Oral Health in Bariatric Patients
关键词
抽象
描述
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.
日期
最后验证: | 03/31/2019 |
首次提交: | 03/20/2018 |
提交的预估入学人数: | 05/02/2018 |
首次发布: | 05/03/2018 |
上次提交的更新: | 04/10/2019 |
最近更新发布: | 04/15/2019 |
实际学习开始日期: | 06/14/2018 |
预计主要完成日期: | 04/30/2025 |
预计完成日期: | 04/30/2025 |
状况或疾病
相
手臂组
臂 | 干预/治疗 |
---|---|
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 |
资格标准
有资格学习的年龄 | 18 Years 至 18 Years |
有资格学习的性别 | All |
取样方式 | Non-Probability Sample |
接受健康志愿者 | 是 |
标准 | 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 |
结果
主要结果指标
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]
次要成果指标
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]