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Impact of bariatric surgery in anxiety and oral condition of obese individuals: a cohort prospective study / Impacto da cirurgia bariátrica em ansiedade e condições bucais de indivíduos obesos: um estudo de coorte prospectivo
Tinós, Adriana Maria Fuzer Grael; Foratori-Junior, Gerson Aparecido; Marcenes, Wagner; Camargo, Felipe Borges; Groppo, Francisco Carlos; Sales-Peres, Silvia Helena de Carvalho.
  • Tinós, Adriana Maria Fuzer Grael; University of São Paulo. Faculty of Dentistry of Bauru. Department of Pediatric Dentistry. Bauru. BR
  • Foratori-Junior, Gerson Aparecido; University of São Paulo. Faculty of Dentistry of Bauru. Department of Pediatric Dentistry. Bauru. BR
  • Marcenes, Wagner; Kings College London. London. GB
  • Camargo, Felipe Borges; Community Health Centre. São Paulo. BR
  • Groppo, Francisco Carlos; University of Campinas. Department of Physiological Sciences. Piracicaba. BR
  • Sales-Peres, Silvia Helena de Carvalho; University of São Paulo. Faculty of Dentistry of Bauru. Department of Pediatric Dentistry. Bauru. BR
ABCD (São Paulo, Impr.) ; 34(3): e1615, 2021. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1355505
ABSTRACT
ABSTRACT

Background:

Obesity and bariatric surgery may be related with mental and oral disorders.

Aim:

To evaluate the impact of bariatric surgery on anxiety, initial dental caries lesion and gingival bleeding in obese patients.

Methods:

Eighty-nine patients were divided in two groups Control Group (CG) - obese patients and Experimental Group (EG) - patients submitted to bariatric surgery. EG was analyzed before and 12 months after bariatric surgery; for the CG, was respected an interval of 12 months between the evaluations. International Caries Detection and Assessment System, Gingival Bleeding Index and Trace-State Anxiety Inventory were used. Medical profile, anthropometrics data, sociodemographic and behavioral variables were considered.

Results:

There were no statistically significant differences between groups in evaluation times regarding to initial dental caries lesion and anxiety. However, the number of teeth with initial dental caries lesion (p=0.0033) and gingival bleeding (p<0.0001) increased significantly after bariatric surgery in EG.

Conclusion:

These results reinforce the need for multi-professional team follow-up, including dental care, for both obese and bariatric patients.
RESUMO
RESUMO Racional A obesidade e a cirurgia bariátrica podem estar relacionadas a desordens mentais e bucais.

Objetivo:

Avaliar o impacto da cirurgia bariátrica na ansiedade, lesões iniciais de cárie dentária e sangramento gengival em pacientes obesos.

Método:

Oitenta e nove pacientes foram divididos em dois grupos Grupo Controle (GC) - obesos e Grupo Experimental (GE) - pacientes submetidos à cirurgia bariátrica. O GE foi analisado antes e 12 meses após a cirurgia bariátrica; para o GC, foi respeitado um intervalo de 12 meses entre as avaliações. Foram utilizados o Sistema Internacional de Detecção e Avaliação de Cárie, Índice de Sangramento Gengival e Inventário de Ansiedade do Traço-Estado.

Resultados:

Não houve diferenças estatisticamente significantes entre os grupos nos dois momentos de avaliação em relação à lesão inicial de cárie dentária e ansiedade. No entanto, o número de dentes com lesão inicial de cárie dentária (p=0,0033) e sangramento gengival (p<0,0001) aumentou significativamente após a cirurgia bariátrica no GE.

Conclusão:

É necessário acompanhamento de equipe multiprofissional, incluindo atendimento odontológico, tanto para pacientes obesos quanto para bariátricos.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Dental Caries / Bariatric Surgery Type of study: Etiology study / Observational study Limits: Humans Language: English / Portuguese Journal: ABCD (São Paulo, Impr.) Year: 2021 Type: Article Affiliation country: Brazil / United kingdom Institution/Affiliation country: Community Health Centre/BR / Kings College London/GB / University of Campinas/BR / University of São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Dental Caries / Bariatric Surgery Type of study: Etiology study / Observational study Limits: Humans Language: English / Portuguese Journal: ABCD (São Paulo, Impr.) Year: 2021 Type: Article Affiliation country: Brazil / United kingdom Institution/Affiliation country: Community Health Centre/BR / Kings College London/GB / University of Campinas/BR / University of São Paulo/BR