Association between bariatric surgery and oral health: a literature review
DOI:
https://doi.org/10.5335/rfo.v26i1.12347Keywords:
obesity, bariatric surgery, oral health, tooth erosion, dental cariesAbstract
Objective: to review the literature on the relationship between oral health and bariatric surgery in obese
individuals. Methods: articles published until March 2021 were searched in the Medline/PubMed, LILACS,
BBO, and Web of Science databases. The search used a combination of descriptors related to the words:
obesity, bariatric surgery, and oral health. Results: one hundred thirty-five studies were identified in the
database search. Of these, 47 were included in this review. The oral changes investigated in the literature
for individuals who underwent bariatric surgery were dental caries, tooth wear/erosion, hypersensitivity,
periodontal disease, hyposalivation, halitosis, and changes in mastication and oral soft tissue. The evaluated
articles showed methodological controversy regarding the study design, follow-up period, sample size, and
assessed clinical parameters, which complicated the comparison of studies. Final considerations: there is
no consensus in the literature regarding the relationship between oral health and bariatric surgery in obese
individuals. Further prospective cohort studies should be conducted to investigate this association better.
Keywords: obesity; bariatric surgery; oral health; dental erosion; dental caries.
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References
1. Decker GA, Swain JM, Crowell MD, Scolapio JS.
Gastrointestinal and nutritional complications after
bariatric surgery. Am J Gastroenterol 2007; 102:1-10.
2. de Moura-Grec PG, Assis VH, Cannabrava VP, Vieira VM,
Siqueira TLD, Anaguizawa WH, et al. Consequências
sistêmicas da cirurgia bariátrica e suas repercussões na
saúde bucal. ABCD Arq Bras Cir Dig 2012; 25(3):173-7.
3. Gass M, Beglinger C, Peterli R. Metabolic surgery –
principles and current concepts. Langenbecks Arch Surg
2011; 396:949-72.
4. Marsicano JA, de Moura-Grec PC, Belarmino LB, Ceneviva
R, Sales-Peres SHC. Interfaces between bariatric surgery
and oral health. A longitudinal survey. Acta Cir Bras 2011;
26:79-83.
5. Bawa S. The role of the consumption of beverages in the
obesity epidemic. JRSH 2005;125(3):124-8.
6. Monteforte MJ, Turkelson CM. Bariatric surgery for morbid
obesity. Obes Surg 2000; 10:391-401.
7. Heling I, Sgan-Cohen HD, Itzhaki M, Beglaibter N, Avrutis
O, Gimmon Z. Dental complications following gastric
restrictive bariatric surgery. Obes Surg 2006; 16:1131-4.
8. Ma IT, Madura JA. Gastrointestinal complications after
bariatric surgery. Gastroenterol Hepatol (N Y) 2015; 11:526-35.
9. Shikora SA, Kim JJ, Tarnoff ME. Nutrition and
gastrointestinal complications of bariatric surgery. Nutr Clin
Pract 2007; 22(1):29-40.
10. Hangue AL, Baechle M. Advanced caries in a patient with a
history of bariatric surgery. J Dent Hyg 2008; 82(2):1-9.
11. Moravec LJ, Boyd LD. Bariatric surgery and implications for
oral health: a case report. J Dent Hyg 2011; 85:166-76.
12. Sales-Peres SHC, de Moura-Grec PG, Yamashita JM, Torres
EA, Dionísio TJ, Leite CVS, et al. Periodontal status and
pathogenic bacteria after gastric bypass: a cohort study. J
Clin Periodontol 2015; 42:530-6.
13. Cardozo DD, Hilgert JB, Hashizume LN, Stein AT, Souto
KEP, Meinhardt NG, et al. Impact of bariatric surgery on
the oral health of patients with morbid obesity. Obes Surg
2014; 24:1812-6.
14. Castilho AVSS, Foratori-Junior GA, Sales-Peres SHC.
Bariatric surgery impact on gastroesophageal reflux and
dental wear: a systematic review. ABCD Arq Bras Cir Dig
2019; 32(4):e1466.
