Oral Health Implications of Bariatric Surgery in Morbidly Obese Patients: An Integrative Review

Azevedo, Marcela Letícia da Silva; Silva, Natália Rodrigues; Mafra, Cristiane Assunção da Costa Cunha; Lins, Ruthinéia Diógenes Alves Uchôa; Dantas, Euler Maciel; Gurgel, Bruno César de Vasconcelos; Martins, Ana Rafaela Luz de Aquino

doi:10.1007/s11695-019-04334-0

Cited by 9 publications

(13 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In individuals with excess weight, the decreased salivary flow, pH, and buffer capacity may represent a major risk of oral health problems due to homeostatic imbalances. The impairment in salivary buffer capacity may lead to a reduced protection of the teeth, which are more susceptible to the development of dental caries and halitosis (1). Although the salivary pH found in this sample of individuals within the normal range of 6.8-7.5 (55,56), the mean pH found in the analysis of buffer capacity may be considered low (57).…”

Section: Discussionmentioning

confidence: 92%

“…Obesity is considered a multifactorial and chronic condition that results in excess fat storage due to biological, behavioral, and environmental factors (1). According to the World Health Organization (2018) (2), 13% of adults have obesity (BMI of 30 to <40 Kg/m 2 ) in the world, which is associated with comorbidities such as type 2 diabetes mellitus, cardiovascular diseases, hyperlipidemia, sleep apnea syndrome, respiratory diseases, neoplasms, endocrine disorders, periodontal disease, psychosocial problems, among others (3).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Oral Health and Nutritional Characteristics of Adults With Morbid Obesity: A Multivariate Analysis

et al. 2020

View full text Add to dashboard Cite

The relationship between oral health and nutritional aspects are complex, especially in individuals with chronic diseases and comorbidities, such as morbid obesity. Thus, the aim of the present study was to identify oral health and nutritional-related patterns in 113 individuals, aged 19–68 years (92 females), seeking treatment for morbid obesity. Sociodemographic variables and medical records were examined, in addition to the consumption of fruit, vegetables, candies, and processed foods. Measures of body mass index, neck, waist and hip, caries experience (DMFT index), Community Periodontal Index (CPI index), and salivary physicochemical aspects were gathered. Aspects of oral health-related quality of life and symptoms of dry mouth were evaluated by means of Oral Health Impact Profile (OHIP-14) and Xerostomia Inventory-XI questionnaires. K-means cluster analysis and, subsequently, comparisons between clusters (one-way ANOVA) were performed (α = 5%). Three clusters were generated: Cluster 1 (labeled “Young”; n = 77) was characterized by younger participants with higher BMI, who reported the use of distractors while eating, the smallest number of meals/day, and who consumed sweetened drinks and processed food the day before. Cluster 2 (labeled “Diabetic individuals”; n = 12) was characterized by older participants with the highest proportion of diabetic participants (100% were diabetic; 73% insulin users), lower BMI, higher DMFT index and OHIP-14 and xerostomia scores, and who reported having consumed fruit and vegetables the day before. Finally, Cluster 3 (labeled “Poor periodontal health”; n = 24) was characterized by participants with the worse periodontal condition (higher CPI), and lower salivary flow, pH, and buffer capacity. Cluster 1 and 2 were the groups that showed higher demand for nutritional and dietetic counseling, because of the poor eating behavior and higher serum glucose levels, respectively. On the other hand, Cluster 2 and 3 showed the higher demand for oral rehabilitation and dental treatment because of the loss of teeth and worse periodontal condition, respectively, besides the need for dietetic counseling. This sample of individuals with morbid obesity showed very unique oral-health and nutritional characteristics and special needs patterns that should be identified to adjust or change unhealthy habits, thus improving the assistance of this condition.

show abstract

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Oral Health and Nutritional Characteristics of Adults With Morbid Obesity: A Multivariate Analysis

et al. 2020

View full text Add to dashboard Cite

show abstract

Section: Oral Healthmentioning

confidence: 99%

“…Oral cavity changes among BS patients were found to be related to the development of dental caries and wear, hypersensitivity, and periodontal disease (85). It has been suggested that low calcium intake, increased frequency of regurgitation and gastroesophageal reflux, increased food intake at shorter intervals, and resultant oral pH imbalance were associated with increased development of oral complications such as dental caries, dental erosion, and increased salivary flow rate following BS (85). Although this topic has received only modest attention in the literature so far, some nutrition-promotion strategies for adequate oral hygiene were shown to be effective in the prevention of the main oral health problems in patients who underwent BS, including reduction in the quantity and frequency of consumption of foods and beverages with added sugar, avoidance of eating at night, diminishing consumption of acidic foods (e.g., citrus fruit and vinegar), and avoidance of a dry mouth by frequent drinking with small sips during the day (86).…”

