Dental Erosion in Obese Patients before and after Bariatric Surgery: A Cross-Sectional Study

Obese patients are at risk of dental erosion due to micronutrient deficiency, consumption of soft drinks, gastric reflux disease and vomiting. The present study evaluates the presence of dental erosion in obese patients before and after bariatric surgery using the BEWE (basic erosive wear examinatio...

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Autores principales: Cui Yang, Frederik Johannes Hammer, Christoph Reissfelder, Mirko Otto, Georgi Vassilev
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Lenguaje:EN
Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:2aa39eaa103741f8a0b51e1cf317c7a02021-11-11T17:33:01ZDental Erosion in Obese Patients before and after Bariatric Surgery: A Cross-Sectional Study10.3390/jcm102149022077-0383https://doaj.org/article/2aa39eaa103741f8a0b51e1cf317c7a02021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4902https://doaj.org/toc/2077-0383Obese patients are at risk of dental erosion due to micronutrient deficiency, consumption of soft drinks, gastric reflux disease and vomiting. The present study evaluates the presence of dental erosion in obese patients before and after bariatric surgery using the BEWE (basic erosive wear examination) scoring system. A total of 62 patients with severe obesity were included in the analysis, 31 in the control group (without bariatric surgery) and 31 in the surgery group (after bariatric surgery). BEWE scores did not vary between groups. Vitamin D deficiency was detected in 19 patients in the control group and three in the surgery group (<i>p</i> < 0.001). The serum calcium and vitamin D values were significantly higher in the surgery group (<i>p</i> = 0.003, <i>p</i> < 0.001 consecutively). All patients after bariatric surgery showed compliance with supplements, including vitamin D and calcium daily. Patients after bariatric surgery were less likely to drink soft drinks regularly (<i>p</i> = 0.026). Obese patients, before or after bariatric surgery, are at risk for erosive dental wear. However, with sufficient education prior to surgery and consistent intake of vitamin and mineral supplements, significant erosive dental wear after bariatric surgery could be avoided. Regular dental examination should be included in the check-up and follow-up program.Cui YangFrederik Johannes HammerChristoph ReissfelderMirko OttoGeorgi VassilevMDPI AGarticleobesityfollow-upsubstitutionmicronutrient deficiencydental healthRYGBMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4902, p 4902 (2021)
institution DOAJ
collection DOAJ
language EN
topic obesity
follow-up
substitution
micronutrient deficiency
dental health
RYGB
Medicine
R
spellingShingle obesity
follow-up
substitution
micronutrient deficiency
dental health
RYGB
Medicine
R
Cui Yang
Frederik Johannes Hammer
Christoph Reissfelder
Mirko Otto
Georgi Vassilev
Dental Erosion in Obese Patients before and after Bariatric Surgery: A Cross-Sectional Study
description Obese patients are at risk of dental erosion due to micronutrient deficiency, consumption of soft drinks, gastric reflux disease and vomiting. The present study evaluates the presence of dental erosion in obese patients before and after bariatric surgery using the BEWE (basic erosive wear examination) scoring system. A total of 62 patients with severe obesity were included in the analysis, 31 in the control group (without bariatric surgery) and 31 in the surgery group (after bariatric surgery). BEWE scores did not vary between groups. Vitamin D deficiency was detected in 19 patients in the control group and three in the surgery group (<i>p</i> < 0.001). The serum calcium and vitamin D values were significantly higher in the surgery group (<i>p</i> = 0.003, <i>p</i> < 0.001 consecutively). All patients after bariatric surgery showed compliance with supplements, including vitamin D and calcium daily. Patients after bariatric surgery were less likely to drink soft drinks regularly (<i>p</i> = 0.026). Obese patients, before or after bariatric surgery, are at risk for erosive dental wear. However, with sufficient education prior to surgery and consistent intake of vitamin and mineral supplements, significant erosive dental wear after bariatric surgery could be avoided. Regular dental examination should be included in the check-up and follow-up program.
format article
author Cui Yang
Frederik Johannes Hammer
Christoph Reissfelder
Mirko Otto
Georgi Vassilev
author_facet Cui Yang
Frederik Johannes Hammer
Christoph Reissfelder
Mirko Otto
Georgi Vassilev
author_sort Cui Yang
title Dental Erosion in Obese Patients before and after Bariatric Surgery: A Cross-Sectional Study
title_short Dental Erosion in Obese Patients before and after Bariatric Surgery: A Cross-Sectional Study
title_full Dental Erosion in Obese Patients before and after Bariatric Surgery: A Cross-Sectional Study
title_fullStr Dental Erosion in Obese Patients before and after Bariatric Surgery: A Cross-Sectional Study
title_full_unstemmed Dental Erosion in Obese Patients before and after Bariatric Surgery: A Cross-Sectional Study
title_sort dental erosion in obese patients before and after bariatric surgery: a cross-sectional study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/2aa39eaa103741f8a0b51e1cf317c7a0
work_keys_str_mv AT cuiyang dentalerosioninobesepatientsbeforeandafterbariatricsurgeryacrosssectionalstudy
AT frederikjohanneshammer dentalerosioninobesepatientsbeforeandafterbariatricsurgeryacrosssectionalstudy
AT christophreissfelder dentalerosioninobesepatientsbeforeandafterbariatricsurgeryacrosssectionalstudy
AT mirkootto dentalerosioninobesepatientsbeforeandafterbariatricsurgeryacrosssectionalstudy
AT georgivassilev dentalerosioninobesepatientsbeforeandafterbariatricsurgeryacrosssectionalstudy
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