15. Quintella MCM, Farias TMCP, SoutoMaior JRS, Casado
BGS, Leão RS, Moraes SLD. Relationship between bariatric
surgery and dental erosion: a systematic review. Surg Obes
Relat Dis 2020; 16(9):1283-90.
16. Fontanille I, Boillot A, Rangé H, Carra MC, Sales-Peres
SHC, Czernichow S, et al. Bariatric surgery and periodontal
status: a systematic review with meta-analysis. Surg Obes
Relat Dis 2018;14(10):1618-31.
17. dos Santos MCM, Pellizzer EP, SoutoMaior JR, Casado
BGS, Gomes JML, Vasconcelos BCE, et al. Clinical
periodontal conditions in individuals after bariatric surgery:
a systematic review and meta-analysis. Surg Obes Relat Dis
2019; 15(10):1850-9.
18. de Souza GM, de Oliveira DWD, Lages FS, Fernandes
IA, Falci SGM. Relationship between bariatric surgery and
periodontal status: a systematic review and meta-analysis.
Surg Obes Relat Dis 2018; 14(8):1205-16.
19. Salgado-Peralvo AO, Mateos-Moreno MV, Arriba-Fuente
L, García-Sánchez A , Salgado-García A, Peralvo-García V,
et al. Bariatric surgery as a risk factor in the development
of dental caries: a systematic review. Public Health 2018;
155:26-34.
20. Farias TMCP , Vasconcelos BCE, SoutoMaior JR, Lemos
CAA, de Moraes SLD, Pellizzer EP. Influence of Bariatric
Surgery on Salivary Flow: a Systematic Review and MetaAnalysis. Obes Surg 2019; 29(5):1675-80.
21. Selwitz RH, Ismail A, Pitts NB. Dental caries. Lancet 2007;
369:51-9.
22. Azevedo MLS, Silva NR, Mafra CACC, Lins RDAU, Dantas
EM, Gurgel BCV, et al. Oral Health Implications of Bariatric
Surgery in Morbidly Obese Patients: an Integrative Review.
Obes Surg 2020; 30(4):1574-9.
23. Greenway SE, Greenway FL. Root surface caries: a
complication of the jejunoileal bypass. Obes Surg 2000;
10:33-6.
24. Klüter WJ, Koehestanie P, de Baat C. Cariësexplosie na
bariatriche chirurgie. Ned Tijdschr Tandheelkd 2019;
126(9):437-41.
25. Taghat N, Mossberg K, Lingström P, Björkman S, Lehrkinder
A, Werling M, et al. Oral health profile of postbariatric
surgery individuals: a case series. Clin Exp Dent Res 2021;
1-8.
26. Hashizume LN, Bastos LF, Cardozo DD, Hilgert JB, Hugo
FN, Stein AT, et al. Impact of bariatric surgery on the saliva
of patients with morbid obesity. Obes Surg 2015; 25:1550-5.
27. Marsicano JA, Sales-Peres A, Ceneviva R, Sales-Peres SHC.
Evaluation of oral health status and salivary flow rate in
obese patients after bariatric surgery. European J Dent
2012; 6:191-7.
28. Moreira E, Patiño J, da Silva V, de Miranda, Netto B.
Relationship between nutritional status and oral health in
patients submitted to Roux-en-Y- gastric bypass. Annals of
Nutrition and metabolism 2011; 58(3):285.
29. Hattab F, Al-Ajlouni OMOY. Etiology and Diagnosis of Tooth
Wear: a Literature Review and Presentation of Selected
Cases. Int J Prosthodont 2000; 13:101-7.
30. Litonjua LA, Andreana S, Bush PJ, Cohen RE. Tooth wear:
attrition, erosion, and abrasion. Quintessence int 2003;
34(6):435-46
31. Morozova Y, Holik P, Ctvrtlik R, Tomastik J, Foltasova L,
Harcekova A. Tooth wear ̶ fundamental mechanisms and
diagnosis. IOSR J Dent Med Sci 2016; 15(5):84-91.
32. Alves MSC, Silva FCC, Araújo SG, Carvalho ACA, Santos
AM, Carvalho ALA. Tooth wear in patients submitted to
bariatric surgery. Braz Dent J 2012; 23(2):160-6.