Section: Oral Healthmentioning

confidence: 99%

“…Although this topic has received only modest attention in the literature so far, some nutrition-promotion strategies for adequate oral hygiene were shown to be effective in the prevention of the main oral health problems in patients who underwent BS, including reduction in the quantity and frequency of consumption of foods and beverages with added sugar, avoidance of eating at night, diminishing consumption of acidic foods (e.g., citrus fruit and vinegar), and avoidance of a dry mouth by frequent drinking with small sips during the day (86). Moreover, it was recommended that, in case of regurgitation or vomiting, teeth should not be brushed immediately to avoid removing dissolved dental tissue (85,86). In light of these findings, it is important to monitor oral status before and after the surgery.…”

Section: Oral Healthmentioning

confidence: 99%

See 1 more Smart Citation

Nutritional Assessment and Preparation for Adult Bariatric Surgery Candidates: Clinical Practice

Sherf-Dagan

Sinai

Goldenshluger

et al. 2021

Advances in Nutrition

View full text Add to dashboard Cite

Bariatric surgery (BS) has proven to be highly efficacious in the treatment of obesity and its comorbidities. However, careful patient selection is critical for its success. Thus, patients should undergo medical, behavioral, and nutritional assessment by a multidisciplinary team. From the nutritional point of view, BS candidates should undergo nutritional assessment, preparation, and education by a registered dietitian in the preoperative period. Currently, detailed specified and comprehensive information on these topics is lacking. The present narrative review aimed to summarize the available literature concerning both the preoperative nutritional assessment components and the preoperative nutritional preparation and education components of patients planning to undergo BS. Current literature indicates that proper management before BS should include a comprehensive nutritional assessment, in which it is advisable to perform a clinical interview to assess patients’ medical background, weight management history, eating patterns and pathologies, oral health, physical activity habits, nutritional status, supplementation usage, BS knowledge, surgery expectations and anthropometric measurements. Nutritional preparation and educational strategies should include an individualized preoperative weight-loss nutrition program, improvement of glycemic control, micronutrients deficiencies correction, eating and lifestyle habits adaptation, physical activity initiation, and strengthening knowledge on obesity and BS. At this stage, more well-designed intervention and long-term cohort studies are needed in order to formulate uniform evidence-based nutritional guidelines for patients who plan to undergo BS, including populations at higher nutritional risk. Moreover, postoperative outcomes of presurgical nutritional intervention programs should be studied.

show abstract

Pre‐doctoral dental students’ knowledge, training, perceptions, and attitudes regarding obesity and treatments: A survey study

Biary,

Finkelman,

Tassabehji

2024

Journal of Dental Education

View full text Add to dashboard Cite

ObjectiveThe aims of this study were to assess first‐year predoctoral dental students’ knowledge, training, perceptions, and attitudes on obesity and to compare knowledge, perceptions, and attitudes before and after attending an educational presentation.MethodsA presentation explaining the impact of obesity and its treatments on oral health was developed and presented to first‐year predoctoral dental students (D1's) in the Doctor of Dental Medicine program. Before (“pre”) and after (“post”) the presentation, attending students were given the opportunity to take an anonymous and voluntary survey. Questions on the survey covered topics on knowledge, training, perceptions, and attitudes about obesity.ResultsThirty‐four of the 213 students in the course (response rate = 16.0%) attended the presentation and completed both the pre‐ and post‐surveys. Most participating students reported receiving 0–5 h of education on obesity since starting their dental education. Regarding pre‐survey answers to knowledge‐based items, the percentage of students answering, “strongly agree” (representing the greatest knowledge level) ranged from 5.9% to 61.8% across items. Significant improvements from pre‐ to post‐survey were observed for all knowledge‐based items except a statement that obesity is associated with serious medical conditions. Significant improvements were also found for perception‐based items asking about accommodations for patients and the importance of assessing dietary habits. Additionally, at post‐survey, students reported significantly less discomfort asking about dietary habits and weight loss medications.ConclusionDental curricula policy makers and developers should consider the incorporation of obesity and its treatments, with nutrition experts teaching the content.

show abstract

Oral Health Implications of Bariatric Surgery in Morbidly Obese Patients: An Integrative Review

Cited by 9 publications

References 15 publications

Oral Health and Nutritional Characteristics of Adults With Morbid Obesity: A Multivariate Analysis

Oral Health and Nutritional Characteristics of Adults With Morbid Obesity: A Multivariate Analysis

Nutritional Assessment and Preparation for Adult Bariatric Surgery Candidates: Clinical Practice

Pre‐doctoral dental students’ knowledge, training, perceptions, and attitudes regarding obesity and treatments: A survey study

Contact Info

Product

Resources

About