title: Factors affecting the dental erosion severity of patients with eating disorders.
abstract: BACKGROUND
  Intraoral disease is a common occurrence in patients with eating disorders, particularly dental erosion, which frequently becomes severe and may hinder daily life. The severity varies from patient to patient. Understanding the underlying mechanisms may help prevent dental erosion in these patients. Accordingly, we investigated the relationship between the severity of erosion and the behavior of patients with eating disorders, with a focus on daily diet and vomiting behavior.
  
  
  METHODS
  A total 71 female eating disorder outpatients from the Clinical Center of Psychosomatic Dentistry of Nippon Dental University Hospital and the Psychosomatic Internal Medicine Department of Kudanzaka Hospital or who were hospitalized at Hasegawa Hospital were enrolled. Dental erosion severity and location were determined by oral examination. Patients who induced vomiting were queried on their behavior during vomiting and on routine diet habits. Patients with dental erosion were further divided into mild and severe groups based on the lesion severity and the groups compared.
  
  
  RESULTS
  Dental erosion was observed in 43 of 50 subjects who induced vomiting. Dental erosion was most frequent on the palatal side of the anterior maxillary teeth, occurring in 81.3% of the subjects. There were significant differences observed between the mild and severe groups according to post-vomiting oral hygiene. Significantly more subjects in the mild group consumed large amounts of water before vomiting, and significantly more subjects in the severe group routinely consumed carbonated beverages or sweetened food.
  
  
  CONCLUSIONS
  While self-induced vomiting is the main cause of dental erosion in eating disorder patients, the erosion severity may be affected by behavior when inducing vomiting or by routine consumption of certain foods and beverages. Addressing these factors may help prevent severe dental erosion in patients who chronically induce vomiting.
authors.affiliation: Clinical Center of Psychosomatic Dentistry, Nippon Dental University Hospital, 2-3-16 Fujimi, Chiyoda-ku, Tokyo, 102-8158 Japan.
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Otsu
authors.affiliation: Clinical Center of Psychosomatic Dentistry, Nippon Dental University Hospital, 2-3-16 Fujimi, Chiyoda-ku, Tokyo, 102-8158 Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Hamura
authors.affiliation: Clinical Center of Psychosomatic Dentistry, Nippon Dental University Hospital, 2-3-16 Fujimi, Chiyoda-ku, Tokyo, 102-8158 Japan.
authors.forename: Yuiko
authors.initials: Y
authors.lastname: Ishikawa
authors.affiliation: Department of Pediatric Dentistry, School of Life Dentistry at Tokyo, Nippon Dental University, Tokyo, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Karibe
authors.affiliation: Department of Psychosomatic Internal Medicine, Kudanzaka Hospital, Tokyo, Japan.
authors.forename: Tomoyasu
authors.initials: T
authors.lastname: Ichijyo
authors.affiliation: Hasegawa Hospital, Tokyo, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Yoshinaga
keywords: Dentistry; Eating disorders; Tooth erosion; Vomiting/CO; Vomiting/PX