Eating disorder risk behavior and dental implications among adolescents (original) (raw)

Relationship between Risk Behavior for Eating Disorders and Dental Caries and Dental Erosion

TheScientificWorldJournal, 2017

The aim of this study was to evaluate whether there is an association between risk behavior for eating disorders (EDs) and dental erosion and caries. A controlled cross-sectional study was conducted in Brazil, involving 850 randomly selected female adolescents. After evaluating risk behavior for eating disorders through the Bulimic Investigatory Test of Edinburgh, 12 adolescents were identified with severe risk behavior for EDs and matched to 48 adolescents without such risk. Dental examinations, anthropometric measurements, and eating habits and oral hygiene were performed. Adolescents with high severity eating disorder condition were not more likely to show dental caries (= 0.329; OR = 2.2, 95% CI: 0.35-13.72) or dental erosion (= 0.590; OR = 2.33; 95% CI: 0.56-9.70). Adolescents with high body mass index (BMI) were five times more likely to have high severity eating disorder condition (= 0.031; OR = 5.1; 95% CI: 1.61-23.07). Therefore, high severity risk behavior for EDs was not ...

Tooth Erosion and Eating Disorders: A Systematic Review and Meta-Analysis

PLoS ONE, 2014

Background: Eating disorders are associated with the highest rates of morbidity and mortality of any mental disorders among adolescents. The failure to recognize their early signs can compromise a patient's recovery and long-term prognosis. Tooth erosion has been reported as an oral manifestation that might help in the early detection of eating disorders. Objectives: The aim of this systematic review and meta-analysis was to search for scientific evidence regarding the following clinical question: Do eating disorders increase the risk of tooth erosion? Methods: An electronic search addressing eating disorders and tooth erosion was conducted in eight databases. Two independent reviewers selected studies, abstracted information and assessed its quality. Data were abstracted for metaanalysis comparing tooth erosion in control patients (without eating disorders) vs. patients with eating disorders; and patients with eating disorder risk behavior vs. patients without such risk behavior. Combined odds ratios (ORs) and a 95% confidence interval (CI) were obtained. Results: Twenty-three papers were included in the qualitative synthesis and assessed by a modified version of the Newcastle-Ottawa Scale. Fourteen papers were included in the meta-analysis. Patients with eating disorders had more risk of tooth erosion (OR = 12.4, 95%CI = 4.1-37.5). Patients with eating disorders who self-induced vomiting had more risk of tooth erosion than those patients who did not self-induce vomiting (OR = 19.6, 95%CI = 5.6-68.8). Patients with risk behavior of eating disorder had more risk of tooth erosion than patients without such risk behavior (Summary OR = 11.6, 95%CI = 3.2-41.7). Conclusion: The scientific evidence suggests a causal relationship between tooth erosion and eating disorders and purging practices. Nevertheless, there is a lack of scientific evidence to fulfill the basic criteria of causation between the risk behavior for eating disorders and tooth erosion.

Adverse effects of eating disorders on the oral health of teenagers

Journal of Dentofacial Anomalies and Orthodontics, 2018

Eating disorders in teenager’s population has a wide range of expressions from a large consumption of sodas or sugar, to binge drinking, anorexia nervosa and anorexia bulimia. Tooth wear or high caries risk could be the clinical expression of such harmful habits and the dental clinical examination could be the way for an early diagnosis of eating disorders In this kind of situation, discussion with the teenager should be preferred. Epidemiological studies have demonstrated a higher prevalence of such eating behaviors especially for teenagers. Vomiting and gastro esophageal reflux to lead to dental erosion could also be correlated to bruxism and attrition. Prevention and interception of harmful habits are the best way to stop teeth degradation purpose restorative procedure is sometimes required. Orthodontic therapy is a good opportunity for discussion with teenagers to identify risk factors, but an advised selection of biomaterials is also required during the orthodontic treatment.

Factors affecting the dental erosion severity of patients with eating disorders

BioPsychoSocial Medicine, 2014

Background: Intraoral disease is a common occurrence in patients with eating disorders, particularly dental erosion, which frequently becomes severe and may hinder daily life. The severity varies from patient to patient. Understanding the underlying mechanisms may help prevent dental erosion in these patients. Accordingly, we investigated the relationship between the severity of erosion and the behavior of patients with eating disorders, with a focus on daily diet and vomiting behavior. Methods: A total 71 female eating disorder outpatients from the

Risk Behaviors for Eating Disorders Among Brazilian Female Adolescents

The Open Dentistry Journal

Background: Eating disorders are complex conditions that cause serious emotional and physical problems. Aim: The aim of the study was to evaluate the behavioral risk for eating disorders in Brazilian female adolescents and their association with dental caries and erosion. Materials and Methods: This cross-sectional study included 200 students from public and private schools aged 15-18 years divided into two groups according to behavioral risk: Group 1 - adolescents without risk and Group 2 - adolescents at risk / disorder situation. Sociodemographic information (age and type of school), use of dental services, eating habits, and Body Mass Index (BMI) was obtained. The Bulimic Investigatory Test of Edinburgh (BITE) was used to identify behavioral risk. Caries experience was assessed using the DMFT index, while dental erosion was evaluated using the O'Sullivan index. Data were analyzed using descriptive and inferential statistics, with a significance level of 5%. Results: The high...

