Faculty of Dentistry, The University of Hong Kong, Hong Kong, SAR, PR China.
Faculty of Dentistry, University of Otago, Dunedin 9054, New Zealand.
J Dent. 2024 Dec;151:105427. doi: 10.1016/j.jdent.2024.105427. Epub 2024 Oct 19.
This systematic review and meta-analysis evaluates the oral health status of individuals diagnosed with eating disorders (EDs) compared to healthy controls.
DATA & SOURCES: Electronic database search was conducted in five databases. Two independent reviewers carried out screening, data extraction, risk of bias assessment, sensitivity analysis, subgroup analysis (by type of eating disorder), and certainty of evidence grading with Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Assessed oral health outcomes included dental caries, erosion, oral hygiene, periodontal status, salivary flow, pH and composition, myofascial pain, bruxism, malocclusion, oral lesions, dentine hypersensitivity, and oral health-related quality of life (OHRQoL).
The literature search yielded 2,322 articles. Thirty-three articles were included in the present review.
Individuals with EDs had poorer oral health outcomes compared to healthy controls, although the effect estimates are uncertain due to very low certainty of evidence. Dental caries and gingival inflammation severity, and prevalence of dental erosion, myofascial pain, malocclusion, oral lesions, and dentine sensitivity were higher amongst individuals with EDs compared to healthy controls. They also had lower salivary flow and pH, which are risk factors for oral diseases. No significant difference in bruxism was noted and inconclusive results were obtained for oral hygiene and periodontal status. Dental professionals may identify signs of EDs during routine appointments and may play an important role in the early referral and prompt management of patients with EDs. Clinical Significance With growing awareness of the interconnectedness between oral and psychological health, this article reviews various oral health outcomes in individuals with eating disorders compared to controls. The findings highlight the importance of interdisciplinary collaboration as dentists may be among the first to detect these issues during routine appointments.
本系统评价和荟萃分析评估了与健康对照组相比，诊断为饮食障碍（ED）个体的口腔健康状况。
在五个数据库中进行了电子数据库检索。两名独立的审查员进行了筛选、数据提取、偏倚风险评估、敏感性分析、亚组分析（按饮食障碍类型）以及使用推荐评估、发展和评估（GRADE）进行证据确定性分级。评估的口腔健康结果包括龋齿、侵蚀、口腔卫生、牙周状况、唾液流率、pH 值和组成、肌筋膜疼痛、磨牙症、错颌畸形、口腔病变、牙本质过敏和口腔健康相关生活质量（OHRQoL）。
文献检索产生了 2322 篇文章。本综述纳入了 33 篇文章。
与健康对照组相比，ED 个体的口腔健康结果较差，尽管由于证据确定性极低，效应估计不确定。与健康对照组相比，ED 个体的龋齿和牙龈炎症严重程度以及牙齿侵蚀、肌筋膜疼痛、错颌畸形、口腔病变和牙本质敏感的患病率较高。他们的唾液流率和 pH 值也较低，这是口腔疾病的危险因素。磨牙症无显著差异，口腔卫生和牙周状况的结果不确定。临床意义：随着人们对口腔和心理健康之间相互关系的认识不断提高，本文综述了与对照组相比，饮食障碍患者的各种口腔健康结果。研究结果强调了跨学科合作的重要性，因为牙医可能是在常规就诊中首先发现这些问题的人之一。
