Oral Health in Bariatric Patients

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-06-15

Study Completion Date

2025-05-31

Brief Summary

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As few is known about the oral health of bariatric patients, this study aimed to analyze the prevalence and severity of erosive tooth wear, dental caries and periodontal diseases of obese patients who underwent bariatric surgery in comparison to obese patients without bariatric procedures.

Detailed Description

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The prevalence of overweight and obesity is increasing since the 1980s. Being associated with several risk factors such as hypertension, hyperinsulinemia and hyperlipidemia, obesity presents an immediate and long-term health risk for diabetes mellitus, heart diseases, osteoarthritis and certain forms of cancer. For the control of obesity several therapy options have been developed: Beside conservative treatments including change of diet and lifestyle, bariatric surgery is considered as a promising option for patients with severe obesity (BMI ≥ 40 kg/m2). Allowing impressive weight loss from 40 to 80% and effective reduction of comorbidities, bariatric surgery shows some negative/adverse effects as well, like kidney problems, hyperparathyroidism, anemia and metabolic bone diseases. For oral health, two facts are particularly important to consider: Firstly, chronic regurgitation reaching the oral cavity is an important risk factor for erosive tooth wear which initially appear as smooth silky-shining glazed surfaces. Further progress is often associated with hypersensitivities and aesthetic deficits. Over time, often substantial loss can been observed, provoking hypersensitivities and aesthetic deficits. Secondly, depending on the type of bariatric surgery, pronounced postoperative metabolic and nutritional changes can be observed which also might influence oral health. Aim of this study is to analyze the prevalence and severity of erosive tooth wear, dental caries and periodontal diseases of obese patients who underwent bariatric surgery in comparison to obese patients without bariatric procedures.

Conditions

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Adiposity Dental Diseases Bariatric Surgery Candidate

Keywords

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bariatric surgery Periodontitis Caries erosive tooth wear Gingivitis BMI oral health obesity

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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obese patients after bariatric surgery

obese adults (≥ 18 years) who underwent bariatric surgery

No interventions assigned to this group

obese adultes without bariatric surgery

obese adults (≥ 18 years) who did not underwent bariatric surgery at the time of the examination

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* BMI ≥ 25 kg/m2 without or after bariatric surgery

Exclusion Criteria

* refusal for participation
* age \<18 years
* BMI \<25 kg/m2

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Responsible Party

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Philipp Kanzow, Dr. med. dent., Dr. rer. medic.

Postdoctoral Research Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Annette Wiegand, Prof. Dr. med. dent.

Role: STUDY_DIRECTOR

Dept. of Prev. Dentistry, Periodontology and Cariology

Locations

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Dept. of Prev. Dentistry, Periodontology and Cariology, University Medical Center Göttingen

Göttingen, , Germany

Site Status

Countries

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Germany

Other Identifiers

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28/3/17

Identifier Type: -

Identifier Source: org_study_id