Abstract
ABSTRACTThe rate of bariatric surgery has significantly risen in the past decade as an increasing prevalence of extreme obesity can be observed. Although bariatric surgery is an effective therapeutic modality for extreme obesity, it is associated with risk factors affecting also oral health. Based on an overview of the current literature, this paper presents a summary of dental manifestations in bariatric patients. Bariatric surgeries are associated with an increased risk for gastro-esophageal reflux which in turn might account for the higher amount of carious and erosive lesions observed in bariatric patients. As a result, also dentin hypersensitivity might be observed more frequently. The current data indicate that recommended postsurgical meal patterns and gastric reflux might increase the risk for dental lesions, particularly in the presence of other risk factors, such as consumption of sweet-tasting foods and acidic beverages. Further research is needed to evaluate the correlation of bariatric surgery and the development of dental diseases.
Highlights
Modern methods to reduce the weight of adipose patients, including bariatric surgery techniques, have been developed for the treatment of obesity especially in its morbid form[22,30]
One technique is the Gastric Band, in which a silicone ring is placed around the stomach, creating two compartments: a small one above (15-20 mL) that will store small quantities of food, generating a sense of satiety, and the other part is larger and placed below, which will take part of normal digestion[8]
Clinical evidence Heling, et al.[14] (2006) conducted a study with 113 patients, who were submitted to bariatric surgery 4-5 years ago
Summary
Modern methods to reduce the weight of adipose patients, including bariatric surgery techniques, have been developed for the treatment of obesity especially in its morbid form[22,30]. One technique is the Gastric Band, in which a silicone ring is placed around the stomach, creating two compartments: a small one above (15-20 mL) that will store small quantities of food, generating a sense of satiety, and the other part is larger and placed below, which will take part of normal digestion[8]. Regarding this issue, post-bariatric surgery manifestations include gastro-esophageal, respiratory, cardiovascular, endocrine and psychological changes[24]. In patients submitted to gastroplastic surgery with reduction of weight, the rates of diabetes and risk for non-diabetics are reduced[5] It is reported changes in the level of plasmatic hormones related to ovulation, which are below normal due to alteration in gastro-intestinal absorption[25]. The aim of this paper was to present a summary of dental manifestations in bariatric patients
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