饮食失调女性的口腔健康与行为模式——一项临床试点研究
Oral Health and Behavior Patterns of Women with Eating Disorders-A Clinical Pilot Study.
作者信息
Dehghan Mojdeh, Tantbirojn Daranee, Harrison Janet, Stewart Colette W, Johnson Nancy, Tolley Elizabeth A, Zhang Yanhui H
机构信息
College of Dentistry, University of Tennessee Health Science Center, 875 Union Avenue, Memphis, TN 38163, USA.
Department of General Dentistry, College of Dentistry, University of Tennessee Health Science Center, 875 Union Avenue, Memphis, TN 38163, USA.
出版信息
Life (Basel). 2023 Dec 3;13(12):2297. doi: 10.3390/life13122297.
BACKGROUND
Chronic stomach regurgitation associated with eating disorders (EDs) poses a high risk for tooth erosion. This study investigated oral health conditions, behavioral patterns, and tooth erosion in women with EDs.
METHODS
16 ED and 13 healthy women were enrolled; 14 ED and 10 healthy control subjects completed the study. Subjects completed demographic, medical, oral, and behavioral health history questionnaires. Dental caries status was recorded as Decayed, Missing and Filled Teeth (DMFT)index and the severity of tooth erosion as Basic Erosive Wear Examination (BEWE) scores. Saliva was collected for flow rate, pH, and buffering capacity analysis.
RESULTS
The ED group had a lower stimulated saliva flow rate and higher DMFT index but no significant difference in BEWE scores compared to the controls (t-test, significance level 0.05). Five of the fourteen ED subjects exhibited extensive tooth erosion, which may have been exacerbated by their tooth-brushing behavior.
CONCLUSIONS
Although some ED subjects showed extensive tooth erosion in this pilot study, the average BEWE score of the ED group was not significantly different from the controls. Extensive tooth erosion in ED may relate to the low stimulated salivary flow. A larger-scale clinical study is necessary to validate these results.
背景
与饮食失调相关的慢性胃反流会带来较高的牙齿侵蚀风险。本研究调查了饮食失调女性的口腔健康状况、行为模式和牙齿侵蚀情况。
方法
招募了16名饮食失调女性和13名健康女性；14名饮食失调者和10名健康对照者完成了研究。受试者填写了人口统计学、医学、口腔和行为健康史问卷。龋齿状况记录为龋失补牙指数（DMFT），牙齿侵蚀的严重程度记录为基本侵蚀性磨损检查（BEWE）分数。收集唾液用于流速、pH值和缓冲能力分析。
结果
与对照组相比，饮食失调组的刺激唾液流速较低，DMFT指数较高，但BEWE分数无显著差异（t检验，显著性水平0.05）。14名饮食失调受试者中有5人表现出广泛的牙齿侵蚀，这可能因她们的刷牙行为而加剧。
结论
尽管在这项初步研究中，一些饮食失调受试者表现出广泛的牙齿侵蚀，但饮食失调组的平均BEWE分数与对照组无显著差异。饮食失调者广泛的牙齿侵蚀可能与刺激唾液流速低有关。需要进行更大规模的临床研究来验证这些结果。
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