33. de Moura-Grec PG, Yamashita JM, Marsicano JA, Ceneviva
R, Leite CVS, Brito GB, et al. Impact of bariatric surgery
on oral health conditions: 6-months cohort study. Int Den J
2014; 64:144-9.
34. Gonçalves EM, Souza DMG, Teixeira EC, Carvalho RAR,
Lima DLF, Moura Jr LG. Condição de saúde bucal de
pacientes gastroplastizados. R Periodontia 2010; 20(4):56-60.
35. Weideman T, Heuberger R. The nutritional status of the
bariatric patient and its effect on periodontal disease.
Bariatric Surgical Practice and Patient Care 2013; 8(4):161-5.
36. Barbosa CS, Barbério GS, Marques VR, Baldo VO, Buzalar
MAR, Magalhães AC. Dental manifestations in bariatric
patients – review of literature. J Appl Oral Sci 2009; 17(sp
issue):1-4.
37. Netto BDM, Moreira EAM, Patiño JSR, Benincá JP, Jordão
AA, Fröde TS. Influence of Roux-en-Y gastric bypass
surgery on vitamin C, myeloperoxidase, and oral clinical
manifestations: a 2-year follow-up study. Nutr Clin Pract
2012; 27:114-21.
38. Patiño JSR, Moreira EAM, Boesing F, Trindade EBSM. Oral
health status and bariatric surgery. Rev gaúcha Odontol
2013; 61(4):621-4.
39. Bastos IHA, Rios MA, Martins GB, Campos EJ, Daltro C.
Surgical periodontal treatment of a patient with dentin
hypersensitivity after bariatric surgery: a case report.
General Dentistry 2019; 67(2):59-63.
40. Ritchie CS. Obesity and periodontal disease. Periodontol
2000 2007; 44:154-63.
41. Zuza EP, Barroso EM, Carrareto ALV, Pires JR, Carlos IZ,
Theodoro LH, et al. The role of obesity as a modifying factor
in patients undergoing non-surgical periodontal therapy. J
Periodontol 2011; 82(5):676-82.
42. Pataro AL, Costa FO, Cortelli SC, Cortelli JR, Souza ACD,
Abreu MHNG, et al. Influence of obesity and bariatric
surgery on the periodontal condition. J Periodontol 2012;
83:257-66.
43. Franco R, Barlattani Jr A, Perrone MA, Basili M, Miranda
M, Costacurta M, et al. Obesity, bariatric surgery and
periodontal disease: a literature update. Eur Rev Med
Pharmacol Sci 2020; 24(9):5036-45.
44. de Moura-Grec PG, Marsicano JA, Rodrigues LM, SalesPeres SHC. Alveolar bone loss and periodontal status in
a bariatric patient: a brief review and case report. Eur J
Gastroenterol Hepatol 2012; 24:84-9.
45. Wucher H, Ciangura C, Poitou C, Czernichow S. Effects of
weight loss on bone status after bariatric surgery: association
between adipokines and bone markers. Obes Surg 2008;
18:58-65.
46. Sales-Peres SHC, Sales-Peres MC, Ceneviva R, Bernabé E.
Weight loss after bariatric surgery and periodontal changes:
a 12-month prospective study. Surg Obes Relat Dis 2017;
13:637-42.
47. Balogh B, Somodi S, Tanyi M, Miszti C, Márton I, Kelentey
B. Follow-up Study of Microflora Changes in Crevicular
Gingival Fluid in Obese Subjects After Bariatric Surgery.
Obes Surg 2020; 30(12):5157-61.
48. Lakkis D, Bissada NF, Saber A, Khaitan L, Palomo L,
Narendran S, et al. Response to periodontal therapy in
patients who had weight loss after bariatric surgery and
obese counterparts: a pilot study. J Periodontol 2012;
83(6):684-9.
49. Porcelli ICS, Corsi NM, Fracasso MLC, Pascotto RC, Cardelli
AAM, Poli-Frederico RC, et al. Oral health promotion in
patients with morbid obesity after gastroplasty: a randomized
clinical trial. ABCD Arq Bras Cir Dig 2019; 32(2):e1437.
