterbo, Fausto [UNESP]
Palhares Neto, Aristides Augusto [UNESP]
Haddad, ALM
Padovani, Carlos Roberto [UNESP]
Mazzoni, A.
Nogueira, Célia Regina [UNESP]

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Editor

F D-communications Inc

Resumo

Background: the effective long-term treatments for morbid obesity is bariatric surgery. However, the associated surgical and anesthetic risks led the authors to evaluate intermaxillary fixation, a less aggressive procedure, as a preoperative treatment in selected patients with morid obesity.Methods: 22 patients (5 male, 17 female, ages 16-53 years, with BMI 44.9 +/- 5.4 kg/m(2)) underwent intermaxillary fixation. The procedure consisted of fitting brackets on the front face of the teeth and posterior application of elastic bands to impede mouth opening.Results: At the end of 6 weeks, weight loss was 7.4 +/- 2.6% there was general improvement in lipid profile, glycemia, and blood pressure. There was no recorded discomfort, pain, or any other difficulty during this treatment.Conclusion: Intermaxillary fixation can be used as a pre-surgical solution for weight reduction in preparation for bariatric surgery, improving co-morbid aspects such as blood pressure, glycemia, and lipid profile.

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Palavras-chave

intermaxillary fixation, morbid obesity, co-morbidities, bariatric surgery, dental treatment, weight loss

Como citar

Obesity Surgery. Toronto: F D-communications Inc., v. 14, n. 6, p. 829-832, 2004.