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[Caries explosion following bariatric surgery].

W J Klüter, P Koehestanie, C de Baat

    Nederlands Tijdschrift Voor Tandheelkunde
    |September 16, 2019
    PubMed
    Summary

    Bariatric surgery may negatively impact oral health by increasing caries risk factors. Health education programs before and after surgery can improve dental outcomes.

    Area of Science:

    • Oral Health
    • Bariatric Surgery Outcomes
    • Dental Caries

    Background:

    • Bariatric surgery can negatively influence oral health.
    • Increased risk factors for caries include changes in saliva, reflux, and diet.
    • Periodontal tissues may also be negatively affected.

    Purpose of the Study:

    • To review the potential negative impacts of bariatric surgery on oral health.
    • To highlight risk factors associated with post-bariatric surgery dental issues.
    • To emphasize the importance of oral health education in bariatric patients.

    Main Methods:

    • Literature review of studies on bariatric surgery and oral health.
    • Analysis of risk factors such as bacterial load, saliva quality/quantity, and gastroesophageal reflux.

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  • Consideration of dietary changes and pre-existing oral health conditions.

    • Main Results:

    • Bariatric surgery is associated with increased prevalence of deep carious cavities.
    • Changes in oral microbiome, saliva, and digestive processes contribute to caries risk.
    • Pre-existing oral health issues in overweight individuals may be exacerbated.

    Conclusions:

    • Bariatric surgery poses risks to oral health, necessitating careful management.
    • Health education programs pre- and post-surgery show promise in mitigating negative effects.
    • Further research is recommended to fully understand and address oral health changes post-bariatric surgery.