Sindi Hisham, Almuzaini Sarah, Mubarak Arwa, Hakeem Faisal F, Campus Guglielmo, Fadel Hani T, Lingström Peter
Department of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Preventive Dental Sciences, College of Dentistry, Taibah University, AlMadinah AlMunawwarah, Saudi Arabia.
Obes Surg. 2025 May;35(5):1878-1899. doi: 10.1007/s11695-025-07793-w. Epub 2025 Mar 19.
This scoping review appraises the available literature that investigates oral health after bariatric surgery (BS). Forty-two records were included (33 original studies and 9 systematic reviews). Bariatric surgery had a negative impact on the oral health related quality of life (three out of six studies). Relatively few studies found improvement following BS, probing pocket depth (2/10), clinical attachment level (1/9), bleeding on probing (3/10) and plaque (3/8). Conversely, BS was negatively associated with the DMFT (4/6), tooth wear (4/6) and oral radiographic findings (1/1). There was conflicting evidence regarding salivary parameters. To conclude, the literature on oral health in bariatric surgery patients is continuously growing. Positive as well as negative associations between oral health parameters and bariatric surgery are observed.
本综述性研究评估了有关减肥手术后口腔健康的现有文献。共纳入42篇记录(33项原始研究和9项系统评价)。减肥手术对口腔健康相关生活质量有负面影响(六项研究中有三项)。相对较少的研究发现减肥手术后有改善,如探诊深度(2/10)、临床附着水平(1/9)、探诊出血(3/10)和牙菌斑(3/8)。相反,减肥手术与龋失补牙数(4/6)、牙齿磨损(4/6)和口腔影像学表现(1/1)呈负相关。关于唾液参数存在相互矛盾的证据。总之,关于减肥手术患者口腔健康的文献在不断增加。观察到口腔健康参数与减肥手术之间存在正相关和负相关。