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减肥手术对病态肥胖患者唾液的影响。

Impact of Bariatric Surgery on the Saliva of Patients with Morbid Obesity.

作者信息

Hashizume Lina N, Bastos Lucelen F, Cardozo Débora D, Hilgert Juliana B, Hugo Fernando N, Stein Airton T, Souto Kátia E P, Meinhardt Nelson G

机构信息

Department of Preventive and Social Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2492, Santana, Porto Alegre, RS, CEP 90035-003, Brazil,

出版信息

Obes Surg. 2015 Aug;25(8):1550-5. doi: 10.1007/s11695-015-1741-4.

Abstract

BACKGROUND

The oral condition of obese patients may change following bariatric surgery owing to adverse effects that cause alterations in the oral cavity. The aim of this study was to evaluate the impact of bariatric surgery on the saliva of patients with morbid obesity.

METHODS

Whole saliva samples were collected from 27 patients with morbid obesity (BMI >40 kg/m(2)), prior to and 6 months after bariatric surgery. Stimulated salivary flow rate, pH, buffering capacity, and microbial levels of mutans streptococci, Lactobacillus spp., and Candida albicans were analyzed from saliva.

RESULTS

Values of all salivary variables before and after bariatric surgery were within the normal range, except for the level of C. albicans, which was elevated at both times. An increase in the level of mutans streptococci was observed after bariatric surgery (p < 0.05).

CONCLUSIONS

The results suggest that the salivary levels of mutans streptococci increase following bariatric surgery in morbidly obese patients.

摘要

背景

肥胖患者的口腔状况可能会在减肥手术后发生变化,这是由于减肥手术的副作用导致口腔内环境改变。本研究的目的是评估减肥手术对病态肥胖患者唾液的影响。

方法

收集27例病态肥胖患者(BMI>40kg/m²)减肥手术前及术后6个月的全唾液样本。分析唾液的刺激唾液流速、pH值、缓冲能力以及变形链球菌、乳酸杆菌属和白色念珠菌的微生物水平。

结果

除白色念珠菌水平在两个时间点均升高外,减肥手术前后所有唾液变量的值均在正常范围内。减肥手术后观察到变形链球菌水平升高(p<0.05)。

结论

结果表明,病态肥胖患者减肥手术后变形链球菌的唾液水平会升高。

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