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]]>August 20, 2019 — Patients diagnosed with anorexia and bulimia have significantly worse periodontal conditions and poorer oral health-related quality of life, such as physical and psychological limitations, according to a new study published in the Journal of Periodontology.
This quantitative cross-sectional study included 60 patients admitted to the Specialized Mental Health Clinic of the Medical School of Marília in São Paulo, Brazil, in 2018. Half of the patients were diagnosed with anorexia or bulimia nervosa by psychiatrists at the school and were actively undergoing treatment, and the others did not have eating disorders. The study excluded patients with advanced periodontal disease and smokers.
The researchers assessed the periodontal condition of the patients and categorized those with eating disorders into the first and second degrees of periodontal diseases using the Community Periodontal Index. This means that some of their periodontal diseases could be treated by improving their oral hygiene, and others needed monitoring and treatment by dentists.
Overall, the periodontal condition in the group of patients with anorexia and bulimia was significantly worse than that in the control group, the researchers reported (J Periodontol, July 30, 2019). Those without eating disorders were healthy and had little to no inflammation of the gingiva and periodontium.
Also, patients with eating disorders had higher scores on the Oral Health Impact Profile, a questionnaire used to measure an individual’s perception of the social impact of oral disorders on their well-being, including the following:
- Physical pain and disabilities
- Psychological discomfort and disabilities
- Social disabilities
- Functional limitations
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Eating disorders linked with poor gum conditions, quality of life
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]]>By Today’s RDH – August 23, 2019
Patients have probably heard stories about how poor oral health can lead to a variety of medical conditions, some of them serious. However, some patients may have doubts about the seriousness of the oral-systemic link.
In June of this year, the Mayo Clinic put many people’s doubts to rest when it published “Oral Health: A Window to Your Overall Health.” This analysis concluded that poor oral health allows harmful bacteria in your mouth to enter other parts of the body—and that can put you at risk of developing several diseases:
“Like other areas of the body, your mouth teems with bacteria — mostly harmless. But your mouth is the entry point to your digestive and respiratory tracts, and some of these bacteria can cause disease. Normally the body’s natural defenses and good oral health care, such as daily brushing and flossing, keep bacteria under control. However, without proper oral hygiene, bacteria can reach levels that might lead to oral infections, such as tooth decay and gum disease.”
Poor Oral Health Linked to Liver Cancer
Researchers continue to discover medical problems associated with poor oral health. Earlier this year, for example, scientists at Queen’s University Belfast found that poor oral health practices increased the likelihood of developing liver cancer by 75%. Those researchers also found evidence that poor oral health can lead to other forms of cancer, including cancer of the colon, rectum, and pancreas.
Although that study was rigorous (involving, for example, more than 469,000 people throughout the UK) and conclusive in finding this linkage, researchers could not with certainty demonstrate the specific biological mechanisms which linked poor oral health and liver cancer. They theorize, however, that, because the liver’s role is to remove bacteria from the body, and because poor oral health creates a substantial increase in the number of bacteria, the liver must work harder to remove them. Over time, this weakens the liver and increases the probability of liver problems, like cancer.
Continue reading to learn more about these topics:
What Is Poor Oral Health?
What Diseases Can Poor Oral Health Cause?
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