People with eating disorders suffer from a mental disorder that negatively affects their physical and/or mental health. The three most frequent eating disorders are binge eating disorder, bulimia nervosa, and anorexia nervosa. Environmental and genetic factors are involved in the pathogenesis of eating disorders in vulnerable persons. Although treatment varies among different types of eating disorders, nutrition, medical care combined with psychotherapy and medications are standard of care. The aim of this review is to give an overview of the oral health impact of eating disorders with a special emphasis on the periodontium. Oral health professionals have a unique role to play in the early diagnosis of eating disorders because of the important impact that eating disorders have on the oral cavity. In vomiting-associated eating disorders, the risk of erosive tooth wear is mainly localized to the palatal surfaces of the incisors. Emerging evidence also indicates a high frequency of gingivitis and gingival recessions associated with compulsive toothbrushing. A holistic approach, including oral health and functional rehabilitation, should be promoted by physicians, psychiatrists, and dentists for people with eating disorders.

中文翻译：

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通过牙周镜饮食失调

患有饮食失调症的人患有对他们的身体和/或心理健康产生负面影响的精神障碍。三种最常见的饮食失调是暴食症、神经性贪食症和神经性厌食症。环境和遗传因素与易感人群进食障碍的发病机制有关。尽管不同类型的饮食失调的治疗方法各不相同，但营养、医疗结合心理治疗和药物治疗是标准治疗。本综述的目的是概述饮食失调对口腔健康的影响，特别强调牙周组织。由于饮食失调对口腔的重要影响，口腔健康专业人员在饮食失调的早期诊断中发挥着独特的作用。在呕吐相关的饮食失调中，侵蚀性牙齿磨损的风险主要集中在门牙的腭面。新出现的证据还表明，与强迫性刷牙相关的牙龈炎和牙龈退缩的频率很高。医生、精神科医生和牙医应该为饮食失调的人推广一种整体方法，包括口腔健康和功能康复。