Oral Health in Bariatric Patients
Palabras clave
Abstracto
Descripción
The prevalence of overweight and obesity is increasing since the 1980s. Being associated with several risk factors such as hypertension, hyperinsulinemia and hyperlipidemia, obesity presents an immediate and long-term health risk for diabetes mellitus, heart diseases, osteoarthritis and certain forms of cancer. For the control of obesity several therapy options have been developed: Beside conservative treatments including change of diet and lifestyle, bariatric surgery is considered as a promising option for patients with severe obesity (BMI ≥ 40 kg/m2). Allowing impressive weight loss from 40 to 80% and effective reduction of comorbidities, bariatric surgery shows some negative/adverse effects as well, like kidney problems, hyperparathyroidism, anemia and metabolic bone diseases. For oral health, two facts are particularly important to consider: Firstly, chronic regurgitation reaching the oral cavity is an important risk factor for erosive tooth wear which initially appear as smooth silky-shining glazed surfaces. Further progress is often associated with hypersensitivities and aesthetic deficits. Over time, often substantial loss can been observed, provoking hypersensitivities and aesthetic deficits. Secondly, depending on the type of bariatric surgery, pronounced postoperative metabolic and nutritional changes can be observed which also might influence oral health. Aim of this study is to analyze the prevalence and severity of erosive tooth wear, dental caries and periodontal diseases of obese patients who underwent bariatric surgery in comparison to obese patients without bariatric procedures.
fechas
Verificado por última vez: | 03/31/2019 |
Primero enviado: | 03/20/2018 |
Inscripción estimada enviada: | 05/02/2018 |
Publicado por primera vez: | 05/03/2018 |
Última actualización enviada: | 04/10/2019 |
Última actualización publicada: | 04/15/2019 |
Fecha de inicio real del estudio: | 06/14/2018 |
Fecha estimada de finalización primaria: | 04/30/2025 |
Fecha estimada de finalización del estudio: | 04/30/2025 |
Condición o enfermedad
Fase
Grupos de brazos
Brazo | Intervención / tratamiento |
---|---|
obese patients after bariatric surgery obese adults (≥ 18 years) who underwent bariatric surgery | |
obese adultes without bariatric surgery obese adults (≥ 18 years) who did not underwent bariatric surgery at the time of the examination |
Criterio de elegibilidad
Edades elegibles para estudiar | 18 Years A 18 Years |
Sexos elegibles para estudiar | All |
Método de muestreo | Non-Probability Sample |
Acepta voluntarios saludables | si |
Criterios | Inclusion Criteria: - Age ≥ 18 years - BMI ≥ 25 kg/m2 without or after bariatric surgery Exclusion Criteria: - refusal for participation - age <18 years - BMI <25 kg/m2 |
Salir
Medidas de resultado primarias
1. Oral health of obese adults without bariatric surgery - attachment loss [10-15 Minutes]
2. Oral health of obese adults without bariatric surgery - BOP [2 Minutes]
3. Oral health of obese adults without bariatric surgery - dental caries [2-5 Minutes]
4. Oral health of obese adults without bariatric surgery - erosive tooth wear [1-2 Minutes]
Medidas de resultado secundarias
1. Oral health of obese adults after bariatric surgery - attachment loss [10-15 Min]
2. Oral health of obese adults after bariatric surgery - BOP [2 Minutes]
3. Oral health of obese adults after bariatric surgery - dental caries [2-5 Minutes]
4. Oral health of obese adults after bariatric surgery - erosive tooth wear [1-2 Minutes]