Impact of bariatric surgery on oral health conditions: 6-months cohort study

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dc.contributor.authorMoura-Grec, Patricia Garcia de
dc.contributor.authorYamashita, Joselene Martinelli
dc.contributor.authorMarsicano, Juliane Avansini
dc.contributor.authorCeneviva, Reginaldo
dc.contributor.authorLeite, Celso Vieira de Souza [UNESP]
dc.contributor.authorBrito, Gilberto Borges de
dc.contributor.authorAparecido Brienze, Sergio Luis
dc.contributor.authorCarvalho Sales-Peres, Silvia Helena de
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2015-03-18T15:55:13Z
dc.date.available2015-03-18T15:55:13Z
dc.date.issued2014-06-01
dc.description.abstractObjectives: We evaluate oral health conditions before and after bariatric surgery. Methods: The sample was composed of 59 patients who had undergone Roux-en-Y gastric bypass (RYGB). Salivary flow, periodontal pocket depth and dental wear were evaluated before and after 6 months of surgery. Body mass index (BMI), C-reactive protein (CRP) and glucose levels were obtained from the patient's medical files. A t-test was used for dependent samples. Results: The mean BMI decreased from 49.31 +/- 8.76 to 35.52 +/- 8.12 kg/m(2) in 6 months after surgery (P < 0.000). Before surgery, 67% of patients had high levels of CRP and 38% higher blood glucose levels and after surgery there were significant reductions in these levels (P < 0.001). Salivary flow ranged from 0.84 to 0.95 ml/min. There was increased prevalence of periodontal pockets (P = 0.022) and mean pocket depth increased to about 0.5 mm (P < 0.001). The percentage of surfaces with dental wear in dentine was significantly higher after bariatric surgery (P = 0.002), while dental wear in enamel decreased (P = 0.019). Conclusions: Bariatric surgery may improve systemic conditions. However, it had a negative impact on oral health conditions because of an increase in periodontal disease and dental wear.en
dc.description.affiliationUniv Sao Paulo, Bauru Sch Dent, BR-17012901 Bauru, SP, Brazil
dc.description.affiliationUniv Sao Paulo, Ribeirao Preto Sch Med, BR-14049 Ribeirao Preto, SP, Brazil
dc.description.affiliationBotucatu Sch Med UNESP, Botucatu, SP, Brazil
dc.description.affiliationSao Jose do Rio Preto Sch Med FAMERP, Sao Jose Do Rio Preto, SP, Brazil
dc.description.affiliationUnespBotucatu Sch Med UNESP, Botucatu, SP, Brazil
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 08/00240-3
dc.description.sponsorshipIdFAPESP: 08/05798-2
dc.format.extent144-149
dc.identifierhttp://dx.doi.org/10.1111/idj.12090
dc.identifier.citationInternational Dental Journal. Hoboken: Wiley-blackwell, v. 64, n. 3, p. 144-149, 2014.
dc.identifier.doi10.1111/idj.12090
dc.identifier.issn0020-6539
dc.identifier.lattes3191894452135777
dc.identifier.urihttp://hdl.handle.net/11449/117112
dc.identifier.wosWOS:000340189500004
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofInternational Dental Journal
dc.relation.ispartofjcr1.389
dc.relation.ispartofsjr0,637
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectBariatric surgeryen
dc.subjectoral healthen
dc.subjectperiodontal diseasesen
dc.subjecttooth erosionen
dc.subjectobesityen
dc.subjectsalivary flowen
dc.titleImpact of bariatric surgery on oral health conditions: 6-months cohort studyen
dc.typeArtigo
dcterms.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dcterms.rightsHolderWiley-Blackwell
unesp.author.lattes3191894452135777[5]
unesp.author.orcid0000-0002-8213-1754[3]
unesp.author.orcid0000-0003-3811-7899[8]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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