相互交织的路径:探索口腔疾病与饮食障碍之间的联系. 一个全面的叙述
Alessandro Chiesa1, Rachele De Giuseppe2, Giulia Motta1
1Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100Pavia, Italy.
The British journal of nutrition
|September 4, 2025
概括
饮食障碍通过排泄和营养不良等行为显著影响口腔健康. 早期口腔评估对于诊断ED和指导综合治疗计划以获得更好的患者结果至关重要.
科学领域:
- 精神病学
- 牙科医学
- 公共卫生
背景情况:
- 饮食障碍是一种严重的心理疾病,
- 主要的ED如厌食症 (AN),嗜食症 (BN),过度饮食障碍 (BED) 和OSFED经常与严重的口腔健康问题有关.
- ED患者的口腔健康并发症可以作为治疗干预的关键诊断指标和目标.
研究的目的:
- 审查有关ED和口腔健康并发症的现有文献.
- 探索导致ED患者口腔健康恶化的跨诊断行为和生理风险因素.
- 突出牙科专业人员和口腔评估在早期发现和治疗ED的作用.
主要方法:
- 对22项研究进行了叙述性审查.
- 研究基于跨诊断风险因素进行分析,包括卡路里限制,排泄,过度饮食和疏忽口腔卫生.
- 考虑了基本侵蚀性磨损检查 (BEWE) 和希夫空气指数等临床指数.
主要成果:
- 营养不良,吐引起的酸性侵蚀,高摄入脏性食物和口腔卫生不良做法是ED患者牙和牙周衰退的主要原因.
- 口腔评估在ED治疗中具有显著的诊断和治疗潜力,强调早期检测的必要性.
- 远程牙科和特定的临床指数可以帮助监测和管理ED患者的口腔健康.
结论:
- 综合营养支持,心理治疗和牙科治疗的多学科方法对于综合性ED护理至关重要.
- 除了心理和营养支持,有针对性的牙科干预措施可以改善患者的结果.
- 牙科专业人员通过专业口腔评估在早期识别和治疗中发挥着至关重要的作用.
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