Evaluation of the periodontal and microbiological conditions of obese patients submitted to bariatric surgery
Avaliação das condições periodontal e microbiológica de pacientes obesos submetidos à cirurgia bariátrica
Palavras-chave:
Periodontal Disease, Tooth Decay, Obesity, Bariatric SurgeryResumo
This article seeks to identify the periodontal and microbiological conditions of obese individuals undergoing bariatric surgery. The focus on obese patients is due to obesity being a growing public health problem, which is increasing in important epidemic proportions all over the world. Thus, this is a cross-sectional study with a qualitative approach, in an Intensive Care Unit (ICU) from March to October 2018, with 25 obese patients who proposed to participate in the research. The periodontal situation was identified as: periodontal health, gingivitis and periodontitis. In the microbiological examination, the bacteria Aggregatibacter actinomycetemcomitans (AA), Porphyromonas gingivalis (PG), Streptococcus oralis (SO) and Universal (UN) were identified and quantified using real-time PCR. There was a statistically significant difference (p > 0.05) between the degrees of obesity in terms of gingivitis and periodontitis. The (AA) presented statistically significant difference (p < 0.05) in the situation of gingivitis and periodontal health. It can be concluded that (AA) had a higher average amount in obese individuals, even in the situation of periodontal health and PG lower amount in gingivitis and higher in periodontitis. There was a prevalence of (AA) and (PG) in the supragingival location, and prevalence of (AA), (PG) and (SO) in the subgingival location.
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Referências
AINAMO, J.; BAY, I. Problems and proposals for recording gingivitis and plaque. International dental journal, v. 25, p. 229 – 35, 12 1975.
BANERJEA, R.; FINDLEY, P. A.; SAMBAMOORTHI, U. Disparities in preventive care by body mass index categories among women. Women & health, v. 47, p. 1 – 17, 10 2008.
BRASIL. Obesidade cresce 60% em dez anos no Brasil. Obesidade cresce 60% em dez anos no Brasil, MINISTÉRIO DA SAÚDE, BRASÍLIA, 17/04/2017. Disponível em: http://www.brasil.gov.br/editoria/saude/2017/04/obesidade-cresce-60-em-dez-anos-no-brasil. Acesso em: 20/08/2018.
BRAY, G. A. Obesity is a chronic, relapsing neurochemical disease. International journal of obesity and related metabolic disorders: journal of the International Association for the Study of Obesity, v. 28, p. 34 – 8, 10 2003.
BROWN, R. E.; KUK, J. L. Consequences of obesity and weight loss: a devil’s advocate position. Obesity reviews: an official journal of the International Association for the Study of Obesity, v. 16, p. 77 – 87, 11 2014.
CALABRO, P.; YEH, E. T. Obesity, inflammation, and vascular disease: the role of the adipose tissue as an endocrine organ. Sub-cellular biochemistry, v. 42, p. 63 – 91, 7 2007.
CORTELLI, J. R.; CORTELLI S. C.; JORDAN S.; HARASZTHY V. I.; ZAMBON J. J. Prevalence of periodontal pathogens in Brazilians with aggressive or chronic periodontitis. Journal of clinical periodontology, v. 32, p. 860 – 6, 7 2005a.
GALIC, S.; OAKHILL, J. S.; STEINBERG, G. R. Adipose tissue as an endocrine organ. Molecular and cellular endocrinology, v. 316, p. 129 – 39, 9 2009.
GERBER, F. A. et al. Influence of obesity on the outcome of non-surgical periodontal therapy - a systematic review. BMC oral health, v. 16, p. 90 –, 9 2016.
HEITZ-MAYFIELD, L. J. A. Disease progression: identification of high-risk groups and individuals for periodontitis. Journal of clinical periodontology, v. 32 Suppl 6, p. 196 – 209, 9 2005.
MATSUSHITA, K.; HAMAGUCHI, M.; HASHIMOTO, M.; YAMAZAKI, M.; YAMAZAKI, T.; ASAI, K.; YAMORI, M.; BESSHO, K.; TODA, H.; HASEGAWA.; NAKAMURA, N.; FUKUI, M. The novel association between red complex of oral microbe and body mass index in healthy Japanese: a population based cross-sectional study. Journal of clinical biochemistry and nutrition, v. 57, p. 135 – 9, 9 2015.
PATARO, A. L.; CORTELLI, S. C.; ABREU, M. H. N. G.; CORTELLI, J. R.; FRANCO, G. C. N.; AQUINO, D. R.; COTA, L. O. M.; COSTA, F. O. Frequency of periodontal pathogens and Helicobacter pylori in the mouths and stomachs of obese individuals submitted to bariatric surgery: a cross-sectional study. Journal of applied oral science: revista FOB, v. 24, p. 229 – 38, 7 2016.
SALES-PERES, S. H. de C. et al. Periodontal status and pathogenic bacteria after gastric bypass: a cohort study. Journal of clinical periodontology, v. 42, p. 530 – 6, 5 2015.
SANTOS, T.; VASCONCELOS, R. M.; CARDOSO, L.; FAGUNDES, J.; ALVES, E. S.; RAMALHO, L. M. P. Evidência da interação entre obesidade e doença periodontal: uma revisão de literatura. Periodontia, Bahia-BA-Brasil, v. 24, n. 01, p. 35 – 40, 10 2014.
SILVA, A. E. R.; MENEZES, A. M. B.; DEMARCO, F. F.; VARGAS-FERREIRA, F.; PERES, M. A. Obesity and dental caries: systematic review. Revista de saúde pública, v. 47, p. 799 – 812, 12 2013.
SOCRANSKY, S. S.; SMITH, C.; HAFFAJEE, A. D. Subgingival microbial profiles in refractory periodontal disease. Journal of clinical periodontology, v. 29, p. 260 – 8, 4 2002.
TONETTI, M. S.; DYKE, T. E. V.; WORKSHOP working group 1 of the joint E. Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. Journal of periodontology, v. 84, p. S24 – 9, 5 2013.
WORLD HEALTH ORGANIZATION. Obesity: prevent - ing and managing the global epidemic. Obesity: prevent - ing and managing the global epidemic, WHO Technical Report Series, 894, Geneva, 2000.