Oral and dental health status in patients with eating disorders in Madrid, Spain

Medicina Oral Patología Oral y Cirugia Bucal

Background: The aim of the present study was to describe and compare the oral and dental health status of two groups, one diagnosed with eating disorders (EDs), and another group without this pathology, assessing the following oral manifestations: dental alterations, periodontal disorders, soft tissue disorders, non-stimulated salivary flow, and oral pH. Material and Methods: This comparative transversal epidemiological study included 179 participants, of whom 59 were diagnosed with EDs (Eating Disorder Group: EDG) and 120 had no antecedents of EDs (No Eating Disorder Group: NEDG). All patients fulfilled the following inclusion criteria: women aged over 18 years, diagnosed with an ED by a specialist, patients who had undergone at least 1 year monitoring by the Clinical Nutrition Unit, and had not received any periodontal treatment during the previous 6 months. Both groups were homogeneous in terms of sex, age, education, and socioeconomic level. Oral exploration was performed, registering clinical variables, as well as sociodemographic and socioeconomic data, oral hygiene habits, and smoking. Statistical significance was established as p<0.05 (confidence level > 95%). Results: The dental erosion (DE) was the most significative feature of dental alterations. The degree of DE was significantly greater in the EDG (p<0.001). A significant association between soft tissue lesions and EDs was found (p<0.001) A notable difference in non-stimulated salivary flow was found between the groups (p<0.001).

Eating disorders and oral health: A review of the literature

Australian Dental Journal , 2005

This article is a review of the recent literature pertaining to the oral sequelae of eating disorders (EDs). Dentists are recognized as being some of the first health care professionals to whom a previously undiagnosed eating disorder patient (EDP) may present. H owever, despite the prevalence (up to 4 per cent) of such conditions in teenage girls and young adult females, there is relatively little published in the recent literature regarding the oral sequelae of EDs. This compares unfavourably with the attention given recently in the dental literature to conditions such as diabetes mellitus, which have a similar prevalence in the adult population. The incidence of EDs is increasing and it would be expected that dentists who treat patients in the affected age groups would encounter more individuals exhibiting EDs. Most of the reports in the literature concentrate on the obvious clinical features of dental destruction (perimolysis), parotid swelling and biochemical abnormalities particularly related to salivary and pancreatic amylase. H owever, there is no consistency in explanation of the oral phenomena and epiphenomena seen in EDs. M any EDPs are nutritionally challenged; there is a relative lack of information pertaining to non-dental, oral lesions associated with nutritional deficiencies. Key w ords: Eating disorders, oral health. Abbreviations and acronyms: AN = anorexia nervosa; API = Approximal Plaque Index; BN = bulimia nervosa; CPITN = Community Periodontal Index of Treatment Needs; DFS = Decayed, Filled Surfaces; DMFT = Decayed Missing Filled Teeth; DS = Decayed Surfaces; DSM = Diagnostic and Statistical M anual; ED = eating disorder; EDN O S = eating disorders not otherwise specified; EDP = eating disorder patient; ICD = International Classification of Diseases.

Eating disorders and oral health

IP innovative publication pvt. ltd, 2019

Eating disorders are somatic symptom disorders i.e. person feels extreme, exaggerated anxiety about physical symptoms. The people suffering from eating disorders have such intense thoughts, feelings, and behaviors related to the symptoms, that they feel they cannot do some of the activities of daily life. So their study is both necessary and difficult. Eating disorders have become very prevalent in today’s society; despite this people treat EDs and people suffering from EDs with a certain stigma. Early detection and intervention play a huge role in treatment for eating disorders. Dentists and dental hygienists can play a pivotal role in diagnosis and treatment of eating disorders by providing a timely diagnosis. Also as dental practitioners, it is our duty to to raise awareness about EDs. In this article, we discuss eating disorders, their classification, symptoms, epidemiology, etiology, manifestation and management. Keywords: Eating disorder, Classification, Anorexia nrvosa, Bulimia nervosa, Epidemiology, Etiology, Systemic manifestations, Oral manifestations, Dental management.

Medical and dental implications of eating disorders

Journal of dental hygiene : JDH / American Dental Hygienists' Association, 2014

This manuscript was part of the proceedings from the conference Advances in Practice, hosted by the National Center for Dental Hygiene Research & Practice, held in Phoenix, Arizona, on June 12, 2012.