Dental and periodontal health in adults with eating disorders: A case-control study. (May 2019)

• Record Type: Journal Article
• Authors: Pallier, Alice; Karimova, Anna; Boillot, Adrien; Colon, Pierre; Ringuenet, Damien; Bouchard, Philippe; Rangé, Hélène
• Is Part Of: Journal of dentistry. Volume 84(2019:May)
• Page Start: 55
• Page End: 59
• Publication Date: 2019-05
• Subjects: Eating disorders -- Anorexia nervosa -- Bulimia nervosa -- Erosive tooth wear -- Gingival recession -- Gingivitis; Dentistry -- Periodicals; Dentistry -- Periodicals; Dentisterie -- Périodiques; Electronic journals; 617.6005
• DOI: 10.1016/j.jdent.2019.03.005
• Languages: English
• ISSNs: 0300-5712

Abstract

Abstract: Objectives: This study evaluates dental and periodontal health in anorexia nervosa and bulimia nervosa patients. Methods: Seventy females with eating disorders (36 anorexia nervosa) attending a public hospital Psychiatry and Addiction unit were compared with age-matched controls (n = 70). Full-mouth examination and oral hygiene behaviours were recorded for all participants. Results: More frequent dental attendance and toothbrushing were observed in patients with eating disorders than in controls ( p < 0.01), while lower plaque index and bleeding on probing were observed in controls than in patients ( p ≤ 0.03). Percentages of sites with gingival recession >2 mm were higher in patients with eating disorders than in controls (2.3 ± 4.1 versus 0.0 ± 0.1, p < 0.01). The BEWE score >2 was significantly more frequent in bulimia nervosa patients than in anorexia nervosa patients (76.5% versus 41.7%, p < 0.01). Regarding periodontal parameters, mean plaque index, bleeding on probing and clinical attachment loss were increased in anorexia nervosa patients compared to bulimia nervosa patients. Conclusions: The present data suggest different oral health approaches in eating disorder patients according to diagnosis type. Clinical significance: Periodontal and dental health should be considered rigorously in patients with eating disorders. Personalized oral hygiene recommendations and treatments can be delivered according to the type of eating disorder.