Tooth wear in patients submitted to bariatric surgery
| Autor: | Antônio Cláudio Almeida de Carvalho, Fernando Alberto Costa Cardoso da Silva, Stephanie Gomes Araujo, Alcione Miranda dos Santos, Maria do Socorro Coelho Alves, Andréa Lúcia Almeida de Carvalho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Vomiting Cross-sectional study Bariatric Surgery Dentistry Frequent vomiting Postoperative Complications Surveys and Questionnaires Prevalence Humans Medicine In patient General Dentistry Aged Bariatric surgery business.industry Reflux Middle Aged medicine.disease Obesity Obesity Morbid Surgery Cross-Sectional Studies Tooth wear Ambulatory tooth wear Gastroesophageal Reflux oral health Female Tooth Wear medicine.symptom business |
| Zdroj: | Brazilian Dental Journal v.23 n.2 2012 Brazilian Dental Journal Fundação Odontológica de Ribeirão Preto (FUNORP) instacron:FUNORP Brazilian Dental Journal, Volume: 23, Issue: 2, Pages: 160-166, Published: APR 2012 |
| Popis: | Bariatric surgery may cause frequent vomiting episodes and gastroesophageal reflux, which promote the contact of gastric acids with the teeth leading to irreversible loss of tooth structure. The aim of this study was to assess prevalence of tooth wear in bariatric patients. One hundred and twenty-five patients were examined at a Public Hospital in São Luis, MA, Brazil, between July and October 2010, being patients who had already been submitted to the bariatric surgery at least 6 months previously (Bariatric group), morbidly obese patients who were on the waiting list for this surgery (Obese group) and patients who were waiting for ambulatory medical care in other sectors (Control group). The patients answered an investigative questionnaire and were clinically examined using the Basic Erosive Wear Examination (BEWE) scoring system, which allows the classification of the severity of noncarious dental lesions (NCDL) and evaluation of risk. All patients presented some degree of tooth wear at different levels. However, the presence of NCDL was associated with the group to which the patient belonged. The bariatric patients showed higher prevalence and a statistically significant level of risk with regard to NCDLs when compared with the other patients, followed by the obese and control groups. Reflux and vomiting did not seem to influence NCDL positively. Cirurgia bariátrica pode provocar freqüentes episódios de vômito e refluxo gastroesofágico o que promove o contato dos ácidos gástricos com os dentes fazendo que haja perda irreversível de estrutura dental. Este estudo teve como objetivo avaliar a prevalência de desgaste dentário em pacientes bariátricos. Foram examinados 125 pacientes em um Hospital Público de São Luís, MA no período de julho a outubro de 2010, distribuídos em pacientes que já tinham sidos submetidos à cirurgia bariátrica há pelo menos 6 meses (Grupo bariátrico), obesos mórbidos que estavam na lista de espera para esta cirurgia (Grupo obeso) e por pacientes que esperavam por consulta médica ambulatorial em outros setores (Grupo controle). Os pacientes responderam a um questionário investigativo e foram examinados clinicamente utilizando o “Basic Erosive Wear Examination” - BEWE (Índice Básico do Desgaste Erosivo) que permite a classificação da severidade das lesões não-cariosas e avaliação de risco. Todos os pacientes apresentaram algum grau de desgaste dentário em diferentes níveis. No entanto, a presença de LDNC (lesão dental não-cariosa) estava associada ao grupo que o paciente pertencia. O grupo bariátrico apresentou maior prevalência e nível de risco em relação às LDNC’s estatisticamente significante quando comparado aos outros grupos, seguido pelo grupo de obeso e controle. Refluxo e vômito parecem não influenciar positivamente nas LDNC. |
| Databáze: | OpenAIRE |
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