Dentalni aspekti bulimije praćene povraćanjem

  • Jovana Manevski University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
  • Ivana Stojšin University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
  • Karolina Vukoje University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
  • Ognjenka Janković University of Banja Luka, Faculty of Medicine, Banja Luka, Bosna and Herzegovina
DOI: https://doi.org/10.2298/VSP170318091M
Ključne reči: bulimija, zub, karijes, usta, zdravlje, rizik, procena, ankete i upitnici, zub, erozija, povraćanje

Sažetak


Uvod/Cilj. Bulimija je često praćena učestalim povraćanjem, koje u dužem vremenskom periodu može rezultirati ireverzibilnim gubitkom zubnog tkiva, koje se manifestuje dentalnim erozijama. Učestalo povraćanje, kserostomija, loša oralna higijena i kisela sredina pogoduju i razvoju karijesa. Cilj rada bio je utvrđivanje prisustva, lokalizacije i stepena dentalnih erozija upotrebom Basic Erosive Wear Examination (BEWE) indeksa, kao i utvrđivanje vrednosti indeksa karijesnih, ekstrahovanih i plombiranih zuba (KEP) kod obolelih od bulimije praćene povraćanjem. Metode. Istraživanjem je obuhvaćeno 30 ispitanika obolelih od bulimije praćene povraćanjem i 30 zdravih ispitanika. Korišćene su metode anketnog ispitivanja (upitnik) i kliničkog pregleda. Klinički pregled podrazumevao je intraoralnu inspekciju uz beleženje statusa prisutnih zuba upotrebom BEWE i KEP indeksa. Rezultati. Utvrđeno je da su dentalne erozije bile značajno češće kod obolelih od bulimije praćene povraćanjem u odnosu na zdrave ispitanike (χ2 = 5.963, p < 0.05), da su bile težeg stepena kod obolelih od bulimije (t = 3.925, p < 0.05), kao i da su bile češće na oralnim površinama zuba (χ2 = 10.561, p < 0.05). Između ispitivanih grupa nisu utvrđene značajne razlike u vrednostima KEP indeksa (t = 0.741, p = 0.461). Zaključak. Dentalne erozije se često sreću kod obolelih od bulimije praćene povraćanjem, posebno na oralnim površinama frontalnih zuba koje su u direktnom kontaktu sa želudačnom kiselinom, zbog čega na njima postoji značajan gubitak zubne supstance. Vrednosti KEP indeksa nisu se značajno razlikovale između ispitivanih grupa, ali su zbog složenosti karijesnog procesa neophodna dalja istraživanja.

Reference

Culbert KM, Racine SE, Klump KL. Research Review: What we have learned about the causes of eating disorders - a synthesis of sociocultural, psychological, and biological research. J Child Psychol Psychiatry 2015; 56(11): 1141–64.

Walsh BT, Attia E, Glasofer DR, Sysko R. Handbook of as-sessment and treatment of eating disorders. 1st ed. Arlington: American Psychiatric Association Publishing; 2016.

Lo Russo L, Campisi G, Di Fede O, Di Liberto C, Panzarella V, Lo Muzio L. Oral manifestations of eating disorders: a critical review. Oral Dis. 2008; 14(6): 479–84.

Dynesen AW, Bardow A, Pedersen AML, Nauntofte B. Oral find-ings in anorexia nervosa and bulimia nervosa with special ref-erence to salivary changes. Oral Biosci Med. 2004; 1(3): 151–69.

Frydrych AM, Davies GR, McDermott BM. Eating disorders and oral health: A Review of literature. Aust Dent J 2005; 50(1): 6–15; quiz 56.

Rosten A, Newton T. The impact of bulimia nervosa on oral health: a review of the literature. Br Dent J 2017; 223(7): 533–9.

West N, Joiner A. Enamel mineral loss. J Dent 2014; 42(Suppl 1): S2–11.

Li X, Wang J, Joiner A, Chang J. The remineralisation of enam-el: a review of the literature. J Dent 2014; 42(Suppl 1): S12–20.

Kitasako Y, Sasaki Y, Takagaki T, Sadr A, Tagami J. Age-specific prevalence of erosive tooth wear by acidic diet and gastroesophageal reflux in Japan. J Dent 2015; 43(4): 418–23.

Kargul B, Bakkal M. Prevalence, Etiology, Risk Factors, Diag-nosis, and Preventive Strategies of Dental Erosion: Literature review (Part I & Part II). Acta Stomatol Croat 2009, 43(3): 165–87.

Clark DB. Patients with eating disorders: Challenges for the oral health professional. Can J Dent Hygiene 2010; 44(4): 163–70.

Romanos GE, Javed F, Romanos EB, Williams RC. Oro-facial manifestations in patients with eating disorders. Appetite 2012; 59(2): 499–504.

