Evaluation of oral health status and salivary flow rate in obese patients after bariatric surgery

Juliane A Marsicano, Arsenio Sales-Peres, Reginaldo Ceneviva, Silvia H de C Sales-Peres, Juliane A Marsicano, Arsenio Sales-Peres, Reginaldo Ceneviva, Silvia H de C Sales-Peres

Abstract

Objectives: The aim of this study was to identify the prevalence of dental caries, periodontal diseases and tooth wear in bariatric patients, and relate the oral health conditions to saliva flow.

Methods: Fifty-two patients who had undergone bariatric surgery (Roux-en-Y gastric bypass) and 50 severely obese patients indicated for bariatric surgery were submitted to clinical examinations with regard to dental caries (DMFT index), periodontal condition (CPI index), dental wear (DWI index - Dental wear index) and saliva flow. The data were statistically analyzed by the Student's-t, Mann-Whitney, Spearman Correlation and Chi-square (χ(2)) tests at 5% significance level.

Results: The DMFT index was 16.11±5.19 in the surgical group and 16.06±6.29 in the control group (P>.05). The mean CPI was 3.05±0.84 for the operated group and 2.66±1.25 for the obese patients with no significant difference between them (P>.05). There was statistically significant difference between the groups for the presence of periodontal pockets (P=.021). All the patients presented some degree of tooth wear, however, with no significant difference between the two groups (P=.82). The mean saliva flow values of the surgical group and control group were 0.64±0.46 mL/min and 0.66±0.49 mL/min, respectively. There was no significant difference in saliva flow and all oral conditions analyzed (P>.05).

Conclusion: The prevalence of oral diseases was similar in severely obese patients who were candidates for bariatric surgery and in patients who had been submitted to bariatric surgery. Nevertheless, there was higher prevalence of periodontal pockets in the operated group.

Keywords: Oral health; bariatric surgery; dental caries; obesity; periodontal diseases; tooth erosion; xerostomia.