50. Schwenger KJP, Alghamdi MM, Ghorbani Y, Jackson
TD, Okrainec A , Allard JP. Hyposalivation is prevalent in
bariatric patients but improves after surgery. Surg Obes
Relat Dis 2020; 16(10):1407-13.
51. Souza ACD, Franco CF, Pataro AL, Guerra T, Costa FO,
Costa JE. Halitosis in obese patients and those undergoing
bariatric surgery. Surg Obes Relat Dis 2013; 9:315-22.
52. Godlewski AE, Veyrune JL, Nicolas E, Ciangura CA,
Chaussain CC, Czernichow S, et al. Effect of dental status
on changes in mastication in patients with obesity following
bariatric surgery. PLoS ONE 2011; 6(7):e22324.
53. Mandel L, da Silva K. Parotid hypertrophy and bariatric
surgery: case report. J Oral Maxilofac Surg 2008; 66:572-4.
54. Archer-Dubon C, Esquivel-Pedraza L, Ramírez-Anguiano J.
Palatal ulcers due to vomiting after gastric band tightening.
Obes Surg 2007; 17:556-8.
55. Karlsson L, Carlsson J, Jenneborg K, Kjaeldgaard M.
Perceived oral health in patients after bariatric surgery
using oral healthâ€related quality of life measures. Clin Exp
Dent Res 2018; 4:230-40.
56. Taghat N, Werling M, Östberg A. Oral Health-Related
Quality of Life After Gastric Bypass Surgery. Obes Surg 2020;
30(1):224-32.
57. Cummings S, Pratt J. Metabolic and bariatric surgery. JADA
2015; 146(10):767-72.
58. Jaiswal GR, Jain VK, Dhodapkar SV, Kumathalli KI, Kumar
R, Nemawat A, et al. Impact of bariatric surgery and diet
modification on periodontal status: a six month cohort study.
J Clin Diagn Res 2015; 9(9):ZC43-ZC5.
59. Pataro AL, Cortelli SC, Abreu MHNG, Cortelli JR, Franco
GCN, Aquino DR, et al. Frequency of periodontal pathogens
and Helicobacter pylori in the mouths and stomachs of obese
individuals submitted to bariatric surgery: a cross-sectional
study. J Appl Oral Sci 2016; 24(3):229-38.
60. Džunková M, Lipták R, Vlková B, GardlíkR, ÄŒierny M, Moya
A, et al. Salivary microbiome composition changes after
bariatric surgery. Sci Rep 2020; 10(1):20086.
Gastrointestinal and nutritional complications after
bariatric surgery. Am J Gastroenterol 2007; 102:1-10.
2. de Moura-Grec PG, Assis VH, Cannabrava VP, Vieira VM,
Siqueira TLD, Anaguizawa WH, et al. Consequências
sistêmicas da cirurgia bariátrica e suas repercussões na
saúde bucal. ABCD Arq Bras Cir Dig 2012; 25(3):173-7.
3. Gass M, Beglinger C, Peterli R. Metabolic surgery –
principles and current concepts. Langenbecks Arch Surg
2011; 396:949-72.
4. Marsicano JA, de Moura-Grec PC, Belarmino LB, Ceneviva
R, Sales-Peres SHC. Interfaces between bariatric surgery
and oral health. A longitudinal survey. Acta Cir Bras 2011;
26:79-83.
5. Bawa S. The role of the consumption of beverages in the
obesity epidemic. JRSH 2005;125(3):124-8.
6. Monteforte MJ, Turkelson CM. Bariatric surgery for morbid
obesity. Obes Surg 2000; 10:391-401.
7. Heling I, Sgan-Cohen HD, Itzhaki M, Beglaibter N, Avrutis
O, Gimmon Z. Dental complications following gastric
restrictive bariatric surgery. Obes Surg 2006; 16:1131-4.
8. Ma IT, Madura JA. Gastrointestinal complications after
bariatric surgery. Gastroenterol Hepatol (N Y) 2015; 11:526-35.
