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Dental fear, dental attendance, and self-report of dental erosion appear to be altered in women with eating disorders
HARM / ETIOLOGY
A R T I C L E A N A LY S I S & E VA L U AT I O N Dental fear, dental attendance, and self-report of dental erosion appear to be altered in women with eating disorders SUMMARY Subjects Women (n = 371) from southeastern Norway who reported having eating disorders answered a questionnaire mailed to participants.
Exposure Eating disorders
Main Outcome Measure
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION Dental fear, regularity of dental attendance and subjective evaluation of dental erosion in women with eating disorders. Willumsen T, Graugaard PK. Eur J Oral Sci 2005;113(4):297-302.
Self-reported dental erosion
Main Results
LEVEL OF EVIDENCE
About 30% of women with eating disorders believed that they had dental erosion whereas no data are available to determine the actual prevalence of erosions in the overall cohort.
2b
Conclusions
To describe the occurrence of dental fear, dental attendance, and selfreported dental erosion in women reporting eating disorders.
The authors’ conclusions are that dentists should carefully examine patients with eating disorders for dental erosions.
COMMENTARY AND ANALYSIS The clinical diagnosis of eating disorders is complicated and has to be performed within the DSM-IV guidelines. That was not performed in this study where participants categorized themselves as having anorexia, bulimia, bingeeating, or a mixture of conditions. That makes it problematic to derive any conclusions in this study. Moreover, there are too many mitigating factors proposed by the authors that include dental fear, dental attendance, and patientdentist communication that do not allow the building of any further conclusions based on the premise described above. The questionnaire is too weak to make inferences and to delineate theories with so many mediating factors. The main message from this report is that patients with eating disorders should be referred to properly trained professionals. Dentists can only recognize oral symptons related to eating disroders and treat them accordingly.
PURPOSE/QUESTION
SOURCE OF FUNDING Information not available
TYPE OF STUDY/DESIGN Cohort study
REVIEWER Walter Bretz, DDS, MPH, DrPH New York University College of Dentistry 345 East 24th Street New York, NY 10010 [email protected] J Evid Base Dent Pract 2006;6:246 1532-3382/$35.00 Ó 2006 Elsevier Inc. All rights reserved. doi:10.1016/j.jebdp.2006.06.016
A R T I C L E A N A LY S I S & E VA L U AT I O N Dental fear, dental attendance, and self-report of dental erosion appear to be altered in women with eating disorders SUMMARY Subjects Women (n = 371) from southeastern Norway who reported having eating disorders answered a questionnaire mailed to participants.
Exposure Eating disorders
Main Outcome Measure
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION Dental fear, regularity of dental attendance and subjective evaluation of dental erosion in women with eating disorders. Willumsen T, Graugaard PK. Eur J Oral Sci 2005;113(4):297-302.
Self-reported dental erosion
Main Results
LEVEL OF EVIDENCE
About 30% of women with eating disorders believed that they had dental erosion whereas no data are available to determine the actual prevalence of erosions in the overall cohort.
2b
Conclusions
To describe the occurrence of dental fear, dental attendance, and selfreported dental erosion in women reporting eating disorders.
The authors’ conclusions are that dentists should carefully examine patients with eating disorders for dental erosions.
COMMENTARY AND ANALYSIS The clinical diagnosis of eating disorders is complicated and has to be performed within the DSM-IV guidelines. That was not performed in this study where participants categorized themselves as having anorexia, bulimia, bingeeating, or a mixture of conditions. That makes it problematic to derive any conclusions in this study. Moreover, there are too many mitigating factors proposed by the authors that include dental fear, dental attendance, and patientdentist communication that do not allow the building of any further conclusions based on the premise described above. The questionnaire is too weak to make inferences and to delineate theories with so many mediating factors. The main message from this report is that patients with eating disorders should be referred to properly trained professionals. Dentists can only recognize oral symptons related to eating disroders and treat them accordingly.
PURPOSE/QUESTION
SOURCE OF FUNDING Information not available
TYPE OF STUDY/DESIGN Cohort study
REVIEWER Walter Bretz, DDS, MPH, DrPH New York University College of Dentistry 345 East 24th Street New York, NY 10010 [email protected] J Evid Base Dent Pract 2006;6:246 1532-3382/$35.00 Ó 2006 Elsevier Inc. All rights reserved. doi:10.1016/j.jebdp.2006.06.016