References

    1. Mathus-Vliegen EM, Nikkel D, Brand HS. Oral aspects of obesity. Int Dent J. 2007;57:249–256.
    1. Ritchie CS. Obesity and periodontal disease. Periodontol 2000. 2007;44:154–163.
    1. Kopelman PG. Obesity as a medical problem. Nature. 2000;404:635–643.
    1. Barreto Villela N, Braghrolli Neto O, Lima Curvello K, Eduarda Paneili B, Seal C, Santos D, Cruz T. Quality of life of obese patients submitted to bariatric surgery. Nutr Hosp. 2004;19:367–371.
    1. Saito T, Shimazaki Y, Kiyohara Y, Kato I, Kubo M, Iida M, Yamashita Y. Relationship between obesity, glucose tolerance, and periodontal disease in Japanese women: the Hisayama study. J Periodontal Res. 2005;40:346–353.
    1. Arasaki CH, Del Grande JC, Yanagita ET, Alves AK, Oliveira DR. Incidence of regurgitation after the banded gastric bypass. Obes Surg. 2005;15:1408–1417.
    1. Shikora SA, Kim JJ, Tarnoff ME. Nutrition and gastrointestinal complications of bariatric surgery. Nutr Clin Pract. 2007;22:29–40.
    1. Heling I, Sgan-Cohen HD, Itzhaki M, Beglaibter N, Avrutis O, Gimmon Z. Dental complications following gastric restrictive bariatric surgery. Obes Surg. 2006;16:1131–1134.
    1. Archer-Dubon C, Esquivel-Pedraza L, Ramirez-Anguiano J. Palatal ulcers due to vomiting after gastric band tightening. Obes Surg. 2007;17:556–558.
    1. Greenway SE, Greenway FL. Root surface caries: a complication of the jejunoileal bypass. Obes Surg. 2000;10:33–36.
    1. Hague AL, Baechle M. Advanced caries in a patient with a history of bariatric surgery. J Dent Hyg. 2008;82:22.
    1. Mandel L, Da Silva K. Parotid hypertrophy and bariatric surgery: case report. J Oral Maxillofac Surg. 2008;66:572–574.
    1. Marsicano JA, Sales-Peres AdC, Peres NCT, Sales-Peres A, Alves PHM, Ceneviva R, et al. Correlation of salivary flow with periodontal disease and tooth wear in patients undergone bariatric surgery: a pilot study. Brazilian oral research. 2008;(Supplement):160. (In portuguese)
    1. WHO . Oral health surverys: basic methods. Geneva: 1997.
    1. de Carvalho Sales-Peres SH, Goya S, de Araújo JJ, Sales-Peres A, Lauris JR, Buzalaf MA. Prevalence of dental wear among 12-year-old Brazilian adolescents using a modification of the tooth wear index. Public Health. 2008;122:942–948.
    1. Palacios C, Joshipura K, Willett W. Nutrition and health: guidelines for dental practitioners. Oral Dis. 2009;15:369–381.
    1. Brasil Ministério da Saúde . Projeto SB Brasil 2003. Oral health status of the Brazilian population 2002–2003. Main results. Brasília: Departamento de Atenção Básica, Secretária de Atenção à Saúde, Ministério da Saúde; 2004. (In portuguese)
    1. Persson GR. What has ageing to do with periodontal health and disease? Int Dent J. 2006;56:240–249.
    1. Al-Zahrani MS, Bissada NF, Borawskit EA. Obesity and periodontal disease in young, middle-aged, and older adults. J Periodontol. 2003;74:610–615.
    1. Goodson JM, Groppo D, Halem S, Carpino E. Is obesity an oral bacterial disease? J Dent Res. 2009;88:519–523.
    1. Compher CW, Badellino KO, Boullata JI. Vitamin D and the bariatric surgical patient: a review. Obes Surg. 2008;18:220–224.
    1. De Prisco C, Levine SN. Metabolic bone disease after gastric bypass surgery for obesity. Am J Med Sci. 2005;329:57–61.
    1. Nicopoulou-Karayianni K, Tzoutzoukos P, Mitsea A, Karayiannis A, Tsiklakis K, Jacobs R, Lindh C, van der Stelt P, Allen P, Graham J, Horner K, Devlin H, Pavitt S, Yuan J. Tooth loss and osteoporosis: the osteodents Study. J Clin Periodontol. 2009;36:190–197.
    1. Järvinen VK, Rytömaa II, Heinonen OP. Risk factors in dental erosion. J Dent Res. 1991;70:942–947.
    1. Gandara BK, Truelove EL. Diagnosis and management of dental erosion. J Contemp Dent Pract. 1999;1:16–23.
    1. Turner MD, Ship JA. Dry mouth and its effects on the oral health of elderly people. J Am Dent Assoc. 2007;138(Suppl):15S–20S.
    1. Modeer T, Blomberg C, Wondimu B, Lindberg TY, Marcus C. Association between obesity and periodontal risk indicators in adolescents. Int J Pediatr Obes. 2011;6:e264–e270.
    1. Bond DS, Raynor HA, Vithiananthan S, Sax HC, Pohl D, Roye GD, Ryder BA, Wing RR. Differences in salivary habituation to a taste stimulus in bariatric surgery candidates and normal-weight controls. Obes Surg. 2009;19:873–878.
    1. Modeer T, Blomberg C, Wondimu B, Yucel-Lindberg T, Marcus C. Association between obesity and periodontal disease in adolescents. IADR MIAMI. 2009 abstract no. 829.
    1. Lundin M, Yucel-Lindberg T, Dahllof G, Marcus C, Modeer T. Correlation between TNFalpha in gingival crevicular fluid and body mass index in obese subjects. Acta Odontol Scand. 2004;62:273–7.
    1. Ito T, Komiya-Ito A, Arataki T, Furuya Y, Yajima Y, Yamada S, Okuda K, Kato T. Relationship between antimicrobial protein levels in whole saliva and periodontitis. J Periodontol. 2008;23:316–22.
    1. Touger-Decker R, Mobley CC. Position of the American Dietetic Association: oral health and nutrition. J Am Diet Assoc. 2007;107:1418–28.

Source: PubMed

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