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Acta clinica Croatica, Vol. 61. No. 2, 2022.

Original scientific paper

https://doi.org/10.20471/acc.2022.61.02.03

Oral Changes in Pediatric Patients with Eating Disorders

Tatjana Lesar orcid id orcid.org/0000-0001-6833-2691 ; Helena Center for Pediatric Medicine, Zagreb, Croatia
Danica Vidović Juras orcid id orcid.org/0000-0001-7391-6114 ; Department of Oral Medicine, School of Dental Medicine, University of Zagreb, Zagreb, Croatia; Department of Oral Diseases, Dental Clinic, Zagreb University Hospital Center, Zagreb, Croatia
Martina Tomić orcid id orcid.org/0000-0002-7535-3631 ; Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, Zagreb, Croatia
Samir Čimić ; Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Sonja Kraljević Šimunković ; Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia

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Abstract

Numerous oral changes develop as a result of dysfunctional eating behavior in
patients with eating disorders (ED). The aim of this study was to evaluate the correlation among
oral manifestations, age, disease duration and nutritional status in pediatric patients with ED. The
study included 50 female ED patients, median age 14 (range 10-18) years and median disease duration
9 (range 1-42) months. Nutritional status was expressed as z-score for body mass index (BMI).
Mean BMI z-score was -2.10±1.64. The most commonly observed oral findings were dental plaque,
marginal gingivitis, morsicatio, dental calculus, caries, pharyngeal erythema, exfoliative cheilitis and
angular cheilitis. Dental plaque and pharyngeal erythema were correlated with shorter disease duration
(p=0.048; p=0.040), while frictional keratosis of tongue was correlated with longer disease duration
(0.011). Linea alba and pain in the temporomandibular joint were associated with younger age
(p=0.012; p=0.024), and tooth impression on tongue with lower degree of nutrition (p=0.030). This
study showed that there was a link among oral manifestations, age, disease duration and degree of nutritional
disorder, although further investigations comparing the groups of ED patients with different
age, disease duration and nutritional status would give better, concrete and precise conclusions.

Keywords

Eating disorders; Oral manifestations; Adolescent; Nutritional status

Hrčak ID:

284670

URI

https://hrcak.srce.hr/284670

Publication date:

1.8.2022.

Article data in other languages: croatian

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