Orthodontic Department, Lancashire Teaching Hospitals NHS Trust, Preston, Lancashire, UK.
Department of Gastroenterology and Hepatology, Cork University Hospital, Cork, Republic of Ireland.
J Orthod. 2021 Sep;48(3):313-322. doi: 10.1177/1465312521993491. Epub 2021 Feb 20.
Eating disorders are relatively common mental health disorders in Western European and North American populations. The peak incidence occurs within the adolescent years, which correlates with the largest orthodontic patient population. The morbidity associated with these psychological conditions is significant, and has a direct impact upon patient well-being, orthodontic outcomes and the success of treatment. Therefore, it is of relevance to the orthodontist to be aware of potential presenting features of these conditions, when and where to seek advice, and how such disorders may impact upon orthodontic outcomes.
Articles published on PUBMED and MEDLINE relevant to orthodontics and eating disorders were reviewed. Key information was extracted, and the relevant evidence for the orthodontist summarised.
Eating disorders may present to the orthodontist in specialist or hospital practice, either undiagnosed or as a co-morbidity. Orthodontists may benefit from an appreciation of these potential diagnoses, the orthodontic implications and to have the confidence to refer their patients to the necessary services.
There is little existing research in this area.
These conditions have a significant impact on patient morbidity and mortality. This cohort of patients is not suitable for orthodontic treatment while their disease is active. The impact of a developing eating disorder can adversely affect orthodontic treatment.
在西欧和北美人群中，饮食失调是相对常见的心理健康障碍。发病高峰期出现在青少年时期，这与最大的正畸患者群体相对应。这些心理状况相关的发病率很高，直接影响患者的健康、正畸效果和治疗的成功。因此，正畸医生了解这些疾病的潜在表现、何时何地寻求建议以及这些疾病如何影响正畸效果是很重要的。
综述了发表在 PUBMED 和 MEDLINE 上与正畸和饮食失调相关的文章。提取了关键信息，并总结了正畸医生的相关证据。
饮食失调可能在正畸医生的专科或医院实践中出现，未被诊断或作为共病出现。正畸医生可能会受益于对这些潜在诊断的认识、正畸的影响以及有信心将患者转介到必要的服务机构。
该领域的现有研究很少。
这些疾病对患者的发病率和死亡率有重大影响。在疾病活跃期间，这部分患者不适合接受正畸治疗。正在发展的饮食失调的影响可能会对正畸治疗产生不利影响。
