Relationship between bariatric surgery and periodontal status: a systematic review and meta-analysis
Carregando...
Data
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal de Minas Gerais
Descrição
Tipo
Artigo de periódico
Título alternativo
Primeiro orientador
Membros da banca
Resumo
Background: The effects of bariatric surgery can reflect in the oral cavity and can cause alter-
ations in oral health. This high prevalence of oral alterations in the pre and post-operative periods
has been highlighted in different studies.
Objectives: To investigate the effect of bariatric surgery on periodontal status through a system-
atic review.
Methods: Electronic search was conducted in PubMed, VHL, Web of Science, Science direct,
Scopus, and Cochrane databases through May 2017. Manual search, gray literature, and counter-
refence of included articles were also conducted. Eligibility criteria included observational studies
that reported periodontal outcomes before and after bariatric surgery.
Results: Search strategy resulted in 1878 articles. Following the selection process, nine studies
were included in the qualitative analysis and five in the meta-analysis. Three cross-sectional
studies showed risk of bias score ranging from 5 to 6 stars, and Cohort studies scored from
6 to 9 stars out of 9 possible stars on the Newcastle-Ottawa scale. The quantitative analysis
showed that clinical attachment level (MD: 0.07; CI95% −0.17 to 0.31), gingival index (MD:
−0.28; CI95% −1.68 to 1.11), percentage of bleeding sites (MD: −0.21; CI95% −0.77 to 0.35),
and pocket probing depth (MD: 0.08 CI95% −0.14 to 0.31) were not different before and after
bariatric surgery. However, the plaque index was lower after than before bariatric surgery (MD:
−1.29; CI 95% −2.34 to −0.24).
Conclusions: Plaque index can be improved after bariatric surgery.
The present systematic review investigated the association between bariatric surgery and peri-
odontal status from cross-sectional and longitudinal studies. A systematic search strategy was
developed until May 2017. The results of this systematic review allowed the conclusion that the
plaque index can be improved after bariatric surgery.
Abstract
Assunto
Periodontal diseases, Obesity, Bariatric surgery, Periodontal index, Systematic review, Dental plaque
Palavras-chave
Obesity, Bariatric surgery, Periodontal diseases
Citação
Departamento
Curso
Endereço externo
https://www.sciencedirect.com/science/article/pii/S1550728918302430?via%3Dihub