A O Salgado-Peralvo1, M V Mateos-Moreno2, L Arriba-Fuente3, Á García-Sánchez4, A Salgado-García5, V Peralvo-García6, M Millán-Yanes7. 1. Master in Family and Community Dentistry, University of Seville (US). Seville, Spain. Master in Oral Implantology, University of Seville (US), Seville, Spain. Electronic address: orionsalgado@hotmail.com. 2. Associate Professor of Stomatology IV. School of Dentistry, Universidad Complutense of Madrid (UCM), Madrid, Spain. 3. Associate Professor of Stomatology III. School of Dentistry, Universidad Complutense of Madrid (UCM), Madrid, Spain. 4. Collaborating Professor in the Master's Program of Oral Esthetics and Rehabilitation, Miguel de Cervantes European University (UEMC). Valladolid, Spain. Master in Oral Implantology, University of Seville (US), Seville, Spain. 5. University Specialist in Surgery and Oral Implantology, University of A Coruña. Dentistry in the Galician Health Service (SERGAS), Vigo, Spain. 6. Master in Orofacial Pain and Craniomandibular Dysfunction, Universidad San Pablo CEU, Vigo, Spain. 7. Master in Advanced Endodontics, European University of Madrid (UEM), Madrid, Spain.
Abstract
OBJECTIVES: Obesity is one of the most prevalent chronic pathologies in the world and has become a public health problem. At the present time, bariatric surgery (BS) is considered the best option and the only effective method of treatment, but it can occasionally result in a series of alterations at the oral level. This study aims to review the current literature to establish the possible association of patients who have undergone BS and a greater risk of dental caries. STUDY DESIGN: This study is a systematic review of the literature. METHODS: A search was made in the database of Medline (via PubMed), over the last 10 years, using the keywords 'bariatric surgery' OR 'gastrectomy' OR 'obesity surgery,' combined independently with the terms 'saliva' and 'dental caries' by means of the connector 'AND.' The criteria used were those described in the PRISMA® Declaration for performing systematic reviews. Inclusion criteria and study selection: (a) studies done with humans; (b) articles published in English and Spanish; (c) series of cases; and (d) clinical trials. The risk of bias was assessed independently by two authors. In both data extraction and risk of bias assessment, disagreements were resolved through discussion with a third author. RESULTS: Two independent reviewers read the titles and summaries of the 79 articles found. Finally, nine of them were included in the study. In the various articles, the parameters that had clinical relevance to the risk of dental caries were evaluated. CONCLUSIONS: Within the limitations of this study, it is plausible to think that patients who have undergone BS have a greater risk of dental caries. The oral complications associated with BS could be prevented or minimized by including in the multidisciplinary treatment of these patients a team of odontologists who would be responsible for prevention and oral assessment.
OBJECTIVES: Obesity is one of the most prevalent chronic pathologies in the world and has become a public health problem. At the present time, bariatric surgery (BS) is considered the best option and the only effective method of treatment, but it can occasionally result in a series of alterations at the oral level. This study aims to review the current literature to establish the possible association of patients who have undergone BS and a greater risk of dental caries. STUDY DESIGN: This study is a systematic review of the literature. METHODS: A search was made in the database of Medline (via PubMed), over the last 10 years, using the keywords 'bariatric surgery' OR 'gastrectomy' OR 'obesity surgery,' combined independently with the terms 'saliva' and 'dental caries' by means of the connector 'AND.' The criteria used were those described in the PRISMA® Declaration for performing systematic reviews. Inclusion criteria and study selection: (a) studies done with humans; (b) articles published in English and Spanish; (c) series of cases; and (d) clinical trials. The risk of bias was assessed independently by two authors. In both data extraction and risk of bias assessment, disagreements were resolved through discussion with a third author. RESULTS: Two independent reviewers read the titles and summaries of the 79 articles found. Finally, nine of them were included in the study. In the various articles, the parameters that had clinical relevance to the risk of dental caries were evaluated. CONCLUSIONS: Within the limitations of this study, it is plausible to think that patients who have undergone BS have a greater risk of dental caries. The oral complications associated with BS could be prevented or minimized by including in the multidisciplinary treatment of these patients a team of odontologists who would be responsible for prevention and oral assessment.
Authors: Negin Taghat; Karin Mossberg; Peter Lingström; Sofia Björkman; Anna Lehrkinder; Malin Werling; Anna-Lena Östberg Journal: Clin Exp Dent Res Date: 2021-03-05