Eating disorders: experiences of and attitudes toward oral health and oral health behavior (original) (raw)
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Eating Disorders: Assessment of Knowledge on a Dentist's Sample
International Journal of Child Health and Nutrition, 2015
Aim: To analyze the knowledge and experience of dentists with private practices in the Sassari district with regard to eating disorders and clinical stomatology manifestations. Methods: A questionnaire to investigate dentists' knowledge and experience was created and submitted to a random sample of dentists. Data were collected and analysed using the Stata SE 10 software. Results: In total, 150 dentists were enrolled (a representative sample). After questionnaire evaluation, the following results were obtained: 80.7% (121) of the participants had a degree in dentistry and 19.3% (29) had degrees in medicine with a dentistry master of science diploma, 46% (69) were males and 54% (81) were females, their age range was 25-62 (mean, 36.1) years, and the average work experience was 11.5 (range, 1-36) years. More than 90% of the participants defined eating disorders only as bulimia and anorexia. Of the dentists, 77.3% (116) correctly identified Western populations as the most affected, whereas 52.7% identified only whites as the most affected people. In total, 80% of the dentists recognised dental erosion and abrasion as typical oral manifestations. Only 62% stated that salivary pH decreases in these conditions, and 63% did not recognise parotid gland tumefaction as a clinical sign. Regarding operator experience, 60.7% (91 dentists) had clinical experience of patients with eating disorders: 43.9% of them had made diagnoses from oral manifestations, 51.3% (77) were not able to treat these patients, and 69.3% (104) would refer patients to specialized centres for treatment. Moreover, 119 (79.3%) considered that a dental hygienist was a valid collaborator for the treatment of oral cavity manifestations. Regarding prophylaxis, 16.7% (25) suggested fluoride prophylaxis and 21.3% (32) oral hygiene education. Only 1.3% indicated the use of bicarbonate to change salivary pH values, suggested conservative or prosthetic restorations, suggested the use of saliva substitutes, or the sealing of permanent teeth. Difficulties in clinically treating these patients were related to a lack of knowledge for 72% (108) of participants. Of them, 36.7% (55) had studied the clinical aspects of this pathology while attending dental school and 24.7% (37) after their degree. In total, 94.7% (142) expressed the need for further information and only 2% (3) considered they had sufficient clinical knowledge. Conclusions: It is evident that there is a lack of knowledge regarding the problem and there would seem to be an urgent need to provide more training programs and to establish guidelines for the diagnosis and treatment of eating disorders among dentists. In our opinion, the acquisition of such knowledge will change the approach to related pathology, improving clinical skills, and subsequently diagnosis and treatment.
Dentists and eating disorders--knowledge, attitudes, management and experience
Swedish dental journal, 2009
The aims of the present study were to explore the level of knowledge and attitudes among dentists in relation to patients with eating disorders (ED) and evaluate the extent to which patients with ED are identified and/or treated in the dental setting. A postal questionnaire was constructed and sent to all dentists (n = 367) in two Swedish counties during November 2005. The questionnaire comprised 29 questions or statements in the following categories: demographics, general knowledge of ED and its oral consequences, experience of and attitudes towards patients with ED and interaction within the health care system, for example, referrals and treatment options regarding this patient group. The response rate was 70% (n = 258). Perceived knowledge about ED was most commonly obtained from media sources, namely newspapers, television, etc. Few dentists knew that there existed specialized referral units for ED patients in their county. The majority of dentists stated that they had seen only...
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.
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.
Knowledge and Practice of Eating Disorders among a Group of Adolescent Dental Patients
Journal of Clinical Pediatric Dentistry, 2013
Objectives: The objectives are to ascertain how much is known about the eating disorders of bulimia and anorexia nervosa in a group of female adolescents, to determine if they had practiced behaviors consistent with these eating disorders, and to determine if there was a disconnect with actual and perceived healthy weight status. Study Design: 126 research subjects completed a survey instrument. Embedded in the eighteen question survey were the five “SCOFF” questions, to determine if an eating disorder may exist. The BMI percentile was obtained for all participants. Results: 18.3% of the research sample may have an eating disorder as predicted by the SCOFF questions. Of those with a suspected eating disorder, only 38% could correctly identify the best description of bulimia nervosa and 50% for anorexia nervosa. The BMI percentiles were higher in the group suspected of having an eating disorder. Conclusions: Young adolescent females are at risk for eating disorders. Educational inter...
