Porcelli Ilma Carla de Souza, Corsi Nathalia Maciel, Fracasso Marina de Lourdes Calvo, Pascotto Renata Corrêa, Cardelli Alexandrina Aparecida Maciel, Poli-Frederico Regina Célia, Nasser Daoud, Maciel Sandra Mara
Postgraduate Program in Integrated Dentistry, State University of Maringá (UEM), Maringá, PR.
Postgraduate Program in Communication, State University of Londrina (UEL), Londrina, PR.
Arq Bras Cir Dig. 2019 Aug 26;32(2):e1437. doi: 10.1590/0102-672020190001e1437.
The bariatric surgery may have negative repercussions on oral conditions.
To evaluate the impact of oral health educational/preventive program developed with patients submitted to gastroplasties.
The sample consisted of 109 patients randomly allocated to two groups: intervention group (IG), where they participated in the oral health promotion program that include multiple educational-preventive approaches; control group (CG), where they received usual care from the bariatric clinic staff, without participation in the program. The oral conditions investigated in the pre-operative and postoperative periods of one month (1M) and six months (6M) were: dental caries, periodontal disease, tooth wear, dental plaque and salivary flow.
After bariatric surgery, patients in IG presented: fewer changes in enamel (6M: p=0.004), dentin (6M: p=0.005) and gingival bleeding (6M: p<0.0001), reduction in plaque index (1M, 6M: p<0.0001) and increased salivary flow (6M: p=0.039), when compared with CG. Incipient tooth wear was recorded in both groups (6M: p=0.713).
There was a positive impact of the implemented program in the prevention of the main oral health problems in patients who underwent gastroplasties, contributing to their quality of life.
减肥手术可能对口腔状况产生负面影响。
评估为接受胃成形术的患者制定的口腔健康教育/预防计划的影响。
样本包括109名患者，随机分为两组：干预组（IG），他们参与了包括多种教育-预防方法的口腔健康促进计划；对照组（CG），他们接受减肥诊所工作人员的常规护理，未参与该计划。在术前以及术后1个月（1M）和6个月（6M）调查的口腔状况包括：龋齿、牙周疾病、牙齿磨损、牙菌斑和唾液流量。
与对照组相比，减肥手术后，干预组患者出现：牙釉质变化较少（6M：p = 0.004）、牙本质变化较少（6M：p = 0.005）和牙龈出血较少（6M：p < 0.0001），菌斑指数降低（1M、6M：p < 0.000）且唾液流量增加（6M：p = 0.039）。两组均记录到初期牙齿磨损（6M：p = 0.713）。
实施的计划对预防接受胃成形术患者的主要口腔健康问题产生了积极影响，有助于提高他们的生活质量。
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