减重手术对肥胖个体焦虑及口腔状况的影响：一项队列前瞻性研究。
IMPACT OF BARIATRIC SURGERY IN ANXIETY AND ORAL CONDITION OF OBESE INDIVIDUALS: A COHORT PROSPECTIVE STUDY.
作者信息
Tinós Adriana Maria Fuzer Grael, Foratori-Junior Gerson Aparecido, Marcenes Wagner, Camargo Felipe Borges, Groppo Francisco Carlos, Sales-Peres Silvia Helena de Carvalho
机构信息
University of São Paulo, Faculty of Dentistry of Bauru, Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru, SP, Brazil.
King's College London, Public Health, London, WE, England.
出版信息
Arq Bras Cir Dig. 2022 Jan 5;34(3):e1615. doi: 10.1590/0102-672020210002e1615. eCollection 2022.
BACKGROUND
Obesity and bariatric surgery may be related with mental and oral disorders.
AIM
To evaluate the impact of bariatric surgery on anxiety, initial dental caries lesion and gingival bleeding in obese patients.
METHODS
Eighty-nine patients were divided in two groups: Control Group (CG) - obese patients and Experimental Group (EG) - patients submitted to bariatric surgery. EG was analyzed before and 12 months after bariatric surgery; for the CG, was respected an interval of 12 months between the evaluations. International Caries Detection and Assessment System, Gingival Bleeding Index and Trace-State Anxiety Inventory were used. Medical profile, anthropometrics data, sociodemographic and behavioral variables were considered.
RESULTS
There were no statistically significant differences between groups in evaluation times regarding to initial dental caries lesion and anxiety. However, the number of teeth with initial dental caries lesion (p=0.0033) and gingival bleeding (p<0.0001) increased significantly after bariatric surgery in EG.
CONCLUSION
These results reinforce the need for multi-professional team follow-up, including dental care, for both obese and bariatric patients.
背景
肥胖症和减肥手术可能与精神及口腔疾病有关。
目的
评估减肥手术对肥胖患者焦虑、初始龋齿病变及牙龈出血的影响。
方法
89名患者分为两组：对照组（CG）——肥胖患者；实验组（EG）——接受减肥手术的患者。对实验组在减肥手术前及术后12个月进行分析；对照组在两次评估之间间隔12个月。使用国际龋齿检测与评估系统、牙龈出血指数和状态-特质焦虑量表。考虑了医学档案、人体测量数据、社会人口统计学和行为变量。
结果
在评估时间方面，两组在初始龋齿病变和焦虑方面无统计学显著差异。然而，实验组在减肥手术后，有初始龋齿病变的牙齿数量（p = 0.0033）和牙龈出血（p < 0.0001）显著增加。
结论
这些结果强化了对肥胖患者和接受减肥手术患者进行多专业团队随访（包括牙科护理）的必要性。
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