Presskreischer Rachel, Prado Michael A, Kuraner S Emre, Arusilor Isabelle-Maria, Pike Kathleen
Department of Epidemiology, Columbia University Mailman School of Public Health, 722 W. 168th Street, New York, NY, 10032, USA.
Columbia University College of Dental Medicine, New York, NY, USA.
J Eat Disord. 2023 Apr 4;11(1):55. doi: 10.1186/s40337-023-00778-z.
Screening and treatment guidance for somatic sequalae of eating disorders typically include specifics such as laboratory testing, observable physical signs, and treatment interventions. Oral health guidance is notably sparse or absent from many guidelines. Often, the only mention of oral health is the potential erosion caused by self-induced vomiting and suggests a referral to an oral health professional. The guidelines generally do not include information about education and training of oral health professionals.
The objective of this research was to explore the literature on eating disorders and oral health including the effects of eating disordered behaviors on oral health and training of oral health professionals to increase their capacity to recognize and appropriately address clinical care needs of individuals with eating disorders.
A comprehensive scoping review was conducted to investigate what is known about the relationship between eating disorders and oral health and training provided to oral health professionals in recognition and treatment of individuals with eating disorders. The search was completed using PubMed, Embase, Science Direct, Google Scholar, and the Journal of the American Dental Association.
Of 178 articles returned in the initial search, 72 full texts were read, and 44 were included based on eligibility criteria. The retained articles were categorized thematically into articles related to (1) oral health professional education and training, (2) the oral health effects of eating disorders, and (3) patient experiences of oral health care.
Most of the research on the relationship between eating disorders and oral health examines the impact of eating disordered behaviors. There is a significantly smaller literature on the knowledge and training of oral health professionals related to eating disorders and individuals with eating disorders' experiences of oral health care. Research on education and training of oral health professionals should be expanded globally, taking into consideration the suitability of interventions for diverse models of oral health education and service delivery. Further, there is an opportunity for eating disorder professionals and professional organizations to improve understanding and care of eating disorders by building relationships with oral health providers and professional organizations in their local communities.
饮食失调躯体后遗症的筛查和治疗指南通常包含实验室检查、可观察到的身体体征及治疗干预等具体内容。许多指南中关于口腔健康的指导明显稀少或缺失。通常，对口腔健康的提及仅为自我催吐可能导致的侵蚀，并建议转诊至口腔健康专业人员处。这些指南一般不包括有关口腔健康专业人员教育和培训的信息。
本研究的目的是探索有关饮食失调与口腔健康的文献，包括饮食失调行为对口腔健康的影响以及口腔健康专业人员的培训，以提高他们识别和妥善处理饮食失调患者临床护理需求的能力。
进行了一项全面的范围综述，以调查饮食失调与口腔健康之间的关系，以及为口腔健康专业人员提供的关于识别和治疗饮食失调患者的培训情况。检索通过PubMed、Embase、Science Direct、谷歌学术和《美国牙科协会杂志》完成。
在初步检索返回的178篇文章中，阅读了72篇全文，根据纳入标准纳入了44篇。保留的文章按主题分为与以下方面相关的文章：（1）口腔健康专业人员的教育和培训；（2）饮食失调对口腔健康的影响；（3）患者的口腔保健经历。
大多数关于饮食失调与口腔健康关系的研究考察了饮食失调行为的影响。关于口腔健康专业人员与饮食失调相关的知识和培训以及饮食失调患者的口腔保健经历的文献明显较少。应在全球范围内扩大对口腔健康专业人员教育和培训的研究，同时考虑干预措施对不同口腔健康教育和服务提供模式的适用性。此外，饮食失调专业人员和专业组织有机会通过与当地社区的口腔健康提供者和专业组织建立关系来增进对饮食失调的理解和护理。
