The prosthodontic management and considerations of patients after bariatric surgery: A narrative review

Christina I. Wang , Naif Sinada , Todd R. Schoenbaum
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Abstract

The oral health needs of patients who have received bariatric surgery are often overlooked. Although bariatric surgery is an effective modality for treating obesity, detrimental oral health sequelae are frequently observed and often neglected. Nutrient deficiencies, changes in salivary pH, gastroesophageal reflux, erosion, xerostomia, caries, wear, and hypersensitivity are all post-operative consequences seen in this patient population. These complications can lead to an accelerated deterioration of the oral cavity and subsequent extensive dental treatment. In some cases, the accelerated deterioration lends them with a terminal dentition. Pre-operative patient education and clearance in conjunction with multidisciplinary care is essential for these patients. In patients with post-operative complications, however, proper prosthodontic management is crucial. This review presents the prosthodontic management and rehabilitation considerations of patients who have received bariatric surgery.

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减肥手术后患者的修复管理和注意事项:叙述性综述
接受减肥手术的患者的口腔健康需求常常被忽视。虽然减肥手术是治疗肥胖症的有效方法,但经常会观察到有害口腔健康的后遗症,而且常常被忽视。营养缺乏、唾液 pH 值变化、胃食管反流、糜烂、口腔干燥症、龋齿、磨损和过敏都是这类患者术后出现的后遗症。这些并发症会导致口腔加速恶化,随后需要进行广泛的牙科治疗。在某些情况下,口腔加速恶化会导致终生畸形。对这些患者来说,术前的患者教育和检查以及多学科护理是至关重要的。然而,对于术后出现并发症的患者,适当的修复治疗也至关重要。这篇综述介绍了接受减肥手术的患者的修复治疗和康复注意事项。
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