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

  1. Pablo Garrido Martínez 1
  2. A.A. Domínguez Gordillo 2
  3. Rocío Cerero Lapiedra 3
  4. Miguel Burgueño García 4
  5. María José Martínez Ramírez 5
  6. Carmen Gómez Candela 6
  7. José Luis Cebrián Carretero 7
  8. G. Esparza Gómez 8
  1. 1 DDS, PhD. Department of Bucofacial Medicine and Surgery, Faculty of Odontology, University Complutense of Madrid, Madrid, Spain
  2. 2 DDS, PhD. Department of Preventive Medicine, Public Health and History of the Science, Faculty of Medicine, University Complutense of Madrid, Madrid, Spain
  3. 3 MD, PhD. Department of Bucofacial Medicine and Surgery, Faculty of Odontology, University Complutense of Madrid, Madrid, Spain
  4. 4 MD, PhD. Department of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, Madrid, Spain
  5. 5 MD, PhD. Department of Endocrinology and Nutrition, Hospital Universitario Jaén, Spain
  6. 6 MD, PhD. Department of Endocrinology and Nutrition, Hospital Universitario La Paz, Madrid, Spain
  7. 7 MD,DDS, PhD. Department of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, Madrid, Spain
  8. 8 MD, PhD. Senior Professor. Department of Bucofacial Medicine and Surgery, Faculty of Odontology, University Complutense of Madrid, Madrid, Spain
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Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2019

Volumen: 24

Número: 5

Páginas: 7

Tipo: Artículo

DOI: 10.4317/MEDORAL.23010 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Objetivos de desarrollo sostenible

Resumen

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. 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%). 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). No significant differences between the groups were found for periodontal status, dental caries, or oral hygiene practices. On the basis of the results obtained, it is necessary to carry out oral/dental examination as soon as an ED is diagnosed with regular check-ups thereafter.

