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A Journal on Dentistry and Maxillofacial Surgery
Minerva Stomatologica 2000 March;49(3):119-28
Odontostomatologic symptomatology in eating disorders. A controlled study
Sivolella S., Cordioli G. P., Consolati E., Favaro A., Santonastaso P.
Background. This study investigated odontostomatologic signs and symptoms associated with Anorexia Nervosa and Bulimia Nervosa (Eating Disorders, ED).
Methods. The authors have examined the following conditions in a group of 14 female subjects (average age: 23.5±4.8) suffering for ED, compared to a control group of 12 female subjects (average age: 22.58±1.83) negative for ED diagnostic criteria: temporo-mandibular joint status, salivary pH, periodontal indexes (plaque index, bleeding index, pockets presence, gingival recession presence), dental indexes (DMF-T, DMF-S; dental erosion or perymolisis), salivary glands swelling, oral hygiene habits (related to vomiting behavior).
Results. The results obtained revealed a greater prevalence of gingival recession, diffuse marginal gingivitis, perymolysis, salivary glands involvement, lower salivary pH in the Eating Disorders (ED) group when compared with a non-ED control group. The results, obtained for the first time from a group of Italian subjects resident in a mediterranean country, agree with those obtained by authors working in an anglo-saxon area.
Conclusions. Since odontostomatologic pathologies may be the only detectable sign of Anorexia Nervosa and/or Bulimia Nervosa, the data presented in this study could facilitate the early identification of these patients and provide guidelines for the evaluation of oral pathologies in anorexic and bulimic patients.