背景:进食障碍(ED)对健康构成重大风险,尤其是在没有早期诊断的时候。几年来,人们对ED和口腔健康进行了广泛的研究,现在很清楚特定的口腔表现与这些疾病之间存在相关性。虽然这些口腔体征可能有助于ED的早期诊断,他们的识别和最终建立的相关性目前严重限于临床医生的经验。本系统综述严格审查现有文献,提供与ED相关的口腔牙齿表现的最新概述。
方法:MEDLINE(通过PubMed),WebofScience,Scopus,搜索了灰色文献,并使用Rayyan软件对相关流行病学比较研究进行筛选。关于口腔牙科结果的研究没有受到任何限制,包括所有医学诊断的ED。使用用于横断面研究的AXIS评估工具评估研究的质量。
结果:在3990项研究中,32符合资格标准并包括在合成中。确定的饮食失调包括神经性厌食症,神经性贪食症和/或进食障碍未另作说明,主要在女性受试者中,主要来自欧洲。评估的口腔牙齿结果包括牙齿侵蚀,龋齿,唾液评估,卫生-牙周参数,和粘膜组织外观。牙龈衰退时,与侵蚀的关联得到证实,牙本质过敏,唾液流量阈值和与口腔病理学相关的方面正从新出现的证据中获得越来越多的支持.
结论:这一趋势强调了完整的口内检查对检测可能表明ED发作的显著口牙征象的关键作用。
这篇文章是对现有研究的回顾,这些研究探讨了饮食失调和口腔健康问题之间的联系。它发现有饮食失调的人,包括神经性厌食症和神经性贪食症,可能会遇到牙齿问题,如牙齿侵蚀,空腔,并改变了唾液的产生。审查结果强调了牙科护理提供者尽早认识到这些迹象的重要性,并建议对牙科专业人员进行更好的培训。通过这样做,它们可以帮助更快地诊断饮食失调并建议适当的治疗。这种方法旨在通过解决口腔健康问题和潜在的饮食失调来改善患者的整体健康状况。使患者和医疗团队意识到口腔健康和饮食失调之间的相互联系至关重要。
BACKGROUND: Eating disorders (EDs) pose a significant risk to health, especially when not diagnosed early. For several years EDs and oral health has been extensively studied, and now it is quite clear the existence of a correlation between specific oral manifestations and these disorders. While these oral signs could potentially aid early diagnosis of EDs, their identification and the eventual establishment of a correlation is currently heavily limited to the clinician\'s experience. The present systematic review critically examines existing literature, offering an updated overview of oro-dental manifestations associated with EDs.
METHODS: MEDLINE (via PubMed), Web of Science, Scopus, and grey literature were searched, and relevant epidemiological comparative studies were screened using the Rayyan software. No limitations have been imposed on the research regarding oro-dental outcomes, encompassing all medically diagnosed EDs. The quality of the studies was valuated using AXIS appraisal tool for cross-sectional studies.
RESULTS: Out of 3990 studies, 32 fulfilled the eligibility criteria and were included in the synthesis. The identified eating disorders include Anorexia Nervosa, Bulimia Nervosa and/or Eating Disorders Not Otherwise Specified, predominantly among female subjects, primarily originating from Europe. The evaluated oro-dental outcomes include dental erosion, caries, saliva assessment, hygiene-periodontal parameters, and mucosal tissue appearance. The association with erosion is confirmed while gingival recession, dentinal hypersensitivity, salivary flow thresholds and aspects relating to oral pathology are receiving increasing support from emerging evidence.
CONCLUSIONS: This trend emphasizes the critical role of the complete intraoral examination to detect significant oro-dental signs that may indicate the onset of an ED.
The article is a review of existing studies that explores the link between eating disorders and oral health issues. It found that people with eating disorders, including anorexia nervosa and bulimia nervosa, may experience dental problems such as tooth erosion, cavities, and altered saliva production. The review findings emphasize the importance of dental care providers recognizing these signs early and suggests better training for dental professionals. By doing so, they can help diagnose eating disorders sooner and recommend appropriate treatment. This approach aims to improve patients’ overall wellbeing by addressing both the oral health issues and the underlying eating disorders, making it essential for patients and medical teams to be aware of the interconnectedness between oral health and eating disorders.