Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/95778
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Type: Journal article
Title: Association between poor oral health and eating disorders: systematic review and meta-analysis
Author: Kisely, S.
Baghaie, H.
Lalloo, R.
Johnson, N.
Citation: The British Journal of Psychiatry, 2015; 207(4):299-305
Publisher: The Royal College of Psychiatrists
Issue Date: 2015
ISSN: 0007-1250
1472-1465
Statement of
Responsibility: 
Steve Kisely, Hooman Baghaie, Ratilal Lalloo, Newell W. Johnson
Abstract: Background: There is a well-established link between oral pathology and eating disorders in the presence of self-induced vomiting. There is less information concerning this relationship in the absence of self-induced vomiting, in spite of risk factors such as psychotropic-induced dry mouth, nutritional deficiency or acidic diet. Aims: To determine the association between eating disorder and poor oral health, including any difference between patients with and without self-induced vomiting. Method: A systematic search was made of Medline, PsycINFO, EMBASE and article bibliographies. Outcomes were dental erosion, salivary gland function and the mean number of decayed, missing and filled teeth or surfaces (DMFT/S). Results: Ten studies had sufficient data for a random effects meta-analysis (psychiatric patients n = 556, controls n = 556). Patients with an eating disorder had five times the odds of dental erosion compared with controls (95% CI 3.31-7.58); odds were highest in those with self-induced vomiting (odds ratio (OR) = 7.32). Patients also had significantly higher DMFS scores (mean difference 3.07, 95% CI 0.66-5.48) and reduced salivary flow (OR = 2.24, 95% CI 1.44-3.51). Conclusions: These findings highlight the importance of collaboration between dental and medical practitioners. Dentists may be the first clinicians to suspect an eating disorder given patients' reluctance to present for psychiatric treatment, whereas mental health clinicians should be aware of the oral consequences of inappropriate diet, psychotropic medication and self-induced vomiting.
Keywords: Salivary Glands; Humans; Tooth Diseases; Tooth Erosion; Risk Factors; Publication Bias; Oral Health; Feeding and Eating Disorders
Rights: © The Royal College of Psychiatrists 2015
RMID: 0030037120
DOI: 10.1192/bjp.bp.114.156323
Appears in Collections:Dentistry publications

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