Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo.
J Appl Oral Sci. 2009;17 Suppl(spe):1-4. doi: 10.1590/s1678-77572009000700002.
The rate of bariatric surgery has significantly risen in the past decade as an increasing prevalence of extreme obesity can be observed. Although bariatric surgery is an effective therapeutic modality for extreme obesity, it is associated with risk factors affecting also oral health. Based on an overview of the current literature, this paper presents a summary of dental manifestations in bariatric patients. Bariatric surgeries are associated with an increased risk for gastro-esophageal reflux which in turn might account for the higher amount of carious and erosive lesions observed in bariatric patients. As a result, also dentin hypersensitivity might be observed more frequently. The current data indicate that recommended postsurgical meal patterns and gastric reflux might increase the risk for dental lesions, particularly in the presence of other risk factors, such as consumption of sweet-tasting foods and acidic beverages. Further research is needed to evaluate the correlation of bariatric surgery and the development of dental diseases.
在过去的十年中,随着极度肥胖的患病率不断上升,肥胖症手术的比例显著上升。虽然肥胖症手术是治疗极度肥胖的有效方法,但它与影响口腔健康的风险因素有关。本文通过对现有文献的综述,总结了肥胖症患者的口腔表现。肥胖症手术与胃食管反流的风险增加有关,而胃食管反流反过来可能是肥胖症患者中观察到的更多龋齿和侵蚀性病变的原因。因此,也可能更频繁地观察到牙本质过敏症。目前的数据表明,推荐的术后膳食模式和胃反流可能会增加牙齿损伤的风险,尤其是在存在其他风险因素(如食用甜食和酸性饮料)的情况下。需要进一步研究来评估肥胖症手术与口腔疾病发展之间的相关性。