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Tooth erosion and eating disorders: a systematic review and meta-analysis

Hermont, Ana Paula ; Oliveira, Patrícia A D ; Martins, Carolina C ; Paiva, Saul M ; Pordeus, Isabela A ; Auad, Sheyla M Bencharit, Sompop

PloS one, 2014-11, Vol.9 (11), p.e111123-e111123 [Periódico revisado por pares]

United States: Public Library of Science

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  • Título:
    Tooth erosion and eating disorders: a systematic review and meta-analysis
  • Autor: Hermont, Ana Paula ; Oliveira, Patrícia A D ; Martins, Carolina C ; Paiva, Saul M ; Pordeus, Isabela A ; Auad, Sheyla M
  • Bencharit, Sompop
  • Assuntos: Adolescents ; Analysis ; Anorexia ; Bulimia ; Causation ; Confidence intervals ; Eating ; Eating disorders ; Enamel ; Erosion control ; Feeding and Eating Disorders - complications ; Health aspects ; Humans ; Medicine and Health Sciences ; Mental disorders ; Meta-analysis ; Morbidity ; Patients ; Prognosis ; Quality assessment ; Risk ; Risk taking ; Systematic review ; Teeth ; Tooth Erosion - complications ; Vomiting
  • É parte de: PloS one, 2014-11, Vol.9 (11), p.e111123-e111123
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-1
    ObjectType-Review-4
    content type line 23
    ObjectType-Undefined-3
    Conceived and designed the experiments: APH PADO CCM IAP SMP SMA. Performed the experiments: APH PADO CCM. Analyzed the data: APH PADO CCM. Contributed reagents/materials/analysis tools: APH PADO CCM. Wrote the paper: APH PADO CCM SMA. Concieved the study, developed the study design and protocols, study design, PICO question: APH PADO CCM IAP SMP SMA. Manuscript revision: IAP SMP SMA.
    Competing Interests: The authors have declared that no competing interests exist.
  • Descrição: Eating disorders are associated with the highest rates of morbidity and mortality of any mental disorders among adolescents. The failure to recognize their early signs can compromise a patient's recovery and long-term prognosis. Tooth erosion has been reported as an oral manifestation that might help in the early detection of eating disorders. The aim of this systematic review and meta-analysis was to search for scientific evidence regarding the following clinical question: Do eating disorders increase the risk of tooth erosion? An electronic search addressing eating disorders and tooth erosion was conducted in eight databases. Two independent reviewers selected studies, abstracted information and assessed its quality. Data were abstracted for meta-analysis comparing tooth erosion in control patients (without eating disorders) vs. patients with eating disorders; and patients with eating disorder risk behavior vs. patients without such risk behavior. Combined odds ratios (ORs) and a 95% confidence interval (CI) were obtained. Twenty-three papers were included in the qualitative synthesis and assessed by a modified version of the Newcastle-Ottawa Scale. Fourteen papers were included in the meta-analysis. Patients with eating disorders had more risk of tooth erosion (OR = 12.4, 95%CI = 4.1-37.5). Patients with eating disorders who self-induced vomiting had more risk of tooth erosion than those patients who did not self-induce vomiting (OR = 19.6, 95%CI = 5.6-68.8). Patients with risk behavior of eating disorder had more risk of tooth erosion than patients without such risk behavior (Summary OR = 11.6, 95%CI = 3.2-41.7). The scientific evidence suggests a causal relationship between tooth erosion and eating disorders and purging practices. Nevertheless, there is a lack of scientific evidence to fulfill the basic criteria of causation between the risk behavior for eating disorders and tooth erosion.
  • Editor: United States: Public Library of Science
  • Idioma: Inglês
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