Bastos Isis Henriques Almeida, Rios Marcelo Azevedo, Martins Gabriela Botelho, Campos Elisângela Jesus, Daltro Carla
Gen Dent. 2019 Mar-Apr;67(2):59-63.
The aim of this report is to present the clinical case of a patient with severe symptoms of dentinal hypersensitivity after bariatric surgery. A 40-year-old woman had a complaint of hypersensitivity in all teeth after bariatric surgery to treat morbid obesity. The patient had multiple sites of gingival recession associated with pain symptoms that were characteristic of dentinal hypersensitivity. Subepithelial connective tissue grafting was performed, using either coronal flap displacement techniques or a tunnel-type approach, at the sites of gingival recession and/or dentinal hypersensitivity. Surgery resulted in gains of keratinized mucosa and root surface coverage as well as regression of pain. Patients who undergo bariatric surgery should be monitored for development of oral health-related complications.
本报告旨在介绍一例减肥手术后出现严重牙本质过敏症状患者的临床病例。一名40岁女性在接受减肥手术治疗病态肥胖后，主诉所有牙齿均出现过敏症状。该患者有多处牙龈退缩，伴有牙本质过敏的典型疼痛症状。在牙龈退缩和/或牙本质过敏部位采用冠状瓣移位技术或隧道式方法进行了上皮下结缔组织移植。手术增加了角化黏膜和牙根表面覆盖面积，疼痛也有所减轻。接受减肥手术的患者应监测口腔健康相关并发症的发生情况。
