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Clinical Oral Investigations

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25.11.2017 | Original Article

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

verfasst von: Maria Lourenço, Álvaro Azevedo, Isabel Brandão, Pedro S. Gomes

Erschienen in: Clinical Oral Investigations | Ausgabe 5/2018

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Abstract

Objective

This case-control study aims to evaluate the oral health status and orofacial problems in a group of outpatients with eating disorders (ED)—either anorexia nervosa (AN) or bulimia nervosa (BN)—further focusing on the influence of vomit.

Materials and methods

Fifty-five women outpatients with AN or BN diagnosis were invited to participate, of which 33 agreed. ED outpatients and matched controls were submitted to a questionnaire and clinical oral examination.

Results

Multivariate analysis identified a significantly higher incidence of teeth-related complications (i.e., tooth decay, dental erosion, and self-reported dentin hypersensitivity), periodontal disease, salivary alterations (i.e., hyposalivation and xerostomia), and oral mucosa-related complications in ED outpatients. Dental erosion, self-reported dentin hypersensitivity, hyposalivation, xerostomia, and angular cheilitis were found to be highly correlated with the vomiting behavior.

Conclusions

ED outpatients were found to present a higher incidence of oral-related complications and an inferior oral health status, compared to gender- and age-matched controls. Alterations verified within outpatients were acknowledged to be quite similar to those previously reported within inpatients, in both of nature and severity, thus sustaining that the cranio-maxillofacial region is significantly affected by ED, even in the early/milder forms of the condition, as expectedly verified within outpatients.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition: Arlington, VA. American Psychiatric Pub; 2013. ISBN 978-0-5 89042-554-1

Jugale P, Pramila M, Murthy A, Rangath S (2014) Oral manifestations of suspected eating disorders among women of 20–25 years in Bangalore City, India. J Health Popul Nutr 32(1):46–50PubMedPubMedCentral

Yagi T, Ueda H, Amitani H, Asakawa A, Miyawaki S, Inui A (2012) The role of ghrelin, salivary secretions, and dental care in eating disorders. Nutrients 4(12):967–989. https://doi.org/10.3390/nu4080967 PubMedPubMedCentralCrossRef

World Health Organization. ICD-10 Version: 2015. International Statistical Classification of Diseases and Related Health Problems, 10th Revision 2015

Johansson AK, Norring C, Unell L, Johansson A (2012) Eating disorders and oral health: a matched case–control study. Eur J Oral Sci 120(1):61–68. https://doi.org/10.1111/j.1600-0722.2011.00922.x PubMedCrossRef

Öhrn R, Enzell K, Angmar-Månsson B (1999) Oral status of 81 subjects with eating disorders. Eur J Oral Sci 107(3):157–163. https://doi.org/10.1046/j.0909-8836.1999.eos1070301.x PubMedCrossRef

Kisely S, Baghaie H, Lalloo R, Johnson N (2015) Association between poor oral health and eating disorders: systematic review and meta-analysis. Br J Psychiatry 207(4):299–305. https://doi.org/10.1192/bjp.bp.114.156323 PubMedCrossRef

Lo Russo L, Campisi G, Di Fede O, Di Liberto C, Panzarella V, Lo Muzio L (2008) Oral manifestations of eating disorders: a critical review. Oral Dis 14(6):479–484. https://doi.org/10.1111/j.1601-0825.2007.01422.x PubMedCrossRef

Frydrych A, Davies G, McDermott B (2005) Eating disorders and oral health: a review of the literature. Aust Dent J 50(1):6–15. https://doi.org/10.1111/j.1834-7819.2005.tb00079.x PubMedCrossRef

10.

Meurman J, Toskala J, Nuutinen P, Klemetti E (1994) Oral and dental manifestations in gastroesophageal reflux disease. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 78(5):583–589. https://doi.org/10.1016/0030-4220(94)90168-6 CrossRef

11.

Meads C, Gold L, Burls A (2001) How effective is outpatient care compared to inpatient care for the treatment of anorexia nervosa? A systematic review. Eur Eat Disord Rev 9(4):229–241. https://doi.org/10.1002/erv.406 CrossRef

12.