Mehler PS, Rylander M. Bulimia nervosa - medical complica-tions. J Eat Disord 2015; 3: 12.

Kisely S, Baghaie H, Lalloo R, Johnson NW. Association between poor oral health and eating disorders: systematic review and meta-analysis. Br J Psychiatry 2015; 207(4): 299–305.

Bartlett D, Ganss C, Lussi A. Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Invest 2008; 12(Suppl 1): S65–8.

Larmas M. Has dental caries prevalence some connection with caries index values in adults? Caries Res 2010; 44(1): 81–4.

Cappelli DP, Mobley CC. Prevention in Clinical Oral Health Care. Philadelphia, Pa: Mosby Elsevier; 2007.

Sales-Peres SHC, Araujo JJ, Marsicano JA, Santos JE, Bastos JRM. Prevalence, sevirity and etiology of dental wear in pa-tients with eating disorders. Eur J Dent 2014; 8(1): 68–73.

Uhlen MM, Tveit AB, Stenhagen KR, Mulic A. Self-induced vomiting and dental erosion - a clinical study. BMC Oral Health 2014; 14: 92.

Paszynska E, Jurga-Krokowicz J, Shaw H. The use of parotid gland activity analysis in patients with gastro-esophageal reflux disease (GERD) and bulimia nervosa. Adv Med Sci 2006; 51: 208–13.

Paszynska E, Slopien A, Weglarz M, Linden RWA. Parotid sali-vary parameters in bulimic patients – a controlled clinical trial. Psychiatr Pol 2015; 49(4): 709–20.

Schlueter N, Ganss C, Pötschke S, Klimek J, Hannig C. Enzyme activities in the oral fluids of patients suffering from bulimia: a controlled clinical trial. Caries Res 2012; 46(2): 130–9.

Damle SG, Patil A, Jain S, Damle D, Chopal N. Effectiveness of supervised toothbrushing and oral health education in im-proving oral hygiene status and practices of urban and rural school children: a comparative study. J Int Soc Prev Commu-nity Dent 2014; 4(3): 175–81.

Otsu M, Hamura A, Ishikawa Y, Karibe H, Ichijyo T, Yoshinaga Y. Factors affecting the dental erosion severity of patients with eating disorders.Biopsychosoc Med. 2014 Nov 19;8:25.

Voronets J, Lussi A. Thickness of softened human enamel re-moved by toothbrush abrasion: an in vitro study. Clin Oral Investig 2010; 14(3): 251–6.

Al-Zarea BK. Tooth surface loss and associated risk factors in northern Saudi Arabia ISRN Dent. 2012; 2012: 161565.

Yoshizawa S, Suganuma T, Takaba M, Ono Y, Saki T, Yoshizawa A et al. Phasic jaw motor episodes in healthy subjects with or without clinical signs and symptoms of sleep bruxism: a pilot study. Sleep Breath 2014; 18(1): 187–93.

Hara AT, Lussi A, Zero A. Biological factors. In: Lussi A, edi-tor. Dental Erosion: From Diagnosis to Therapy. Monogr Oral Sci. Basel: Karger, 2006. p. 88–99. Chapter 7.

Dynesen AW, Bardow A, Petersson B, Nielsen LR, Nauntofte B. Salivary changes and dental erosion in bulimia nervosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106(5): 696–707.

Johansson AK, Norring C, Unell L, Johansson A. Eating disorders and oral health: a matched case - control study. Eur J Oral Sci 2012; 120(1): 61–8.

Conviser JH, Fisher SD, Mitchell KB. Oral care behavior after purging in a sample of women with bulimia nervosa. J Am Dent Assoc 2014; 145(4): 352–4.

Eisenburger M, Addy M. Evaluation of pH and erosion time on demineralization. Clin Oral Invest 2001; 5(2): 108–11.

Berar AM, Lasserre JF, d’Incau E, des Varannes SB, Picos A, Chira A et al. Factors associated with localization of dental erosion in patients from two French medical centres. HVM Bioflux 2015; 7(2): 55–9.

Ximenes R, Couto G, Sougey E. Eating disorders in adolescents and their repercussions in oral health. Int J Eat Disord 2010; 43: 59–64.

Milosevic A. Eating disorders and the dentist. Br Dent J 1999; 186(3): 109–13.

Mazurek M, Szyszkowska A, Mazurek A, Szymanska J. Selected issues concerning oral health in female patients with eating disorders: a survey study. Curr Issues Pharm Med Sci 2016; 29(3): 139–41.

Objavljeno
2021/08/04
Broj časopisa
Vol. 77 Br. 3 (2020): Vojnosanitetski pregled
Rubrika
Originalni članak