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Metabolic surgery and oral health: A register-based study
Richard Marsk1,2, Freja Freedman3, Jacinth Yan4
1Department of Surgery and Urology, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Oral Diseases
|February 24, 2023
Summary
Weight loss surgery significantly increases the need for dental interventions like fillings and extractions. Patients undergoing metabolic surgery require increased oral health counseling to mitigate negative impacts.
Area of Science:
- Oral health research
- Surgical outcomes
- Public health
Background:
- The effect of bariatric surgery on oral health remains largely unexamined.
- Metabolic surgery is increasingly common for obesity treatment.
- Understanding post-surgical oral health risks is crucial.
Purpose of the Study:
- To evaluate the impact of metabolic surgery on the risk of requiring dental interventions.
- To compare dental intervention rates in patients who underwent weight loss surgery versus a control group.
Main Methods:
- A cohort of 53,643 adults undergoing metabolic surgery in Sweden (2009-2018) was identified.
- A matched control group of 536,430 individuals from the general population was established.
- Dental records were analyzed for restorative, endodontic, periodontal interventions, and extractions.
Main Results:
- Patients who had weight loss surgery experienced higher rates of dental interventions post-surgery.
- Restorations, extractions, and endodontic interventions were significantly more common in the surgical group.
- Periodontal interventions were the only category not showing increased rates in the surgical cohort.
Conclusions:
- Metabolic surgery appears to negatively impact oral health, increasing the need for dental procedures.
- Preventive oral health counseling is essential for patients undergoing metabolic surgery.
- Further research into the mechanisms linking metabolic surgery and oral health decline is warranted.
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