9. Shikora SA, Kim JJ, Tarnoff ME. Nutrition and
gastrointestinal complications of bariatric surgery. Nutr Clin
Pract 2007; 22(1):29-40.
10. Hangue AL, Baechle M. Advanced caries in a patient with a
history of bariatric surgery. J Dent Hyg 2008; 82(2):1-9.
11. Moravec LJ, Boyd LD. Bariatric surgery and implications for
oral health: a case report. J Dent Hyg 2011; 85:166-76.
12. Sales-Peres SHC, de Moura-Grec PG, Yamashita JM, Torres
EA, Dionísio TJ, Leite CVS, et al. Periodontal status and
pathogenic bacteria after gastric bypass: a cohort study. J
Clin Periodontol 2015; 42:530-6.
13. Cardozo DD, Hilgert JB, Hashizume LN, Stein AT, Souto
KEP, Meinhardt NG, et al. Impact of bariatric surgery on
the oral health of patients with morbid obesity. Obes Surg
2014; 24:1812-6.
14. Castilho AVSS, Foratori-Junior GA, Sales-Peres SHC.
Bariatric surgery impact on gastroesophageal reflux and
dental wear: a systematic review. ABCD Arq Bras Cir Dig
2019; 32(4):e1466.
15. Quintella MCM, Farias TMCP, SoutoMaior JRS, Casado
BGS, Leão RS, Moraes SLD. Relationship between bariatric
surgery and dental erosion: a systematic review. Surg Obes
Relat Dis 2020; 16(9):1283-90.
16. Fontanille I, Boillot A, Rangé H, Carra MC, Sales-Peres
SHC, Czernichow S, et al. Bariatric surgery and periodontal
status: a systematic review with meta-analysis. Surg Obes
Relat Dis 2018;14(10):1618-31.
17. dos Santos MCM, Pellizzer EP, SoutoMaior JR, Casado
BGS, Gomes JML, Vasconcelos BCE, et al. Clinical
periodontal conditions in individuals after bariatric surgery:
a systematic review and meta-analysis. Surg Obes Relat Dis
2019; 15(10):1850-9.
18. de Souza GM, de Oliveira DWD, Lages FS, Fernandes
IA, Falci SGM. Relationship between bariatric surgery and
periodontal status: a systematic review and meta-analysis.
Surg Obes Relat Dis 2018; 14(8):1205-16.
19. Salgado-Peralvo AO, Mateos-Moreno MV, Arriba-Fuente
L, García-Sánchez A , Salgado-García A, Peralvo-García V,
et al. Bariatric surgery as a risk factor in the development
of dental caries: a systematic review. Public Health 2018;
155:26-34.
20. Farias TMCP , Vasconcelos BCE, SoutoMaior JR, Lemos
CAA, de Moraes SLD, Pellizzer EP. Influence of Bariatric
Surgery on Salivary Flow: a Systematic Review and MetaAnalysis. Obes Surg 2019; 29(5):1675-80.
21. Selwitz RH, Ismail A, Pitts NB. Dental caries. Lancet 2007;
369:51-9.
22. Azevedo MLS, Silva NR, Mafra CACC, Lins RDAU, Dantas
EM, Gurgel BCV, et al. Oral Health Implications of Bariatric
Surgery in Morbidly Obese Patients: an Integrative Review.
Obes Surg 2020; 30(4):1574-9.
23. Greenway SE, Greenway FL. Root surface caries: a
complication of the jejunoileal bypass. Obes Surg 2000;
10:33-6.
24. Klüter WJ, Koehestanie P, de Baat C. Cariësexplosie na
bariatriche chirurgie. Ned Tijdschr Tandheelkd 2019;
126(9):437-41.
25. Taghat N, Mossberg K, Lingström P, Björkman S, Lehrkinder
A, Werling M, et al. Oral health profile of postbariatric
surgery individuals: a case series. Clin Exp Dent Res 2021;
1-8.
26. Hashizume LN, Bastos LF, Cardozo DD, Hilgert JB, Hugo
FN, Stein AT, et al. Impact of bariatric surgery on the saliva
of patients with morbid obesity. Obes Surg 2015; 25:1550-5.
