Malocclusion and its relationship with oral health-related quality of life in patients with eating disorders

• Autor(a) principal: Chiba, Fernando Yamamoto [UNESP]
• Data de Publicação: 2022
• Outros Autores: Chiba, Erika Kiyoko [UNESP], Moimaz, Suzely Adas Saliba [UNESP], Matsushita, Doris Hissako [UNESP], Garbin, Artênio José Ísper [UNESP], Garbin, Cléa Adas Saliba [UNESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1590/2177-6709.27.2.e2220305.oar; http://hdl.handle.net/11449/241946
• topic: Anorexia nervosa; Bulimia nervosa; Malocclusion; Quality of life

Objective: To evaluate the prevalence and severity of mal-occlusion and its impact on oral health-related quality of life (OHRQoL) and self-reported satisfaction of patients with anorexia and bulimia nervosa. Methods: The sample consisted of sixty women who attended a specialized mental health clin-ic of a Brazilian medical school. Participants were distribut-ed into two groups: patients with anorexia and bulimia nervosa (ABN; n=30) and control patients without eating disorders (CN; n=30). The dental occlusion was evaluated by the Dental Aesthetic Index; the OHRQoL was assessed using the OHIP-14 questionnaire; and the self-reported satisfaction with the appearance of teeth, speech ability and chewing was obtained by interviews. Results: Severe and very severe malocclusion were observed in 26.67% and 46.67% of patients in the ABN group, respectively, while the CN group showed 80.00% of patients without abnormality/mild malocclusion. ABN group showed a higher proportion of patients (p < 0.05) with tooth loss, spacing in the region of incisors, maxillary misalignment, and mandibular misalignment in relation to CN group. ABN group presented lower (p < 0.05) OHRQoL and self-reported satisfaction with the appearance of teeth, speech ability and chewing, com-pared to the CN group. There was a significant positive correlation (p < 0.05) between the Dental Aesthetic Index and OHIP-14 scores in the ABN group. Conclusions: The prevalence of severe malocclusion in ABN group was high, with a negative impact on OHRQoL and self-reported satisfaction with the chewing ability, speech ability and appearance of teeth.