Department of Integrated Dentistry, Poznan University of Medical Sciences (PUMS), 60-812 Poznan, Poland.
Department of Periodontology, Faculty of Odontology, University of Rennes, CHU de Rennes, F-35000 Rennes, France.
Nutrients. 2023 Oct 18;15(20):4414. doi: 10.3390/nu15204414.
Persons suffering from eating disorders (ED) may often experience a recurrence/persistence symptoms despite the completion of psychiatric therapy. In most cases, their general health status is linked to current nutritional behaviors. Medical professionals, general practitioners (GPs), dieticians, and dentists may see those patients in their practices. At the same time, due to low sense of illness, some patients may delay or never seek professional medical care. The aim of this article is to analyze the main ED types according to dietary behaviors causing oral health problems and discuss oral health complications in affected dentate patients. The second objective is to update oral preventive measures and technological innovations together with active agents for oral hygiene care that might effectively support oral health maintenance during the presence of long-term symptoms. The research method involved a review of clinical reports as a synthesis of the electronic research in the Pubmed, Web of Science, and Google Scholar databases. Based on the research, ED patients were found to present related incidences of oral complications. Studies have reported that the possible course of an ED and comorbidities may be an imbalance in the oral environment. The results showed an association between biological (malnutrition, etc.), behavioral (binge eating episodes, vomiting, acidic diet, poor oral hygiene), and pharmacotherapeutic (addiction, hyposalivation) factors that may threaten oral health. Early diagnosis of the past and present symptoms is essential to eliminate and take control of destructive behaviors. Oral changes need to be tackled with medical insight, and additionally, the perception of dietary interactions is recommended.
患有饮食失调症 (ED) 的人在完成精神治疗后，其症状可能经常复发/持续存在。在大多数情况下，他们的整体健康状况与当前的营养行为有关。医疗专业人员、全科医生 (GPs)、营养师和牙医可能会在他们的实践中看到这些患者。同时，由于疾病意识低，一些患者可能会延迟或从不寻求专业医疗护理。本文的目的是根据导致口腔健康问题的饮食行为分析主要的 ED 类型，并讨论受影响的有牙患者的口腔健康并发症。第二个目标是更新口腔预防措施和技术创新，以及口腔卫生护理的活性剂，这些可能在长期症状存在期间有效地支持口腔健康维护。研究方法包括对临床报告的审查，作为 Pubmed、Web of Science 和 Google Scholar 数据库电子研究的综合。基于研究，发现 ED 患者存在相关的口腔并发症发生率。研究报告称，ED 和共病的可能病程可能是口腔环境的失衡。结果表明，生物因素（营养不良等）、行为因素（暴食发作、呕吐、酸性饮食、不良口腔卫生）和药物治疗因素（成瘾、唾液分泌减少）之间存在关联，这些因素可能会威胁口腔健康。早期诊断过去和现在的症状对于消除和控制破坏性行为至关重要。需要用医学的眼光来处理口腔变化，并建议对饮食相互作用的认识。
