Tooth Loss and General Health in Obeses, No Diabetic, Class II and III, Applicant for Bariatric Surgery

Objectives: The aim of this study was to examine the tooth loss, general and central obesity and comorbidities among adults
Methods: This cross-sectional study was composed of 511 adults, 100 (19,5%) men and 411 (80,5%) women, aged 20 to 65 years from Health Regional Direction, in São Paulo, Brazil. Anthropometric measures, central obesity (waist circumference [WC] > 88 cm in women and > 102 cm in men) and general obesity (body mass index [BMI] ≥ 35 kg/m²), comorbidities and functional dental units were collected. Statistical analysis: the software Numbers for Mac was used to do the research and to rate the assessed data.
Results: The mean BMI was 52,7 (37-78) kg/m² in male and 50,4 (35-94) kg/m2 in female. The mean WC was 153 (102-194) cm in male and 138 (102-210) cm in female. With regards to comorbidities: hypertension (M 60% / W 61%), dyslipidemia (M 18% / W 11%), liver steathosis (M 4% / W 4%), sleep apnea (M 31% / W 20%) and artropathies (M 81% / W 92%). The number of medicines used by patient was rated in four groups (0, 1 to 2, 3 to 4 and 5 or more), in men (49%, 39%, 10% and 2%) and women (39%, 45%, 13% and 1%). The running time of obesity in years was rated in four groups (1 to 5, 6 to 10, 11 to 20 and 21 or more), in men (10%, 38%, 46% and 6%) and women (19%, 28%, 39% and 13%). Tooth loss was assessed by functional units present in the first appoitment and rated in three groups (0 to 4, 5 to 9 and 10 to 14), in men (3%, 8% and 89%) and women (12,5%, 18,3% and 69,2%). The prevalence of severity tooth loss was higher in women than man (12,5 x 3%), in elderly (30% in patients above 50th x 2% until 30th), in patients with greater obesity running time (3% until 5y x 25% above 21y), with greater BMI (14% IMC>50 x 5% IMC<40) and with worse health (0 medicine 7% x 5 or more 50%).
Conclusions: The obese patients class II and III, applicant to bariatric surgery has damaged oral health. Within this group: women, elderly, with poor general health, higher BMI and lasting running time of obesity, deserves thoughtfulness by the multiprofessional team. This findings highlithed the dentristy role in this team.