Dynesen Anja W, Gehrt Charlotte A, Klinker Sabine E, Christensen Lisa B
University College Absalon, Naestved, Denmark.
Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Eur J Oral Sci. 2018 Dec;126(6):500-506. doi: 10.1111/eos.12578. Epub 2018 Oct 19.
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.
众所周知，饮食失调（EDs）的早期迹象，如牙齿侵蚀和唾液腺肿大，在牙科诊所中可能会被识别出来。牙医承认，与患者讨论饮食失调的怀疑是困难的。然而，对于饮食失调患者如何体验和应对牙科就诊却知之甚少。因此，本研究旨在揭示饮食失调患者的口腔健康知识、体验以及对口腔健康和口腔健康行为的态度。该研究设计为横断面研究，260名饮食失调患者完成了一份电子问卷。参与者普遍关心自己的牙齿。一些参与者对牙齿受到严重且不可逆转的损伤感到焦虑，许多人过度关注口腔卫生程序。三分之一的参与者在与牙医沟通方面有良好的体验，约一半的参与者希望牙医在诊所中关注他们的饮食失调问题。然而，体验不太积极的参与者表示，需要有具备饮食失调专业知识和沟通技巧的牙医，这些技巧强调牙医对饮食失调患者采取开放、共情、认可的方法。此外，将牙科建议和治疗作为饮食失调治疗的一部分，与心理和医学治疗相结合可能是有益的。