Pritts S, Susman J (2003) Diagnosis of eating disorders in primary care. Am Fam Physician 67(2):297–304PubMed

13.

Aranha A, Eduardo C, Cordás T (2008) Eating disorders. Part I: psychiatric diagnosis and dental implications. J Contemp Dent Pract 9(6):73–81PubMed

14.

Emodi-Perlman A, Yoffe T, Rosenberg N, Eli I, Alter Z, Winocur E (2008) Prevalence of psychologic, dental, and temporomandibular signs and symptoms among chronic eating disorders patients: a comparative control study. J Orofac Pain 22(3):201–208PubMed

15.

Machado PP, Martins C, Vaz AR, Conceição E, Bastos AP, Gonçalves S (2014) Eating disorder examination questionnaire: psychometric properties and norms for the Portuguese population. Eur Eat Disord Rev 22(6):448–453. https://doi.org/10.1002/erv.2318 PubMedCrossRef

16.

World Health Organization. Oral health surveys: basic methods. 5th edition ed: World Health Organization; 2013

17.

Savage A, Eaton K, Moles D, Needleman I (2009) A systematic review of definitions of periodontitis and methods that have been used to identify this disease. J Clin Periodontol 36(6):458–467. https://doi.org/10.1111/j.1600-051X.2009.01408.x PubMedCrossRef

18.

Dynesen A, Bardow A, Peterson B, Nielsen L, Nauntofte B (2008) Salivary changes and dental erosion in bulimia nervosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008:696–707CrossRef

19.

Kumar N, Panchaksharappa M, Annigeri R (2014) Modified schirmer test—a screening tool for xerostomia among subjects on antidepressants. Arch Oral Biol 59(8):829–834. https://doi.org/10.1016/j.archoralbio.2014.05.008 PubMedCrossRef

20.

Fairburn C, Harrison P (2003) Eating disorders. Lancet 361(9355):407–416. https://doi.org/10.1016/S0140-6736(03)12378-1 PubMedCrossRef

21.

Touyz S, Liew V, Tseng P, Frisken K, Williams H, Beumont P (1993) Oral and dental complications in dieting disorders. Int J Eat Disord 14(3):341–347. https://doi.org/10.1002/1098-108X(199311)14:3<341::AID-EAT2260140312>3.0.CO;2-X PubMedCrossRef

22.

Philipp E, Willershausen-Zönnchen B, Hamm G, Pirke K (1991) Oral and dental characteristics in bulimic and anorectic patients. Int J Eat Disord 10(4):423–431. https://doi.org/10.1002/1098-108X(199107)10:4<423::AID-EAT2260100407>3.0.CO;2-N CrossRef

23.

Hermont A, Oliveira P, Martins C, Paiva S, Pordeus I, Auad S (2014) Tooth erosion and eating disorders: a systematic review and meta-analysis. PLoS One 7:e111123CrossRef

24.

Ganss C, Lussi A, Schlueter N (2012) Dental erosion as oral disease. Insights in etiological factors and pathomechanisms, and current strategies for prevention and therapy. Am J Dent 25(6):351–364PubMed

25.

Ganss C (2006) Definition of erosion and links to tooth wear. Monogr Oral Sci 20:9–16. https://doi.org/10.1159/000093344 PubMedCrossRef

26.

Veronese N, Solmi M, Rizza W, Manzato E, Sergi G, Santonastaso P, Caregaro L, Favaro A, Correll C (2015) Vitamin D status in anorexia nervosa: a meta-analysis. Int J Eat Disord 48(7):803–813. https://doi.org/10.1002/eat.22370 PubMedCrossRef

27.

Uhlen M-M, Tveit A, Refsholt Stenhagen K, Mulic A (2014) Self-induced vomiting and dental erosion—a clinical study. BMC Oral Health 14:1–7CrossRef

28.

West N, Lussi A, Seong J, Hellwig E (2013) Dentin hypersensitivity: pain mechanisms and aetiology of exposed cervical dentin. Clin Oral Invest 17(S1):9–19. https://doi.org/10.1007/s00784-012-0887-x CrossRef

29.

