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Relationship between bariatric surgery and dental erosion: a systematic review
Affiliation:1. MMS Student, Graduate program in Dentistry, School of Dentistry, University of Pernambuco, Camaragibe, Pernambuco, Brazil;2. Adjunct Professor, Department of Prosthesis and Oral Facial Surgery, Federal University of Pernambuco, Recife, Pernambuco, Brazil;3. Adjunct Professor, School of Dentistry, University of Pernambuco, Camaragibe, Pernambuco, Brazil;1. Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil;2. Department of Biological Sciences, School of Science, UNESP, Bauru, SP, Brazil;3. Chemistry Institute, Department of Organic Chemistry, UNESP, Araraquara, SP, Brazil;4. Pró-Reitoria de Pesquisa e Pós-Graduação, Universidade do Sagrado Coração, Bauru, SP, Brazil;1. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu, China;2. Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, China;1. PhD Student and Assistant Lecturer, Department of Oral and Maxillofacial Surgery, Medical School, University of Pécs, Pécs, Hungary;2. Assistant Lecturer, Department of Conservative Dentistry and Periodontology, University of Pécs, Pécs, Hungary;3. Assistant Professor, Institute of Sport Sciences and Physical Education, Faculty of Sciences, University of Pécs, Pécs, Hungary;4. Private Practitioner, Ettlingen, Germany;6. Associate Professor and Department Head, Department of Oral and Maxillofacial Surgery, Medical School, University of Pécs, Pécs, Hungary
Abstract:BackgroundBariatric surgery can have several oral repercussions, including tooth erosion due to decreased salivary flow associated with the action of acidic pH and behavioral modifications in the diet that lead to the dissolution of mineralized dental tissues.ObjectivesThis systematic review aimed to evaluate whether bariatric surgery presented a greater risk of dental erosion.SettingDentistry School, Pernambuco University, Camaragibe, Pernambuco, Brazil.MethodsThis review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) and registered at the International Prospective Registry of Systematic Reviews (CRD42019124960). A search was performed in the PubMed/MEDLINE, Web of Science, and Cochrane Library databases using the following descriptors: “dental erosion OR tooth wear OR oral health OR dental wear OR tooth erosion OR salivary flow AND bariatric surgery OR gastrectomy OR obesity surgery”.ResultsThe review included 553 articles (after exclusion of duplicates) submitted for title and abstract reading, of which 24 were selected for full text analysis. Five articles fulfilling the eligibility criteria were included in the qualitative and quantitative analysis review. Because of high heterogeneity of the studies, meta-analysis could not be performed.ConclusionsBased on the review, we concluded that patients undergoing bariatric surgery had a higher incidence of dental erosion. All studies presented a high degree of dental erosion in patients submitted to bariatric surgery (P < .05).
Keywords:Bariatric surgery  Gastrectomy  Obesity surgery  Dental erosion  Tooth wear  Oral health
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