Orofacial manifestations in outpatients with anorexia nervosa and bulimia nervosa focusing on the vomiting behavior

Lourenço, Maria Manuel Pais de Carvalho Martinho; Azevedo, Álvaro; Brandão, Isabel; Gomes, Pedro S.

doi:10.1007/s00784-017-2284-y

Cited by 43 publications

(73 citation statements)

References 48 publications

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“…The present study did not find differences in periodontal health between the groups. This finding agrees with Lourenço et al (24), who concluded that variations in results could be due to the differences in oral hygiene maintenance within the study population. Johansson et al (12) obtained a lower incidence of gingival bleeding in ED patients than a control group; the authors believed that this could be due to the fact that patients with EDs consider oral hygiene more important than control group subjects.…”

Section: Discussionsupporting

confidence: 92%

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

et al. 2019

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BackgroundThe 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.Material and MethodsThis 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%).ResultsThe 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.ConclusionsOn 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. Key words:Eating disorders, anorexia nervosa, bulimia nervosa, oral health, dental erosion.

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Section: Discussionsupporting

confidence: 92%

“…The rate of saliva flow in patients with EDs has been measured in numerous research papers (12,24,5). Our results show a significant decrease in the group of the EDG.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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“…Vitamin deficiency can aggravate periodontal disease and contribute to the rapid development of gingival inflammation and periodontal pockets . Vitamin C deficiency may result in reduced collagen synthesis, increased permeability of the crevicular epithelium to bacterial products, decreased integrity of the periodontal microvasculature, increased permeability to bacterial products, and reduced host immune response, delaying the motility of polymorphonuclear leukocytes . We observed that the ABN group presented worse periodontal health than the CN group.…”

Section: Discussionmentioning

confidence: 67%

Periodontal condition, changes in salivary biochemical parameters, and oral health‐related quality of life in patients with anorexia and bulimia nervosa

Chiba

Sumida

Moimaz

et al. 2019

Journal of Periodontology

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Background Anorexia and bulimia nervosa can have significant effects on oral health. Assessment of enzyme concentrations in saliva can be useful for obtaining information on molecular biomarkers for the prevention, monitoring, and diagnosis of oral diseases. This study investigated the periodontal condition, changes in salivary biochemical parameters, and oral health‐related quality of life (OHRQoL) in patients with anorexia and bulimia nervosa. Methods The study comprised 60 women patients who attended a Brazilian medical school. Participants were divided into two groups: patients with anorexia and bulimia nervosa (ABN; n = 30) and control patients (CN; n = 30). Oral clinical examinations were carried out to evaluate the periodontal condition by Community Periodontal Index, and interviews using the Oral Health Impact Profile (OHIP‐14) were conducted to assess OHRQoL. Saliva samples were collected for the evaluation of salivary concentrations of total protein, alanine aminotransferase (ALT), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), and thiobarbituric acid reactive substance (TBARS), and salivary flow rate. Results Periodontal condition in the ABN group was significantly worse than that in the CN group. The ABN group showed significantly higher salivary concentrations of total protein, AST, ALT, and LDH than the CN group. There was no significant difference in the salivary concentrations of TBARS among the groups. The OHIP‐14 score was higher in the ABN group than in the CN group. Conclusion Anorexia and bulimia nervosa are associated with poor periodontal condition, elevated salivary concentrations of total protein, AST, ALT, and LDH, decreased salivary flow rate and a significant adverse impact on OHRQoL.

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“…Authors report that bulimia is a variant of anorexia nervosa, concluding that bulimia may be an earlier form of this disease [27]. There are oral alterations that may increase the suspicion of a patient with bulimia, including larger jugal regions, signs of trauma in the jugal region, perimylolysis, dental erosion, dental hypersensitivity and increased visible vascularization of the entire oral mucosa; all these signs can be observed in patients with recurrent vomiting [10,28,29].…”

Section: Discussionmentioning

confidence: 99%

Necrotizing Sialometaplasia and Bulimia: A Case Report

et al. 2020

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Bulimia is an eating disorder with a great prevalence in young women. Due to its multifactor ethiology, bulimia has systemic consequences. In the literature, necrotising sialometaplasia is seldom associated with bulimia. Its etiopathogenesis is discussed by several authors; nevertheless, the consensus does not consider the relevance of local trauma associated with induced vomiting. A case of necrotising sialomethaplasia, presented with a single hard palatal ulcer in a bulimic woman is described in the present report. The patient did not present significant systemic laboratorial values, nor physical weight variations, which highlights the relevance of performing a complete medical clinical history when diagnosing this rare pathology.

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Orofacial manifestations in outpatients with anorexia nervosa and bulimia nervosa focusing on the vomiting behavior

Cited by 43 publications

References 48 publications

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

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

Periodontal condition, changes in salivary biochemical parameters, and oral health‐related quality of life in patients with anorexia and bulimia nervosa

Necrotizing Sialometaplasia and Bulimia: A Case Report

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