Olley R, Moazzez R, Bartlett D (2015) The relationship between incisal/occlusal wear, dentine hypersensitivity and time after the last acid exposure in vivo. J Dent 43(2):248–252. https://doi.org/10.1016/j.jdent.2014.11.002 PubMedCrossRef

30.

West N, Sanz M, Lussi A, Bartlett D, Bouchard P, Bourgeois D (2013) Prevalence of dentine hypersensitivity and study of associated factors: a European population-based cross-sectional study. J Dent 41(10):841–851. https://doi.org/10.1016/j.jdent.2013.07.017 PubMedCrossRef

31.

Riad M, Barton J, Wilson J, Freeman C, Maran A (1991) Parotid salivary secretory pattern in bulimia nervosa. Acta Otolaryngol 111(2):392–395. https://doi.org/10.3109/00016489109137408 PubMedCrossRef

32.

Paszynska E, Schlueter N, Slopien A, Dmitrzak-Weglarz M, Dyszkiewicz-Konwinska M, Hannig C (2015) Salivary enzyme activity in anorexic persons—a controlled clinical trial. Clin Oral Investig 19(8):1981–1989. https://doi.org/10.1007/s00784-015-1442-3 PubMedCrossRef

33.

Paszyńska E, Jurga-Krokowicz J, Shaw H (2006) The use of parotid gland activity analysis in patients with gastro-esophageal reflux disease (GERD) and bulimia nervosa. Adv Med Sci 51:208–213PubMed

34.

Di Fede O, Di Liberto C, Occhipinti G, Vigneri S, Lo Russo L, Fedele S, Lo Muzio L, Campisi G (2008) Oral manifestations in patients with gastro-oesophageal reflux disease: a single-center case-control study. J Oral Pathol Med 37(6):336–340. https://doi.org/10.1111/j.1600-0714.2008.00646.x PubMedCrossRef

35.

Kruger S, Kennedy S (2000) Psychopharmacotherapy of anorexia nervosa, bulimia nervosa and binge-eating disorder. J Psychiatry Neurosci 25(5):497–508PubMedPubMedCentral

36.

Liew V, Frisken K, Touyz S, Beumont P, Williams H (1991) Clinical and microbiological investigations of anorexia nervosa. Aust Dent J 36(6):435–441. https://doi.org/10.1111/j.1834-7819.1991.tb04722.x PubMedCrossRef

37.

Milosevic A, Dawson L (1996) Salivary factors in vomiting bulimics with and without pathological tooth wear. Caries Res 30(5):361–366. https://doi.org/10.1159/000262343 PubMedCrossRef

38.

Milosevic A, Slade P (1989) The orodental status of anorexics and bulimics. Br Dent J 167(2):66–70. https://doi.org/10.1038/sj.bdj.4806915 PubMedCrossRef

39.

Altshuler B, Dechow P, Waller D, Hardy B (1990) An investigation of the oral pathologies occurring in bulimia nervosa. Int J Eat Disord 9(2):191–199. https://doi.org/10.1002/1098-108X(199003)9:2<191::AID-EAT2260090208>3.0.CO;2-N CrossRef

40.

Roberts M, Li S (1987) Oral findings in anorexia e bulimia nervosa: a study of 47 cases. J Am Dent Assoc 115(3):407–410. https://doi.org/10.14219/jada.archive.1987.0262

41.

Brown S, Bonifazi D (1993) An overview of anorexia e bulimia nervosa, and the impact of eating disorders on the oral cavity. Cont Educ Dent 14:1594–1608

42.

Wathen W, Maloney L, Roberts M, Li S-H (1987) Oral findings in anorexia nervosa and bulimia nervosa: a study of 47 cases. J Am Dent Assoc 115:407–410CrossRef

43.

Milosevic A, Brodie D, Slade P (1997) Dental erosion, oral hygiene, and nutrition in eating disorders. Int J Eat Disord 21(2):195–199. https://doi.org/10.1002/(SICI)1098-108X(199703)21:2<195::AID-EAT11>3.0.CO;2-1 PubMedCrossRef

44.

