UNDERSTANDING THE CONNECTIONS BETWEEN EATING DISORDERS AND ORAL HEALTH: A SYSTEMATIC REVIEW

resumen

Mohammed Salah Hussein*, Fatima Ghazi Alshyaokh, Seham Khalid Zakari, Razan Mohammed Saleh, Atheer Salman Alhawiti, Hussain Mohammed Alheji, Hassan Mohammed Alhammadi, Ammar Fawzi Karni, Faris Talal Alqarihi, Bader Mohammed H Alqarni, Fatimah Ahmed Almarzoug

Objectives: To systematically evaluate the available literature regarding the association of eating disorders (EDs) with oral health.

Methods: A search across four databases identified 325 publications. After duplicate removal using Rayyan QCRI and relevance screening, 141 full-text articles were reviewed, leading to the inclusion of 5 studies. Results: We included five studies with a total of 225 diagnosed with EDs and all of them were females. The findings show a clear link between EDs and oral health issues, such as tooth erosion, caries, periodontal disease, and soft tissue damage. Patients with EDs had higher rates of tooth sensitivity, dry mouth, and oral candidiasis. Regular dental visits and educational efforts improved awareness of erosion risks tied to anorexia and bulimia. Although overall erosion rates were similar to controls, ED patients had lower saliva flow and more severe localized erosion. Soft tissue problems like lip redness, cheilitis, and lesions highlight the importance of dental professionals in identifying and managing EDs early.

Conclusion: This review highlights the connection between EDs and oral health problems, stressing the importance of dental professionals in early detection and care. Common issues include tooth erosion, cavities, and soft tissue damage. Although research is limited, evidence suggests dental exams can help identify EDs and enhance patient outcomes. Future studies should focus on larger, standardized approaches to deepen understanding of this link.