关键词: behavior dental caries eating disorders saliva tooth erosion

来  源:   DOI:10.3390/life13122297   PDF(Pubmed)

Abstract:
BACKGROUND: Chronic stomach regurgitation associated with eating disorders (EDs) poses a high risk for tooth erosion. This study investigated oral health conditions, behavioral patterns, and tooth erosion in women with EDs.
METHODS: 16 ED and 13 healthy women were enrolled; 14 ED and 10 healthy control subjects completed the study. Subjects completed demographic, medical, oral, and behavioral health history questionnaires. Dental caries status was recorded as Decayed, Missing and Filled Teeth (DMFT)index and the severity of tooth erosion as Basic Erosive Wear Examination (BEWE) scores. Saliva was collected for flow rate, pH, and buffering capacity analysis.
RESULTS: The ED group had a lower stimulated saliva flow rate and higher DMFT index but no significant difference in BEWE scores compared to the controls (t-test, significance level 0.05). Five of the fourteen ED subjects exhibited extensive tooth erosion, which may have been exacerbated by their tooth-brushing behavior.
CONCLUSIONS: Although some ED subjects showed extensive tooth erosion in this pilot study, the average BEWE score of the ED group was not significantly different from the controls. Extensive tooth erosion in ED may relate to the low stimulated salivary flow. A larger-scale clinical study is necessary to validate these results.
摘要:
背景:与进食障碍(ED)相关的慢性胃反流构成了牙齿侵蚀的高风险。这项研究调查了口腔健康状况,行为模式,和患有ED的女性的牙齿侵蚀。
方法:纳入16名ED和13名健康女性;14名ED和10名健康对照受试者完成了研究。受试者完成了人口统计,medical,口服,和行为健康史问卷。龋齿状态记录为腐烂,缺失和填充牙齿(DMFT)指数和牙齿侵蚀的严重程度作为基本侵蚀磨损检查(BEWE)评分。收集唾液的流速,pH值,和缓冲能力分析。
结果:ED组的刺激唾液流速较低,DMFT指数较高,但BEWE评分与对照组相比无显着差异(t检验,显著性水平0.05)。十四个ED受试者中有五个表现出广泛的牙齿侵蚀,这可能因他们的刷牙行为而加剧。
结论:尽管一些ED受试者在这项初步研究中表现出广泛的牙齿侵蚀,ED组的平均BEWE评分与对照组无显著差异.ED中广泛的牙齿侵蚀可能与低刺激的唾液流量有关。需要更大规模的临床研究来验证这些结果。
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