Anzengruber D, Klump KL, Thornton L, Brandt H, Crawford S, Fichter M, Halmi K, Johnson C, Kaplan A, LaVia M, Mitchell J, Strober M, Woodside D, Rotondo A, Berrettini W, Kaye W, Bulik C (2006) Smoking in eating disorders. Eat Behav 7(4):291–299. https://doi.org/10.1016/j.eatbeh.2006.06.005 PubMedCrossRef

45.

Dietrich T, Bernimoulin J-P, Glynn R (2004) The effect of cigareté smoking on gingival bleeding. J Periodontol 75(1):16–22. https://doi.org/10.1902/jop.2004.75.1.16 PubMedCrossRef

46.

Warnakulasuriya S, Dietrich T, Bornstein M, Peidró E, Preshaw P, Walter C, Wennström J, Bergström J (2010) Oral health risks of tobacco use and effects of cessation. Int Dent J 60(1):7–30PubMed

47.

Bergström J, Eliasson S, Dock J (2000) Exposure to tobacco smoking and periodontal health. J Clin Periodontol 27(1):61–68. https://doi.org/10.1034/j.1600-051x.2000.027001061.x PubMedCrossRef

48.

Meyle J, Gonzales J (2001) Influences of systemic diseases on periodontitis in children and adolescents. Periodontol 26(1):92–112. https://doi.org/10.1034/j.1600-0757.2001.2260105.x CrossRef

49.

Khocht A, Albandar J (2014) Aggressive forms of periodontitis secondary to systemic disorders. Periodontol 65(1):134–148. https://doi.org/10.1111/prd.12015 CrossRef

50.

Winston A, Jamieson C, Madira W, Gatward N, Palmer R (2000) Prevalence of thiamin deficiency in anorexia nervosa. Int J Eat Disord 28(4):451–454. https://doi.org/10.1002/1098-108X(200012)28:4<451::AID-EAT14>3.0.CO;2-I PubMedCrossRef

51.

McMahon L, Schwartz K, Yilmaz O, Brown E, Ryan L, Diamond G (2011) Vitamin D-mediated induction of innate immunity in gingival epithelial cells. Infect Immun 79(6):2250–2256. https://doi.org/10.1128/IAI.00099-11 PubMedPubMedCentralCrossRef

52.

Hadigan C, Anderson E, Miller K, Hubbard J, Herzog D, Klibanski A, Grinspoon S (2000) Assessment of macronutrient and micronutrient intake in women with anorexia nervosa. Int J Eat Disord 28(3):284–292. https://doi.org/10.1002/1098-108X(200011)28:3<284::AID-EAT5>3.0.CO;2-G PubMedCrossRef

53.

Gaur S, Agnihotri R (2016) Trace mineral micronutrients and chronic periodontitis—a review. Biol Trace Elem Res 176:1–14

54.

Abrams R, Ruff J (1986) Oral signs and symptoms in the diagnosis of bulimia. J Am Dent Assoc 113(5):761–764. https://doi.org/10.14219/jada.archive.1986.0284

55.

Thoppay J, De Rossi S, Ciarrocca K (2013) Burning mouth syndrome. Dent Clin N Am 57(3):497–512. https://doi.org/10.1016/j.cden.2013.04.010 PubMedCrossRef

56.

Davies S, Underhill H, Abdel-Karim A, Christmas D, Bolea-Alamanac B, Potokar J, Herrod J, Prime S (2016) Individual oral symptoms in burning mouth syndrome may be associated differentially with depression and anxiety. Acta Odontol Scand 74(2):155–160. https://doi.org/10.3109/00016357.2015.1100324 PubMedCrossRef

57.

Jääskeläinen S (2012) Pathophysiology of primary burning mouth syndrome. Clin Neurophysiol 123(1):71–77. https://doi.org/10.1016/j.clinph.2011.07.054 PubMedCrossRef

Titel: Orofacial manifestations in outpatients with anorexia nervosa and bulimia nervosa focusing on the vomiting behavior
verfasst von: Maria Lourenço
Álvaro Azevedo
Isabel Brandão
Pedro S. Gomes
Publikationsdatum: 25.11.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 5/2018
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-017-2284-y

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

Abstract

Objective

Materials and methods

Results

Conclusions

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Abstract

Objective

Materials and methods

Results

Conclusions

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