The role of dentistry in treatment of obesity – Review

Mohammed K. Al-Dhubhani , Ahmad M. Al-Tarawneh
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引用次数: 6

Abstract

Introduction/objective: Jaw Wiring (JW) is one of the controversial treatment modalities for obese individuals. It aims at limiting the food intake of the patient resulting in weight loss. The authors conducted a literature review to explore the historical development, effectiveness, indications, advantages and disadvantages of Jaw Wiring (JW) as treatment modality for obese individuals.

Data sources: PubMed, Scopus, Medline and Google Scholar have been searched for papers that addressed the effectiveness of JW in the treatment of obesity since 1979 till present. No restriction regarding the type of the articles has been considered.

Results: JW as a method of obesity management is a highly controversial issue. Almost all papers are retrospective, uncontrolled trials with a small sample size or anecdotal opinions. However, current data indicate that although JW is efficient in weight loss relatively faster than other treatment modalities, weight regaining is a constant finding in approximately all patients after JW discontinuation. Aspiration of vomit, gingival diseases, teeth decalcification and temporomandibular disorders are potential side effects. Such extreme treatment method should be approached carefully in a properly selected category of obese patients.

Conclusion: JW is an efficient way in terms of weight control in properly selected obese patients and usually no serious complications could be encountered through the treatment course.

牙科在肥胖症治疗中的作用-综述
简介/目的:下颌钢丝(JW)是肥胖患者有争议的治疗方式之一。它旨在限制患者的食物摄入量,从而减轻体重。作者对下颌钢丝治疗肥胖的历史发展、疗效、适应症、优缺点进行了综述。数据来源:PubMed, Scopus, Medline和Google Scholar已经搜索了自1979年至今关于JW治疗肥胖有效性的论文。没有考虑对物品的种类加以限制。结果:JW作为一种肥胖管理方法是一个备受争议的问题。几乎所有的论文都是回顾性的、小样本量的非控制试验或轶事性的观点。然而,目前的数据表明,尽管JW比其他治疗方式更快地有效减轻体重,但在JW停药后,几乎所有患者的体重都持续增加。呕吐物误吸、牙龈疾病、牙齿脱钙和颞下颌紊乱是潜在的副作用。这种极端的治疗方法应该在适当选择的肥胖患者类别中谨慎对待。结论:选择适当的肥胖患者,JW是一种有效的控制体重的方法,在整个治疗过程中通常不会出现严重的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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