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外科医生对接受减肥手术患者牙齿侵蚀情况的认知与态度

Awareness and Attitude of Surgeons regarding Dental Erosion on Patients Who Underwent Bariatric Surgery.

作者信息

Aldowah Omir

机构信息

Prosthetic Dental Science Department, Faculty of Dentistry, Najran University, Najran 66446, Saudi Arabia.

出版信息

Int J Dent. 2022 Feb 21;2022:1812715. doi: 10.1155/2022/1812715. eCollection 2022.

Abstract

BACKGROUND

The obesity epidemic is considered one of the main challenges for modern medicine. It has been proven that bariatric surgery is more effective than nonsurgical interventions to manage weight-related comorbidities. The general surgeon needs to understand how tooth erosion advances in gastroesophageal reflux in people who have had bariatric surgery. Dental erosion caused due to gastric reflux begins with the enamel, which is the tough, protective coating that covers our teeth. While it is tough, it is prone to an extremely acidic environment with a low pH, where it begins to soften and demineralize, gradually wearing away and exposing the more sensitive areas of the tooth. Because of the growing popularity of this subspecialty, general surgeons should develop a basic clinical and surgical understanding of these standard procedures and complications, regardless of their interest in obesity surgery.

AIM

This cross-sectional study aimed to assess the awareness and attitude of surgeons regarding dental erosion on patients who underwent bariatric surgery.

MATERIALS AND METHODS

This cross-sectional study was conducted on general surgeons from different regions of Saudi Arabia who perform bariatric surgeries. Data collection was done by sending the questionnaire to the general surgeons by different means of social media (WhatsApp, e-mail, Facebook, etc.), and it was also distributed through the Saudi Arabia Society of Metabolic and Bariatric Surgery.

RESULTS

A total of 25 general surgeons responded to the survey. Half of the respondents know what dental erosion is, 52%. Most of them, 72%, are not aware of the relationship between dental erosion and acid reflux or vomiting. They reported that 52% of patients complain of gastroesophageal reflux disorder.

CONCLUSION

The general surgeons had inadequate awareness and attitude regarding dental erosion on bariatric surgery patients. Our findings suggest that a lack of adequate awareness and a negative attitude among general surgeons are grounds for concern and that more should be done to avoid oral health complications.

摘要

背景

肥胖流行被认为是现代医学面临的主要挑战之一。事实证明,减肥手术在治疗与体重相关的合并症方面比非手术干预更有效。普通外科医生需要了解减肥手术后胃食管反流患者牙齿侵蚀的进展情况。胃反流引起的牙齿侵蚀始于牙釉质,牙釉质是覆盖我们牙齿的坚韧保护涂层。虽然它很坚韧,但在低pH值的极端酸性环境中容易受到影响,在这种环境下它开始软化和脱矿,逐渐磨损并暴露牙齿更敏感的区域。由于这个亚专业越来越受欢迎,普通外科医生应该对这些标准程序和并发症形成基本的临床和手术认识,无论他们对肥胖手术是否感兴趣。

目的

本横断面研究旨在评估外科医生对接受减肥手术患者牙齿侵蚀的认识和态度。

材料与方法

本横断面研究针对沙特阿拉伯不同地区进行减肥手术的普通外科医生展开。通过社交媒体(WhatsApp、电子邮件、Facebook等)向普通外科医生发送问卷进行数据收集,问卷也通过沙特阿拉伯代谢与减肥外科学会进行分发。

结果

共有25名普通外科医生回复了调查。一半的受访者知道什么是牙齿侵蚀(52%)。其中大多数(72%)没有意识到牙齿侵蚀与胃酸反流或呕吐之间的关系。他们报告说,52%的患者抱怨有胃食管反流疾病。

结论

普通外科医生对减肥手术患者的牙齿侵蚀认识不足且态度消极。我们的研究结果表明,普通外科医生缺乏足够的认识和消极态度令人担忧,应该采取更多措施来避免口腔健康并发症。

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本文引用的文献

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Relationship between bariatric surgery and dental erosion: a systematic review.减重手术与牙酸蚀症的关系:系统评价。
Surg Obes Relat Dis. 2020 Sep;16(9):1283-1290. doi: 10.1016/j.soard.2020.04.044. Epub 2020 May 11.
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Impact of Different Surgeons on Dental Implant Failure.不同外科医生对牙种植失败的影响。
Int J Prosthodont. 2017 September/October;30(5):445–454. doi: 10.11607/ijp.5151. Epub 2017 Aug 14.
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Nutrition management of the post-bariatric surgery patient.减重手术后患者的营养管理
Nutr Clin Pract. 2015 Jun;30(3):383-92. doi: 10.1177/0884533614564995. Epub 2014 Dec 29.

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