27. Marsicano JA, Sales-Peres A, Ceneviva R, Sales-Peres SHC.
Evaluation of oral health status and salivary flow rate in
obese patients after bariatric surgery. European J Dent
2012; 6:191-7.
28. Moreira E, Patiño J, da Silva V, de Miranda, Netto B.
Relationship between nutritional status and oral health in
patients submitted to Roux-en-Y- gastric bypass. Annals of
Nutrition and metabolism 2011; 58(3):285.
29. Hattab F, Al-Ajlouni OMOY. Etiology and Diagnosis of Tooth
Wear: a Literature Review and Presentation of Selected
Cases. Int J Prosthodont 2000; 13:101-7.
30. Litonjua LA, Andreana S, Bush PJ, Cohen RE. Tooth wear:
attrition, erosion, and abrasion. Quintessence int 2003;
34(6):435-46
31. Morozova Y, Holik P, Ctvrtlik R, Tomastik J, Foltasova L,
Harcekova A. Tooth wear ̶ fundamental mechanisms and
diagnosis. IOSR J Dent Med Sci 2016; 15(5):84-91.
32. Alves MSC, Silva FCC, Araújo SG, Carvalho ACA, Santos
AM, Carvalho ALA. Tooth wear in patients submitted to
bariatric surgery. Braz Dent J 2012; 23(2):160-6.
33. de Moura-Grec PG, Yamashita JM, Marsicano JA, Ceneviva
R, Leite CVS, Brito GB, et al. Impact of bariatric surgery
on oral health conditions: 6-months cohort study. Int Den J
2014; 64:144-9.
34. Gonçalves EM, Souza DMG, Teixeira EC, Carvalho RAR,
Lima DLF, Moura Jr LG. Condição de saúde bucal de
pacientes gastroplastizados. R Periodontia 2010; 20(4):56-60.
35. Weideman T, Heuberger R. The nutritional status of the
bariatric patient and its effect on periodontal disease.
Bariatric Surgical Practice and Patient Care 2013; 8(4):161-5.
36. Barbosa CS, Barbério GS, Marques VR, Baldo VO, Buzalar
MAR, Magalhães AC. Dental manifestations in bariatric
patients – review of literature. J Appl Oral Sci 2009; 17(sp
issue):1-4.
37. Netto BDM, Moreira EAM, Patiño JSR, Benincá JP, Jordão
AA, Fröde TS. Influence of Roux-en-Y gastric bypass
surgery on vitamin C, myeloperoxidase, and oral clinical
manifestations: a 2-year follow-up study. Nutr Clin Pract
2012; 27:114-21.
38. Patiño JSR, Moreira EAM, Boesing F, Trindade EBSM. Oral
health status and bariatric surgery. Rev gaúcha Odontol
2013; 61(4):621-4.
39. Bastos IHA, Rios MA, Martins GB, Campos EJ, Daltro C.
Surgical periodontal treatment of a patient with dentin
hypersensitivity after bariatric surgery: a case report.
General Dentistry 2019; 67(2):59-63.
40. Ritchie CS. Obesity and periodontal disease. Periodontol
2000 2007; 44:154-63.
41. Zuza EP, Barroso EM, Carrareto ALV, Pires JR, Carlos IZ,
Theodoro LH, et al. The role of obesity as a modifying factor
in patients undergoing non-surgical periodontal therapy. J
Periodontol 2011; 82(5):676-82.
42. Pataro AL, Costa FO, Cortelli SC, Cortelli JR, Souza ACD,
Abreu MHNG, et al. Influence of obesity and bariatric
surgery on the periodontal condition. J Periodontol 2012;
83:257-66.
43. Franco R, Barlattani Jr A, Perrone MA, Basili M, Miranda
M, Costacurta M, et al. Obesity, bariatric surgery and
periodontal disease: a literature update. Eur Rev Med
Pharmacol Sci 2020; 24(9):5036-45.
44. de Moura-Grec PG, Marsicano JA, Rodrigues LM, SalesPeres SHC. Alveolar bone loss and periodontal status in
a bariatric patient: a brief review and case report. Eur J
Gastroenterol Hepatol 2012; 24:84-9.
