Dental Practitioners and Eating Disorders

Burgard, Melissa; Canevello, Amy; Mitchell, James; Zwaan, Martina de; Crosby, Ross D.; Wonderlich, Steve; Roerig, James L.; Addy, Nancy

doi:10.1080/10640260390167447

Cited by 11 publications

(13 citation statements)

References 4 publications

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“…The mean age at onset of EDs in the study group was 16 (range, [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] yr and the mean duration of the disease was 4.4 (range, 0.3-35) yr. Sixty-one per cent (n = 33) of patients had had an ED for more than 1 year. Almost half of the ED patients (n = 25) reported that they had induced vomiting.…”

Section: Resultsmentioning

confidence: 99%

“…As mentioned earlier, only a few dentists inform patients/parents about their suspicion of EDs, and dentists report insufficient knowledge of EDs (16). Consequently, an increased knowledge of EDs and their effect on oral health is likely to increase the probability of intervention by the dentist, which, in turn, could be of great value regarding early detection and intervention in patients with EDs (26).…”

Section: Discussionmentioning

confidence: 99%

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Eating disorders and oral health: a matched case–control study

Johansson

Norring

Unell

2012

European J Oral Sciences

116

162

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The aim was to compare the oral health status of patients with eating disorders (EDs), with sex- and age-matched controls, with a view to identify self-reported and clinical parameters that might alert the dental healthcare professional to the possibility of EDs. All patients who entered outpatient treatment in an ED clinic during a 12-month period were invited to participate. Of 65 ED patients who started psychiatric/medical treatment, 54 agreed to participate. Eating disorder patients and controls answered a questionnaire and underwent dental clinical examinations. Multivariate analysis identified significantly higher ORs for ED patients to present dental problems (OR = 4.1), burning tongue (OR = 14.2), dry/cracked lips (OR = 9.6), dental erosion (OR = 8.5), and less gingival bleeding (OR = 1.1) compared with healthy controls. Sensitivity and specificity for the correct classification of ED patients and controls using the five variables was 83% and 79%, respectively. The ED patients with vomiting/binge eating behaviors reported worse perceived oral health (OR = 6.0) and had more dental erosion (OR = 5.5) than those without such behavior. In ED patients with longer duration of the disease, dental erosion was significantly more common. In conclusion, oral health problems frequently affect ED patients, and this needs to be considered in patient assessment and treatment decisions.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Eating disorders and oral health: a matched case–control study

Johansson

Norring

Unell

2012

European J Oral Sciences

116

162

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“…Moreover, dental fear is common in persons with EDs , a condition that further complicates interaction with the dentist. This is confirmed in the literature, where dentists express different levels of difficulty when communicating about EDs with patients who the dentist suspects of having an ED . On the other hand, the literature on how persons with EDs experience dental visits is, to our knowledge, very sparse.…”

mentioning

confidence: 76%

Eating disorders: experiences of and attitudes toward oral health and oral health behavior

Dynesen

Gehrt

Klinker³

et al. 2018

European J Oral Sciences

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It is well known that early signs of eating disorders (EDs), such as dental erosion and enlarged salivary glands, may be recognized in the dental clinic. Dentists acknowledge that approaching a patient to discuss the suspicion of an ED is difficult. However, little is known about how persons with EDs experience and manage dental visits. Therefore, this study aimed to uncover knowledge, experience, and attitude of oral health and oral health behavior among persons with EDs. The study design was cross‐sectional and 260 persons with EDs completed an electronic questionnaire. The participants were generally concerned about their teeth. Some participants had anxiety around having severely and irreversibly damaged teeth, and many were overly occupied with oral hygiene procedures. One‐third of participants had good experiences regarding communication with a dentist, and about half of the participants wanted the dentist to address their EDs in the clinic. However, participants with less‐positive experiences stated that there is a need for dentists with specialized knowledge about EDs and communication skills that emphasize an open, empathic, recognition approach from the dentist toward patients with EDs. In addition, it may be advantageous to integrate dental advice and treatment as part of the treatment of EDs in line with psychological and medical therapy.

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“…5,36 It is interesting to consider that TE tends to be found on plaque-free tooth surfaces, although the presence of plaque is an essential factor for the progression of DC. 37,38 As a result, it still remains unclear whether DC and dental erosion are related and this might be an explanation to the literature lack of consensus referring to the association of both conditions and EDs.…”

Section: Discussionmentioning

confidence: 99%