Referencias bibliográficas

  • Hudson, JI,Hiripi, E,Pope, HG,Kessler, RC. (2006). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 61. 348
  • Smink, FR,van Hoeken, D,Hoek, HW. (2012). Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep. 14. 406
  • Preti, A,Girolamo, Gd,Vilagut, G,Alonso, J,Graaf, Rd,Bruffaerts, R. (2009). The epidemiology of eating disorders in six European countries: results of the ESEMeD-WMH project. J Psychiatr Res. 43. 1125
  • Rodríguez-Cano, T,Beato-Fernández, L,Belmonte-Llario, A. (2005). New contributions to the prevalence of eating disorders in Spanish adolescents: detection of false negatives. Eur Psychiatry. 20. 173
  • Öhrn, R,Enzell, K,and Angmar-Månsson, B. (1999). Oral status of 81 subjects with eating disorders. Eur J Oral Sci Eur. 107. 157
  • Frydrych, AM,Davies, GR,McDermott, BM. (2005). Eating disorders and oral health: a review of the literature. Aust Dent J. 50. 6-15
  • Forney, KJ,Buchman-Schmitt, JM,Keel, PK,Frank, GK. (2016). The medical complications associated with purging. Int J Eat Disord. 49. 249
  • Romanos, GE,Javed, F,Romanos, EB,Williams, RC. (2012). Oro-facial manifestations in patients with eating disorders. Appetite. 59. 499-504
  • Hermont, AP,Pordeus, IA,Paiva, SM,Abreu, MHNG,Auad, SM. (2013). Eating disorder risk behavior and dental implications among adolescents. Int J Eat Disord. 46. 677
  • Bassiouny, MA. (2017). Oral health considerations in anorexia and bulimia nervosa. 1. Symptomatology and diagnosis. Gen dent. 65. 34-40
  • Lifante-Oliva, C,López-Jornet, P,Camacho-Alonso, F,Esteve-Salinas, J. (2008). Study of oral changes in patients with eating disorders. Int J Dent Hyg. 6. 119
  • Johansson, AK,Norring, C,Unell, L,Johansson, A. (2012). Eating disorders and oral health, a matched case-control study. Eur J Oral Sci. 120. 61
  • Panico, R,Piemonte, E,Lazos, J,Gilligan, G,Zampini, A,Lanfranchi, H. (2018). Oral mucosal lesions in Anorexia Nervosa, Bulimia Nervosa and EDNOS. J Psychiac Res. 96. 178
  • Johansson, AK,Johansson, A,Birkhed, D,Omar, R,Baghdadi, S,Carlsson, GE. (1996). Dental erosion, soft-drink intake, and oral health in young Saudi men, and the development of a system for assessing erosive anterior tooth wear. Acta Odontol Scan. 54. 369
  • Ramfjord, SP. (1967). The periodontal disease index (PDI). J Periodon. 38. 602
  • Manau, C. (1996). Medidas de prevalencia e incidencia de caries: Consideraciones sobre el uso inadecuado del índice CAO. Arch odontoes. 12. 403
  • Navazesh, M,Kumar, SK. (2008). Measuring salivary flow Challenges and opportunities. J Am Dent Assoc. 139. 35-40
  • Fernández-Aranda, F,Krug, I,Granero, R,Ramón, JM,Badia, A,Giménez, L. (2007). Individual and family eating patterns during childhood and early adolescence: an analysis of associated eating disorder factors. Appetite. 49. 476
  • Bravo Pérez, M,Almerich Silla, JM,Ausina Márquez, V,Avilés Gutiérrez, P,Blanco González, JM,Canorea Díaz, E. (2016). Encuesta de salud oral en España 2015. RCOE. 21. 8-48
  • Radoï, L,Luce, D. (2013). A review of risk factors for oral cavity cancer: the importance of a standardized case definition. Community Dent Oral Epidem. 41. 97-109
  • Krug, I,Treasure, J,Anderluh, M,Bellodi, L,Cellini, E,Di Bernardo, M. (2008). Present and lifetime comorbidity of tobacco, alcohol and drug use in eating disorders: A European multicenter study. Drug Alcohol Depend. 97. 169
  • Piper, ME,Smith, SS,Schlam, TR,Fleming, MF,Bittrich, AA,Brown, JL. (2010). Psychiatric disorders in smokers seeking treatment for tobacco dependence: relations with tobacco dependence and cessation. J Consult Clin Psychol. 78. 13
  • Javed, F,Nasstrom, K,Benchimol, D,Altamash, M,Klinge, B,Engstrom, PE. (2007). Comparison of periodontal and socioeconomic status between subjects with type 2 diabetes mellitus and non-diabetic controls. J Periodontol. 78. 2112
  • Lourenço, M,Azevedo, A,Brandão, I,Gomes, PS. (2018). Orofacial manifestations in outpatients with anorexia nervosa and bulimia nervosa focusing on the vomiting behavior. Clin Oral Investig. 22. 1915
  • Jugale, PV,Pramila, M,Murthy, AK,Rangath, S. (2014). Oral manifestations of suspected eating disorders among women of 20-25 years in Bangalore City, India. J Health Popul Nutr. 32. 46
  • Almazrooa, SA,Woo, SB,Mawardi, H,Treister, N. (2013). Characterization and management of exfoliative cheilitis: a single-center experience. Oral Surg Oral Med Oral pathol and Oral Radiolol. 116. 485
  • Steinberg, BJ. (1999). Women's oral health issues. J Dent Educ. 63. 271
  • Brownridge, E. (1994). Eating disorders and oral health. How the dentist can help. Ont Dent. 71. 15-18
  • Bydlowski, S,Corcos, M,Jeammet, P,Paterniti, S,Berthoz, S,Laurier, C. (2005). Emotion-processing deficits in eating disorders. Int J Eat Disord. 37. 321
  • Milosevic, A,Brodie, DA,Slade, PD. (1997). Dental erosion, oral hygiene, and nutrition in eating disorders. Int J Eat Disord. 21. 195
Fuente de los datos: Dialnet