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MedNext Journal of Medical and Health Sciences
Review
DOI: 10.54448/mdnt21510
Submitted: 16-12-2021
Published: 16-12-2021

Anorexia nervosa and purgative-type bulimia nervosa: a fundamental role of the dental surgeon in diagnosis and treatment

University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
University Center North Paulista (Unorp) - Sao Jose do Rio Preto, Sao Paulo, Brazil / Post graduate and continuing education (Unipos), Sao Jose do Rio Preto, Sao Paulo, Brazil
Bulimia nervosa Anorexia nervosa Dental erosion Perimolysis Oral health Dental Care

Abstract

Introduction: In a world where appearance is considered above all by most people. It is in this unbridled search that some people end up acquiring eating disorders. Anorexia nervosa and purgative-type bulimia nervosa are diseases that are rarely taken into account in the first clinical assessment of the patient. Bulimia nervosa and Anorexia nervosa are eating disorder that causes serious physiological problems in the oral cavity, due to saliva calcification caused by frequent vomiting. Objective: it was to bring into discussion, through a literature review, the meticulous look that the dental surgeon must-have when performing the clinical examination and that he can be the first source in detecting signs of eating disorders and their clinical manifestations in the patient and so can forwards it to a multidisciplinary team for better diagnosis and treatment. Methods: This study followed an integrated literature review model and articles dating from 2001 to 2021 in English and Portuguese were selected. In virtual databases such as Scielo and PubMed. Results and Conclusion: The dental surgeon plays an important role in the team, controlling the development and progression of oral manifestations. Pass the oral hygiene guidelines, apply substances that can control the acids that are present in oral fluids; use salivary substitutes that can help reduce erosive wear. And always encourage this patient to come back for treatment. In extreme cases of damage to the dental structure, functional and anatomical, restorative or rehabilitative treatment is chosen. Recover form, function, esthetics and eliminate hypersensitivity and facilitate cleaning. The dental surgeon must be able to assess and diagnose the manifestations arising from eating disorders. Because it is the first professional to be able to detect and thus refer to a team of multi-professionals such as a psychologist, nutritionist, doctor and manage to perform the best possible treatment simultaneously and, through preventive and rehabilitative procedures, be able to return a better quality of life to the patient.

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References

  1. Brandt, L.M.T. et al. Comportamento de risco para bulimia em adolescentes. Rev Paul Pediatra. 2019;37(2):217-224.
  2. Mehler P, Rylander M. Bulimia Nervosa – medical complications. Journal of Eating Disorders (2015) 3:12
  3. Manevski J, et al. Dental aspects of purging bulimia. Vojnosanit Pregl 2020; 77(3): 300–307.
  4. Brandt L.M.T. et al. Relationship between Risk Behavior for Eating Disorders and Dental Caries and Dental Erosion. The Scientific World Journal. Volume 2017, Article ID 1656417, 7 pages.
  5. Lima M.T.A. et al. Bulimia: alterações na cavidade e saúde oral. Relatório apresentado no instituto Universitário de Ciências da saúde. 2018 p. 1-24.
  6. Navarro V. P. et al. Desordens alimentares: aspectos de interesse na odontologia. RGO - Rev Gaúcha Odontol. Porto Alegre, V.59, suplemento 0, p. 15-18, jan/Jun., 2011.
  7. Carmo C. C. et al. Transtornos alimentares: uma revisão dos aspectos etiologicos e das principais complicações clínicas. HU Revista, Juiz de Fora, v. 40, n. 3 e 4, p. 173-18, jul/dez. 2014.
  8. Júnior R.M. et al. Manifestações orais e maxilofaciais secundárias a bulimia nervosa: uma revisão sistemática. Pesq Bras Odontoped Clin Integr, João Pessoa, 12(2):279-84, abr/Jun., 2012.
  9. Marsiglio A.A. et al. Erosão dental da etiologia ao tratamento. UNOPAR Ciente., Ciênc. Biol. Saúde. 2009;11(1):15-9.
  10. Achkar V. N. R. et al. Saúde bucal de pacientes com transtornos alimentares: o marcante papel do cirurgião-dentista. Rev Odontol. Univ. Cid. São Paulo. 2012; 24(1): 51-6, jan-abr.
  11. Santos F.D.G, et al. Anorexia nervosa e bulimia nervosa: alterações bucais e importância do cirurgião-dentista na abordagem multiprofissional. Rev. Odontol. Univ. Cid. São Paulo 2015: 27(1): 33-42, jan-abr.
  12. Kunde F.R. et al. Perimolise em pacientes portadores de bulimia nervosa do tipo purgativa: revisão de literatura. Torres, Vol I 2017.1 - Dossiê Área da saúde.
  13. Uhlen M.M. et al. Self-induced vomiting and dental erosion – a clinical study. BMC Oral Health 2014, 14:92.
  14. Ferreira T. E. et al. Manifestações clínicas orais de pacientes com bulimia e a importância do cirurgião dentista: uma revisão bibliográfica. Revista Interciência - IMES Catanduva - V.1, N°5, janeiro 2021.
  15. Amoras D. R. et al. Caracterização dos transtornos alimentares e suas implicações na cavidade bucal. Rev Odontol UNESP, Araraquara. jul./ago., 2010; 39(4): 241-245.
  16. Barbosa A. M. F. et al. Características bucais da perimolise e episódios recorrentes de vômitos - Relato de caso. Odonto 2012; 20(40): 89-93.
  17. Popoff D. A. V. et al. Bulimia: manifestações bucais e atenção odontológica. RGO - Rev gaúcha Odontol., Porto Alegre, v. 58, n. 3, p. 381-385, jul./set. 2010.
  18. Asfora R.L.M. et al. Complicações odontológicas e o papel do cirurgião dentista na detecção e encaminhamento de pacientes. AJOHD, 2018, 1:2.
  19. Traebert J., Moreira E.A.M. et al. Transtornos alimentares de ordem comportamental e seus efeitos sobre a saúde bucal na adolescência. Pesqui Odontol Bras, v. 15, n 4, p. 359-363, out./dez. 2001.
  20. Soares M.A. et al. A importância do cirurgião-dentista no diagnostico da bulimia. Universidade do Sul de Santa Catarina, Tubarão 2018. p. 1-27.
  21. Gomes A.T.A. et al. Importância do cirurgião-dentista no diagnostico da bulimia: revisão de literatura. REAS/EJCH. Vol. Sup. 26, e730. p. 1-8.
  22. Bautista B. et al. Manifestações clinicas de anorexia e bulimia em cavidade oral. Rev Venez Invest Odont IADR 2015; 3 (1): 75-90.

How to Cite

Martins, A. M., Rodrigues, I. O., & Fernandes, P. G. (2021). Anorexia nervosa and purgative-type bulimia nervosa: a fundamental role of the dental surgeon in diagnosis and treatment. MedNEXT Journal of Medical and Health Sciences, 2(5). https://doi.org/10.54448/mdnt21510