de la Motte, R.E. (2021) Het verschil in de preoperatieve mondgezondheid en mondgezondheid-gerelateerde levenskwaliteit tussen obesitas patiënten die in aanmerking komen voor bariatrische chirurgie en patiënten met een gezond BMI. thesis, Dentistry.
Full text available on request.Abstract
Introduction The most effective and safe therapy for morbid obesity is bariatric surgery. The anatomical and lifestyle changes will cause a worsened postoperative situation. In this study it is investigated whether morbidly obese patients preoperatively belong to the risk group and already have a deteriorated dental situation preoperatively compared with patients with a healthy BMI. By investigating whether there is a difference, and on which factors this possible difference is based, it is possible to intervene in a targeted manner by drawing up a preventive and educational program to minimize the risk of dental problems and a deteriorated oral health-related quality of life (OHRQoL). So that the best possible starting situation can be created. The main question was: To what extent is there a difference in preoperative oral health and oral health-related quality of life between obese patients (BMI35kg/m2) who are eligible for bariatric surgery and patients with a healthy BMI (BMI= 18,5-24,9kg/m2)? Materials and method This patient-control study consists of a questionnaire administered to patients between the age of 18 and 65 year from the Centre for Obesity (CON) and the Centre for Dentistry and Oral Hygiene (CTM). The questionnaire was composed of five categories: OHRQoL, oral health (consisting of self-care, diet, and pH), score of appreciation of one’s own dentition, score of dentist appreciation of the patient’s dentition and presence of dental problems. The questionnaire was administered online through REDCap. The data were analyzed using multiple linear and logistic regression analyses. Results A total of 68 patients from the CON participated in the study group and 71 patients from the CTM participated in the control group. Morbidly obese patients have a significantly higher OHRQoL (p=.006). The absolute mean total score of obese patients (34,80±9,05) and patients with a health BMI (37,88±9,55) belonged to the same quality-category, namely high. There is no significant difference in overall oral health (p=.080). Also, the absolute means of both groups (morbid obesity: 22,86±4,26; healthy BMI: 23,03±3,65) belonged to the ‘reasonable oral health’ category. Obese patients were found to suffer significantly more often from a low pH (p=.004) and have better self-care (p=.001). However, it appears form the absolute values for self-care that both groups belong to the ‘moderate self-care’ category. Obese patients have a significantly higher appreciation for their own dentition (p=.003). There is no significant difference between the dentist’s appreciation of the patient’s dentition (p=.338) and the presence of dental problems (p=.486) between the two groups. Conclusion It can be concluded that there is a significant difference in the OHRQoL between morbidly obese patients and with a healthy BMI. However, the means of both groups appear to belong to the category ‘high degree of OHRQoL’. Therefore, this difference does not seem alarming. In terms of oral health, both means fell within the ‘reasonable oral health’ category. However, both groups were found to have ‘moderate self-care’. This is troubling given the fact that good self-care is essential for the absence of dental problems. For this reason, it is extremely important that morbidly obese patients receive guidance to create the best possible preoperative dental situation in collaboration with specialists and oral care providers. Follow-up research is necessary to further elucidate the relationship between morbid obesity, OHRQoL and oral health.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | van Hoogmoed, Dr. C.G. and de Heide, Dr. L. and Slagter, Dr. A.P. |
| Faculty: | Medical Sciences |
| Date Deposited: | 11 Apr 2023 11:28 |
| Last Modified: | 11 Apr 2023 11:28 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3469 |
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