45. Wucher H, Ciangura C, Poitou C, Czernichow S. Effects of
weight loss on bone status after bariatric surgery: association
between adipokines and bone markers. Obes Surg 2008;
18:58-65.
46. Sales-Peres SHC, Sales-Peres MC, Ceneviva R, Bernabé E.
Weight loss after bariatric surgery and periodontal changes:
a 12-month prospective study. Surg Obes Relat Dis 2017;
13:637-42.
47. Balogh B, Somodi S, Tanyi M, Miszti C, Márton I, Kelentey
B. Follow-up Study of Microflora Changes in Crevicular
Gingival Fluid in Obese Subjects After Bariatric Surgery.
Obes Surg 2020; 30(12):5157-61.
48. Lakkis D, Bissada NF, Saber A, Khaitan L, Palomo L,
Narendran S, et al. Response to periodontal therapy in
patients who had weight loss after bariatric surgery and
obese counterparts: a pilot study. J Periodontol 2012;
83(6):684-9.
49. Porcelli ICS, Corsi NM, Fracasso MLC, Pascotto RC, Cardelli
AAM, Poli-Frederico RC, et al. Oral health promotion in
patients with morbid obesity after gastroplasty: a randomized
clinical trial. ABCD Arq Bras Cir Dig 2019; 32(2):e1437.
50. Schwenger KJP, Alghamdi MM, Ghorbani Y, Jackson
TD, Okrainec A , Allard JP. Hyposalivation is prevalent in
bariatric patients but improves after surgery. Surg Obes
Relat Dis 2020; 16(10):1407-13.
51. Souza ACD, Franco CF, Pataro AL, Guerra T, Costa FO,
Costa JE. Halitosis in obese patients and those undergoing
bariatric surgery. Surg Obes Relat Dis 2013; 9:315-22.
52. Godlewski AE, Veyrune JL, Nicolas E, Ciangura CA,
Chaussain CC, Czernichow S, et al. Effect of dental status
on changes in mastication in patients with obesity following
bariatric surgery. PLoS ONE 2011; 6(7):e22324.
53. Mandel L, da Silva K. Parotid hypertrophy and bariatric
surgery: case report. J Oral Maxilofac Surg 2008; 66:572-4.
54. Archer-Dubon C, Esquivel-Pedraza L, Ramírez-Anguiano J.
Palatal ulcers due to vomiting after gastric band tightening.
Obes Surg 2007; 17:556-8.
55. Karlsson L, Carlsson J, Jenneborg K, Kjaeldgaard M.
Perceived oral health in patients after bariatric surgery
using oral healthâ€related quality of life measures. Clin Exp
Dent Res 2018; 4:230-40.
56. Taghat N, Werling M, Östberg A. Oral Health-Related
Quality of Life After Gastric Bypass Surgery. Obes Surg 2020;
30(1):224-32.
57. Cummings S, Pratt J. Metabolic and bariatric surgery. JADA
2015; 146(10):767-72.
58. Jaiswal GR, Jain VK, Dhodapkar SV, Kumathalli KI, Kumar
R, Nemawat A, et al. Impact of bariatric surgery and diet
modification on periodontal status: a six month cohort study.
J Clin Diagn Res 2015; 9(9):ZC43-ZC5.
59. Pataro AL, Cortelli SC, Abreu MHNG, Cortelli JR, Franco
GCN, Aquino DR, et al. Frequency of periodontal pathogens
and Helicobacter pylori in the mouths and stomachs of obese
individuals submitted to bariatric surgery: a cross-sectional
study. J Appl Oral Sci 2016; 24(3):229-38.
60. Džunková M, Lipták R, Vlková B, GardlíkR, ÄŒierny M, Moya
A, et al. Salivary microbiome composition changes after
bariatric surgery. Sci Rep 2020; 10(1):20086.
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Association between bariatric surgery and oral health: a literature review. (2023). Revista Da Faculdade De Odontologia - UPF, 26(1), 144-158. https://doi.org/10.5335/rfo.v26i1.12347