Sanjeev B. Khanagar, Razan Aldhibi, Sara Alkattab, Lama Alosail, Huda Alaqail, Afrah Almotairi, Rahaf Almikhem
Objectives: The aim of this study was to assess the knowledge, attitude, management, and clinical experience of dentists regarding patients with eating disorder in Saudi Arabia. Method and Methods: A cross-sectional analytical study was conducted to assess and evaluate the knowledge, attitude, management, and clinical experience of dentists regarding patients with eating disorders in Saudi Arabia. Participants for this study were male and female dental practitioners working in governmental or private sector and willing to participate (n= 485). Data was collected using a self-administered structured questionnaire, which consisted of 25 items related to socio-demographics of the participating dentists, their knowledge of ED, clinical experience, attitudes and perceived management preferences. Results: The majority of participants were Saudi female. About 85% (422) of the participants, were aware of eating disorders (ED). More than 45% (230) of the participants rated themselves as average with regards to overall knowledge about ED. 40% (195) were not sure if they could diagnose patients with bulimia nervosa but anticipated that they could. More than half of the participants 54.8% (276) stated that they are qualified enough to provide dental care for eating disorder patients. More than 60% (323) stated that they have never treated patients with eating disorders. About 60% (288) of the professions informed patient and/or parent and referred them for consultation when they were suspected to have ED. Conclusion: According to these findings, dentists in Saudi Arabia reported average knowledge regarding ED and insufficient clinical experience. Therefore, there is a need to increase both undergraduate and continuing education in this field to improve the management that a dentist can provide for ED patients.
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.
Eating disorders: Condition of interest to a restoring dentist: A narrative review
IP innovative publication pvt. ltd, 2019
Abstract Eating disorders (EDs) are psychosocial conditions having a significant impact on the patient’s general and oral health status. Since dentists are usually the first health professionals to encounter patients with EDs, it is important to be aware of the characteristic presentations of these disorders. This narrative review aims to provide a knowledge base for restoring dentists about three main eating disorders –Anorexia nervosa, Bulimia nervosa and Binge Eating Disorders, their systemic and oral manifestations, protocol for preventive care and comprehensive treatment plan. Literature search was conducted in electronic databases and 60 articles were selected for the review. Considerable emphasis is placed on diagnosis and management of such disorders. These patients pose a challenging situation to the dental fraternity, since most restoring dentists are unaware of the fundamental importance of their role in the multidisciplinary treatment and due to lack of training regarding strategies involved in their dental treatment. Keywords: Eating disorders, Oral manifestations, Diagnosis, Prosthodontic management.
Journal of Eating Disorders, 2019
Background: It is recognized that eating disorders are serious psychosocial illnesses that affect many adolescents and adults. A pre and post survey study was developed to assess demographics, oral health knowledge and selfimage of patients with eating disorders participating in a hospital-based eating disorder clinic using an original oral health education program. The program's aim is to change the self-image and oral health practices of patients with anorexia-binge eating/purging (AN-BP) and bulimia nervosa (BN) disorders. Methods: A pre-survey was completed by each study participant prior to attending the three educational sessions over a six-week period. A post survey questionnaire was completed after participation in all the educational presentations. Forty-six patients attended all three educational sessions and completed the pre and postquestionnaires. Results: Most patients knew in advance that AN-BP and BN behavior can cause erosion of the teeth but only 30% knew the most likely location for the erosion to occur. But, following completion of the educational interventions, 73% answered the location correctly. Patients who reported going to the dentist regularly were significantly more likely to respond that their teeth/mouth had a positive effect on how they looked to themselves and to others, their general health, and their general happiness. Positive responses to the effect of the teeth/mouth on kissing and romantic relationships were also significantly higher for those who go to the dentist regularly compared to those who do not. Conclusions: There is a need to further understand AN-BP and BP patients' oral health knowledge and self-image perceptions as it relates to their smile (teeth, mouth) to assist in developing a standardized oral health program for eating disorder centers to implement into their daily curricula. A dental team member in an interdisciplinary eating disorder treatment team is important. Including an oral health education program improves patients' oral hygiene and oral health knowledge, as well as provides a supportive environment to empower the patients to take control of their overall oral health. Trial registration: This study was retrospectively registered on April 18, 2019 in ClinicalTrials.gov, Identifier: NCT03921632.
Oral Manifestations of Eating Disorders : Indications for a Collaborative Treatment Approach
2013
T he effects of self-induced starvation and chronic vomiting can cause significant and often irreversible changes of the dentition and oral cavity, besides the complex medical and psychiatric symptoms. A dental emergency may be the patient's first confrontation of damage and deleterious sequelae caused by the eating disorder. The dental complications can cause crumbling teeth, loss of restorations, abscesses, and pain, which can intensify the patient's narcissistic vulnerability. With the aim of facilitating optimal patient care for the eating disorder patient, this paper will review the dental literature on the oral and dental manifestations, describe current dental management, and finally, discuss the guidelines for consultation liaison between dentistry and psychiatry.