Bariatric surgery as a risk factor in the development of dental caries: a systematic review

doi:10.1016/j.puhe.2017.11.013

★ Alto impactoQ1 · Public HealthImpact Factor · 3.9

AutoresÁngel-Orión Salgado-Peralvo, María‐Victoria Mateos‐Moreno, L. Arriba-Fuente, Alvaro Garcia-Sanchez, Ángel Salgado-García, Victoria Peralvo-García, M. Millán-Yanes

Por qué importa

Esta revisión sistemática explora la posible asociación entre la cirugía bariátrica (CB) y un incremento en el riesgo de desarrollar caries dental. Dada la creciente prevalencia de la obesidad y el uso extendido de la CB como tratamiento, es crucial entender sus implicaciones orales. El estudio revisa la literatura científica buscando evidencia de esta relación, considerando factores como alteraciones salivales y su impacto en la salud dental post-cirugía. Los hallazgos sugieren una correlación plausible entre haber sido sometido a CB y un mayor riesgo de caries. La integración de odontólogos en el equipo multidisciplinar de tratamiento de pacientes bariátricos se plantea como una estrategia fundamental para la prevención y el manejo de estas complicaciones orales, protegiendo así la salud bucodental de estos pacientes a largo plazo.

Abstract original

Obesity is one of the most prevalent chronic pathologies in the world and has become a public health problem. At the present time, bariatric surgery (BS) is considered the best option and the only effective method of treatment, but it can occasionally result in a series of alterations at the oral level. This study aims to review the current literature to establish the possible association of patients who have undergone BS and a greater risk of dental caries. This study is a systematic review of the literature. A search was made in the database of Medline (via PubMed), over the last 10 years, using the keywords 'bariatric surgery' OR 'gastrectomy' OR 'obesity surgery,' combined independently with the terms 'saliva' and 'dental caries' by means of the connector 'AND.' The criteria used were those described in the PRISMA® Declaration for performing systematic reviews. Inclusion criteria and study selection: (a) studies done with humans; (b) articles published in English and Spanish; (c) series of cases; and (d) clinical trials. The risk of bias was assessed independently by two authors. In both data extraction and risk of bias assessment, disagreements were resolved through discussion with a third author. Two independent reviewers read the titles and summaries of the 79 articles found. Finally, nine of them were included in the study. In the various articles, the parameters that had clinical relevance to the risk of dental caries were evaluated. Within the limitations of this study, it is plausible to think that patients who have undergone BS have a greater risk of dental caries. The oral complications associated with BS could be prevented or minimized by including in the multidisciplinary treatment of these patients a team of odontologists who would be responsible for prevention and oral assessment.

Leer texto completo ↗DOI · 10.1016/j.puhe.2017.11.013

Autor Doctor&Cols

Orion Salgado
Rehabilitación Oral y Estética Dental

Cómo citar

Salgado-Peralvo Á, Mateos‐Moreno M, Arriba-Fuente L, Garcia-Sanchez A, Salgado-García Á, Peralvo-García V, et al. Bariatric surgery as a risk factor in the development of dental caries: a systematic review. Public Health. 2018. doi:10.1016/j.puhe.2017.11.013