Abstract

PATINO, Juliana Sedrez Reis; MOREIRA, Emilia Addison Machado; BOESING, Fernanda  and  TRINDADE, Erasmo Benício Santos de Moraes. Oral health status and bariatric surgery. RGO, Rev. gaúch. odontol. (Online) [online]. 2013, vol.61, n.4, pp. 621-624. ISSN 1981-8637.

Obesity is considered to be a chronic disease associated with early medical complications including: respiratory, cardiovascular, metabolic, psychological and social changes. Over recent decades, there has been a marked increase in the incidence of obesity among the population. Obesity has significant metabolic and systemic immune and inflammatory effects. Bariatric surgery has emerged as a treatment for morbid obesity. Oral changes following bariatric surgery were determined. One man and one woman, with initial Body Mass Indexes of 53-34 and 42-26 kg/m2 respectively, were followed for two years after undergoing Fobi Capella surgery. Dietary complications (frequent vomiting), nutrient deficiencies (iron, vitamin B12, calcium, folic acid and zinc) and xerostomia, sensitivity, and periodontitis were seen in both cases. Demineralization and infiltration of fillings evolved into erosion and an endodontic lesion (case 1) and mobility with consequent tooth loss (case 2). Problems with gingival bleeding, dental caries and dental mobility are directly related to compromising the absorptive area and/or the dietary behaviour of the individual after carrying out bariatric surgery.

Keywords : Bariatric surgery.; Dental caries.; Obesity.; Tooth erosion..