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减肥手术对牙周健康的影响:系统评价与荟萃分析。

The effect of bariatric surgery on periodontal health: systematic review and meta-analyses.

作者信息

Čolak Dejana, Gašperšič Rok, Kučič Alja Cmok, Pintar Tadeja, Gašpirc Boris

机构信息

Department of Oral Diseases and Periodontology, Dental Clinic, University Medical Centre Ljubljana, Slovenia.

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

出版信息

Arch Med Sci. 2021 May 9;17(4):1118-1127. doi: 10.5114/aoms/135880. eCollection 2021.

Abstract

INTRODUCTION

We aimed to determine whether periodontal health deteriorates after bariatric surgery (BS).

METHODS

A search was performed in Medline and Embase, for prospective cohort studies with data on change in periodontal parameters after BS. Meta-analysis was performed with available data.

RESULTS

The results of 4 included studies consistently show significant ( < 0.05) worsening of bleeding on probing (4.21% (95% CI: 0.32, 8.11)), clinical attachment loss (0.16 mm (95% CI: 0.05, 0.27)), periodontal pocket depth (PPD) (0.14 mm (95% CI: 0.06, 0.23)) and percentage of PPD 4-5 mm: 1.72% (95% CI: 0.11, 3.34) 6 months after BS, but no change after 12 months.

CONCLUSIONS

BS may have a transient negative effect on periodontal health.

摘要

引言

我们旨在确定减肥手术后牙周健康是否会恶化。

方法

在Medline和Embase中进行检索,查找有关减肥手术后牙周参数变化数据的前瞻性队列研究。对可用数据进行荟萃分析。

结果

4项纳入研究的结果一致显示,减肥手术后6个月时,探诊出血(4.21%(95%置信区间:0.32,8.11))、临床附着丧失(0.16毫米(95%置信区间:0.05,0.27))、牙周袋深度(PPD)(0.14毫米(95%置信区间:0.06,0.23))以及4 - 5毫米牙周袋深度的百分比:1.72%(95%置信区间:0.11,3.34)均有显著(<0.05)恶化,但12个月后无变化。

结论

减肥手术可能对牙周健康有短暂的负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a276/8314405/abd444d9b36f/AMS-17-4-135880-g001.jpg

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