Alice Pallier1, Anna Karimova1, Adrien Boillot1, Pierre Colon2, Damien Ringuenet3, Philippe Bouchard4, Hélène Rangé5. 1. Department of Periodontology, Odontology Unit, AP-HP, GH Paris-Est, Rothschild Hospital, Paris, France; UFR of Odontology, University of Paris Diderot, 5 rue Garancière, Paris, France. 2. UFR of Odontology, University of Paris Diderot, 5 rue Garancière, Paris, France; Department of Restorative Dentistry, Odontology Unit, AP-HP, GH Paris-Est, Rothschild Hospital, Paris, France; UMR CNRS 5615 Lyon 1, France. 3. Department of Addictology, Eating Disorder Unit, AP-HP, GH Paris-Sud, Paul Brousse Hospital, Villejuif, France; CESP, INSERM U1178, Paris-Descartes University, Paris, France. 4. Department of Periodontology, Odontology Unit, AP-HP, GH Paris-Est, Rothschild Hospital, Paris, France; UFR of Odontology, University of Paris Diderot, 5 rue Garancière, Paris, France; Laboratory Orofacial Pathologies, Imaging and Biotherapies, EA 2496, Dental School, University of Paris Descartes, 1 rue Maurice Arnoux, 92120 Paris, France. 5. Department of Periodontology, Odontology Unit, AP-HP, GH Paris-Est, Rothschild Hospital, Paris, France; UFR of Odontology, University of Paris Diderot, 5 rue Garancière, Paris, France; Laboratory Orofacial Pathologies, Imaging and Biotherapies, EA 2496, Dental School, University of Paris Descartes, 1 rue Maurice Arnoux, 92120 Paris, France. Electronic address: helene.range@gmail.com.
Abstract
OBJECTIVES: This study evaluates dental and periodontal health in anorexia nervosa and bulimia nervosa patients. METHODS: Seventy females with eating disorders (36 anorexia nervosa) attending a public hospital Psychiatry and Addiction unit were compared with age-matched controls (n = 70). Full-mouth examination and oral hygiene behaviours were recorded for all participants. RESULTS: More frequent dental attendance and toothbrushing were observed in patients with eating disorders than in controls (p < 0.01), while lower plaque index and bleeding on probing were observed in controls than in patients (p ≤ 0.03). Percentages of sites with gingival recession >2 mm were higher in patients with eating disorders than in controls (2.3 ± 4.1 versus 0.0 ± 0.1, p < 0.01). The BEWE score >2 was significantly more frequent in bulimia nervosa patients than in anorexia nervosa patients (76.5% versus 41.7%, p < 0.01). Regarding periodontal parameters, mean plaque index, bleeding on probing and clinical attachment loss were increased in anorexia nervosa patients compared to bulimia nervosa patients. CONCLUSIONS: The present data suggest different oral health approaches in eating disorder patients according to diagnosis type. CLINICAL SIGNIFICANCE: Periodontal and dental health should be considered rigorously in patients with eating disorders. Personalized oral hygiene recommendations and treatments can be delivered according to the type of eating disorder.
OBJECTIVES: This study evaluates dental and periodontal health in anorexia nervosa and bulimia nervosapatients. METHODS: Seventy females with eating disorders (36 anorexia nervosa) attending a public hospital Psychiatry and Addiction unit were compared with age-matched controls (n = 70). Full-mouth examination and oral hygiene behaviours were recorded for all participants. RESULTS: More frequent dental attendance and toothbrushing were observed in patients with eating disorders than in controls (p < 0.01), while lower plaque index and bleeding on probing were observed in controls than in patients (p ≤ 0.03). Percentages of sites with gingival recession >2 mm were higher in patients with eating disorders than in controls (2.3 ± 4.1 versus 0.0 ± 0.1, p < 0.01). The BEWE score >2 was significantly more frequent in bulimia nervosapatients than in anorexia nervosapatients (76.5% versus 41.7%, p < 0.01). Regarding periodontal parameters, mean plaque index, bleeding on probing and clinical attachment loss were increased in anorexia nervosapatients compared to bulimia nervosapatients. CONCLUSIONS: The present data suggest different oral health approaches in eating disorderpatients according to diagnosis type. CLINICAL SIGNIFICANCE: Periodontal and dental health should be considered rigorously in patients with eating disorders. Personalized oral hygiene recommendations and treatments can be delivered according to the type of eating disorder.
Authors: Hélène Rangé; Alice Pallier; Aminata Ali; Caroline Huas; Pierre Colon; Nathalie Godart Journal: Int J Environ Res Public Health Date: 2021-04-16 Impact factor: 3.390