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

Abstract

OBJECTIVES 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.

DOI: 10.1111/idj.12090

Cite this paper

@article{MouraGrec2014ImpactOB, title={Impact of bariatric surgery on oral health conditions: 6-months cohort study.}, author={Patr{\'i}cia Garcia de Moura-Grec and Joselene Martinelli Yamashita and Juliane Avansini Marsicano and Reginaldo Ceneviva and Celso Vieira de Souza Leite and Gilberto Borges de Brito and Sergio Lu{\'i}s Aparecido Brienze and S{\'i}lvia Helena de Carvalho Sales-Peres}, journal={International dental journal}, year={2014}, volume={64 3}, pages={144-9} }