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dc.contributor.authorKisely, Steve
dc.contributor.authorBaghaie, Hooman
dc.contributor.authorLalloo, Ratilal
dc.contributor.authorJohnson, Newell W
dc.date.accessioned2018-01-04T01:32:48Z
dc.date.available2018-01-04T01:32:48Z
dc.date.issued2015
dc.identifier.issn0007-1250
dc.identifier.doi10.1192/bjp.bp.114.156323
dc.identifier.urihttp://hdl.handle.net/10072/172065
dc.description.abstractThere 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. To determine the association between eating disorder and poor oral health, including any difference between patients with and without self-induced vomiting. 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). 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). 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.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherRoyal College of Psychiatrists
dc.relation.ispartofpagefrom299
dc.relation.ispartofpageto305
dc.relation.ispartofissue4
dc.relation.ispartofjournalBritish Journal of Psychiatry
dc.relation.ispartofvolume207
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchDentistry not elsewhere classified
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode320399
dc.subject.fieldofresearchcode52
dc.titleAssociation between poor oral health and eating disorders: Systematic review and meta-analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorJohnson, Newell W.


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