PDF(Pubmed)
Abstract：
BACKGROUND: Bariatric surgery can cause oral health problems in individuals, such as an increase in dental caries, periodontal diseases and dental erosion, which can be avoided if oral health promotion actions are implemented.
OBJECTIVE: To assess the impact of an oral health promotion program implemented among gastroplasty patients.
METHODS: This randomized clinical trial involved 208 patients undergoing gastroplasty; they were divided into two groups: Intervention Group, with participation in the Oral Health Promotion Program for Bariatric Patients, or Control Group. Assessments were carried out preoperatively, and six and 12 months postoperatively. The oral conditions assessed were: dental caries, periodontal diseases, tooth wear, dental plaque, and salivary flow. Sociodemographic information was obtained through application of structured questionnaires. For data analysis, the Chi-Square, Fisher\'s Exact, and Mann-Whitney tests were performed - α=5%.
RESULTS: Patients in the Intervention Group, when compared to those in the Control Group, presented: fewer changes in enamel (6M: p<0.0001; 12M: p=0.001), in dentin (6M: p<0.0001; 12M: p<0.0001), moderate tooth wear (6M=0.002; 12M=0.005), gingival bleeding (6M: p<0.0001), dental calculus (6M=0.002; 12M: p=0.03), periodontal pocket 4-5 mm (6M=0.001; 12M: p=<0.0001); greater reduction in the bacterial plaque index (6M: p<0.0001; 12M: p<0.0001), and increased salivary flow (6M: p=0.019).
CONCLUSIONS: The oral health promotion program had a positive impact on the prevention and control of the main problems to the oral health of the gastroplasty patients.
OBJECTIVE: To assess the impact of an oral health promotion program implemented among gastroplasty patients.
METHODS: This randomized clinical trial involved 208 patients undergoing gastroplasty; they were divided into two groups: Intervention Group, with participation in the Oral Health Promotion Program for Bariatric Patients, or Control Group. Assessments were carried out preoperatively, and six and 12 months postoperatively. The oral conditions assessed were: dental caries, periodontal diseases, tooth wear, dental plaque, and salivary flow. Sociodemographic information was obtained through application of structured questionnaires. For data analysis, the Chi-Square, Fisher\'s Exact, and Mann-Whitney tests were performed - α=5%.
RESULTS: Patients in the Intervention Group, when compared to those in the Control Group, presented: fewer changes in enamel (6M: p<0.0001; 12M: p=0.001), in dentin (6M: p<0.0001; 12M: p<0.0001), moderate tooth wear (6M=0.002; 12M=0.005), gingival bleeding (6M: p<0.0001), dental calculus (6M=0.002; 12M: p=0.03), periodontal pocket 4-5 mm (6M=0.001; 12M: p=<0.0001); greater reduction in the bacterial plaque index (6M: p<0.0001; 12M: p<0.0001), and increased salivary flow (6M: p=0.019).
CONCLUSIONS: The oral health promotion program had a positive impact on the prevention and control of the main problems to the oral health of the gastroplasty patients.
摘要：
背景：减肥手术会导致个人口腔健康问题，比如龋齿的增加，牙周病和牙齿侵蚀，如果实施口腔健康促进行动，这是可以避免的。
目的：评估在胃成形术患者中实施口腔健康促进计划的影响。
方法：这项随机临床试验涉及208例接受胃成形术的患者；他们分为两组：干预组，参与减肥患者口腔健康促进计划，或控制组。术前进行评估，术后6个月和12个月。评估的口腔条件是：龋齿，牙周病,牙齿磨损,牙菌斑,和唾液流。社会人口统计信息是通过应用结构化问卷获得的。对于数据分析，Chi-Square,费希尔的确切,和Mann-Whitney测试进行-α=5%。
结果：干预组患者，与对照组相比，呈现：牙釉质变化较少（6M：p<0.0001；12M：p=0.001），牙本质（6M：p<0.0001；12M：p<0.0001），适度的齿磨损（6M=0.002；12M=0.005），牙龈出血（6M：p<0.0001），牙结石（6M=0.002；12M：p=0.03），牙周袋4-5毫米（6M=0.001;12M：p=<0.0001）;细菌菌斑指数降低更大（6M：p<0.0001;12M：p<0.0001），唾液流量增加（6M：p=0.019）。
结论：口腔健康促进计划对预防和控制胃成形术患者口腔健康的主要问题具有积极影响。
目的：评估在胃成形术患者中实施口腔健康促进计划的影响。
方法：这项随机临床试验涉及208例接受胃成形术的患者；他们分为两组：干预组，参与减肥患者口腔健康促进计划，或控制组。术前进行评估，术后6个月和12个月。评估的口腔条件是：龋齿，牙周病,牙齿磨损,牙菌斑,和唾液流。社会人口统计信息是通过应用结构化问卷获得的。对于数据分析，Chi-Square,费希尔的确切,和Mann-Whitney测试进行-α=5%。
结果：干预组患者，与对照组相比，呈现：牙釉质变化较少（6M：p<0.0001；12M：p=0.001），牙本质（6M：p<0.0001；12M：p<0.0001），适度的齿磨损（6M=0.002；12M=0.005），牙龈出血（6M：p<0.0001），牙结石（6M=0.002；12M：p=0.03），牙周袋4-5毫米（6M=0.001;12M：p=<0.0001）;细菌菌斑指数降低更大（6M：p<0.0001;12M：p<0.0001），唾液流量增加（6M：p=0.019）。
结论：口腔健康促进计划对预防和控制胃成形术患者口腔健康的主要问题具有积极影响。
