Periodontal and systemic health of morbidly obese patients eligible for bariatric surgery: a cross-sectional study
Abstract Background In obese patients, periodontitis might be associated with deprived systemic health. Edmonton obesity staging system (EOSS) is a new tool for classification of obesity that considers the metabolic, physical, and psychological health. The cross-sectional study aimed to evaluate the...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-022-02207-0 |
| _version_ | 1818203141770838016 |
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| author | Dejana Čolak Alja Cmok Kučič Tadeja Pintar Boris Gašpirc Rok Gašperšič |
| author_facet | Dejana Čolak Alja Cmok Kučič Tadeja Pintar Boris Gašpirc Rok Gašperšič |
| author_sort | Dejana Čolak |
| collection | DOAJ |
| description | Abstract Background In obese patients, periodontitis might be associated with deprived systemic health. Edmonton obesity staging system (EOSS) is a new tool for classification of obesity that considers the metabolic, physical, and psychological health. The cross-sectional study aimed to evaluate the periodontal status of morbidly obese patients eligible for bariatric surgery and the association between periodontitis, obesity-related comorbidities, and EOSS. Methods Morbidly obese patients eligible for bariatric surgery underwent detailed periodontal examination and were divided into the periodontitis group (PG) and the non-periodontitis group (NPG). The medical and demographic data were obtained from medical files, while behavioural data were obtained by the interview. Descriptive statistics and simple statistical tests were used to summarise the characteristics of the sample and the differences between PG and NPG. The logistic regression models were used to calculate the association (odds ratio (OR)) between periodontitis and obesity-related diseases and EOSS. Results The study included 79 patients, with an average BMI of 44.6 kg/m2 (SD = 7.2). The prevalence of periodontitis was 65% (CI 95% 53%-75%). PG patients (n = 51) were older, more often smokers and were more often hypertensive than NPG patients (n = 28) (p < 0.05). Hypertension was positively associated with periodontitis with adjusted OR 3.98 (95% CI 1.23–12.8; p = 0.021)) and age with adjusted OR 1.06, (95% CI 1.01–1.13; p = 0.038)), while other tested conditions (diabetes, dyslipidaemia, and smoking habits) did not show significant association with periodontitis. Periodontitis did not correlate with EOSS or other obesity-related comorbidities (p > 0.05). Conclusion The morbidly obese patients eligible for bariatric surgery show a high prevalence of periodontitis and, therefore, are advised to be examined by a dentist before undergoing surgery. They have higher odds of hypertension but not of other obesity-related diseases or higher stages of EOSS. The medical personnel should raise awareness among obese patients on the potential association of poor periodontal health with hypertension. Trial registration NCT04653714. |
| first_indexed | 2024-12-12T03:20:38Z |
| format | Article |
| id | doaj.art-84af4f6bb0fa435f91e60f84752a7696 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-12-12T03:20:38Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-84af4f6bb0fa435f91e60f84752a76962022-12-22T00:40:11ZengBMCBMC Oral Health1472-68312022-05-0122111110.1186/s12903-022-02207-0Periodontal and systemic health of morbidly obese patients eligible for bariatric surgery: a cross-sectional studyDejana Čolak0Alja Cmok Kučič1Tadeja Pintar2Boris Gašpirc3Rok Gašperšič4Department of Oral Diseases and Periodontology, Dental Clinic, University Medical Centre LjubljanaDepartment of Oral Diseases and Periodontology, Dental Clinic, University Medical Centre LjubljanaDepartment of Abdominal Surgery, University Medical CentreDepartment of Oral Diseases and Periodontology, Dental Clinic, University Medical Centre LjubljanaDepartment of Oral Diseases and Periodontology, Dental Clinic, University Medical Centre LjubljanaAbstract Background In obese patients, periodontitis might be associated with deprived systemic health. Edmonton obesity staging system (EOSS) is a new tool for classification of obesity that considers the metabolic, physical, and psychological health. The cross-sectional study aimed to evaluate the periodontal status of morbidly obese patients eligible for bariatric surgery and the association between periodontitis, obesity-related comorbidities, and EOSS. Methods Morbidly obese patients eligible for bariatric surgery underwent detailed periodontal examination and were divided into the periodontitis group (PG) and the non-periodontitis group (NPG). The medical and demographic data were obtained from medical files, while behavioural data were obtained by the interview. Descriptive statistics and simple statistical tests were used to summarise the characteristics of the sample and the differences between PG and NPG. The logistic regression models were used to calculate the association (odds ratio (OR)) between periodontitis and obesity-related diseases and EOSS. Results The study included 79 patients, with an average BMI of 44.6 kg/m2 (SD = 7.2). The prevalence of periodontitis was 65% (CI 95% 53%-75%). PG patients (n = 51) were older, more often smokers and were more often hypertensive than NPG patients (n = 28) (p < 0.05). Hypertension was positively associated with periodontitis with adjusted OR 3.98 (95% CI 1.23–12.8; p = 0.021)) and age with adjusted OR 1.06, (95% CI 1.01–1.13; p = 0.038)), while other tested conditions (diabetes, dyslipidaemia, and smoking habits) did not show significant association with periodontitis. Periodontitis did not correlate with EOSS or other obesity-related comorbidities (p > 0.05). Conclusion The morbidly obese patients eligible for bariatric surgery show a high prevalence of periodontitis and, therefore, are advised to be examined by a dentist before undergoing surgery. They have higher odds of hypertension but not of other obesity-related diseases or higher stages of EOSS. The medical personnel should raise awareness among obese patients on the potential association of poor periodontal health with hypertension. Trial registration NCT04653714.https://doi.org/10.1186/s12903-022-02207-0ObesityBariatric surgeryPeriodontistGingivitisHypertensionCardiovascular risk factors |
| spellingShingle | Dejana Čolak Alja Cmok Kučič Tadeja Pintar Boris Gašpirc Rok Gašperšič Periodontal and systemic health of morbidly obese patients eligible for bariatric surgery: a cross-sectional study BMC Oral Health Obesity Bariatric surgery Periodontist Gingivitis Hypertension Cardiovascular risk factors |
| title | Periodontal and systemic health of morbidly obese patients eligible for bariatric surgery: a cross-sectional study |
| title_full | Periodontal and systemic health of morbidly obese patients eligible for bariatric surgery: a cross-sectional study |
| title_fullStr | Periodontal and systemic health of morbidly obese patients eligible for bariatric surgery: a cross-sectional study |
| title_full_unstemmed | Periodontal and systemic health of morbidly obese patients eligible for bariatric surgery: a cross-sectional study |
| title_short | Periodontal and systemic health of morbidly obese patients eligible for bariatric surgery: a cross-sectional study |
| title_sort | periodontal and systemic health of morbidly obese patients eligible for bariatric surgery a cross sectional study |
| topic | Obesity Bariatric surgery Periodontist Gingivitis Hypertension Cardiovascular risk factors |
| url | https://doi.org/10.1186/s12903-022-02207-0 |
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