患有饮食失调症的成年人的口腔和牙周健康：病例对照研究。

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

机构信息

Department of Periodontology, Odontology Unit, AP-HP, GH Paris-Est, Rothschild Hospital, Paris, France; UFR of Odontology, University of Paris Diderot, 5 rue Garancière, Paris, France.

UFR of Odontology, University of Paris Diderot, 5 rue Garancière, Paris, France; Department of Restorative Dentistry, Odontology Unit, AP-HP, GH Paris-Est, Rothschild Hospital, Paris, France; UMR CNRS 5615 Lyon 1, France.

出版信息

J Dent. 2019 May;84:55-59. doi: 10.1016/j.jdent.2019.03.005. Epub 2019 Mar 12.

DOI:10.1016/j.jdent.2019.03.005

PMID:30876949

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.

摘要

目的

本研究评估了神经性厌食症和神经性贪食症患者的口腔和牙周健康状况。

方法

本研究将 70 名患有饮食障碍的女性（36 名为神经性厌食症患者）与年龄匹配的对照组（n=70）进行了比较。对所有参与者进行了全口检查和口腔卫生行为记录。

结果

与对照组相比，患有饮食障碍的患者更频繁地就诊和刷牙（p<0.01），而对照组的菌斑指数和探诊出血较低（p≤0.03）。患有饮食障碍的患者中牙龈退缩>2mm 的位点百分比高于对照组（2.3±4.1 与 0.0±0.1，p<0.01）。神经性贪食症患者的 BEWE 评分>2 明显多于神经性厌食症患者（76.5%比 41.7%，p<0.01）。关于牙周参数，神经性厌食症患者的平均菌斑指数、探诊出血和临床附着丧失均高于神经性贪食症患者。