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Eating disorders and signs and symptoms of temporomandibular disorders. A matched case-control study

Artikel i vetenskaplig tidskrift
Författare Ann-Katrin Johansson
Anders Johansson
Lennart Unell
Claes Norring
Gunnar E Carlsson
Publicerad i Swedish Dental Journal
Volym 34
Nummer/häfte 3
Sidor 139–147
ISSN 0347-9994
Publiceringsår 2010
Publicerad vid Institutionen för odontologi
Sidor 139–147
Språk en
Länkar www.ncbi.nlm.nih.gov/pubmed/2112141...
Ämnesord eating disorders, dizziness, headache, orofacial pain, prevalence
Ämneskategorier Odontologisk beteendevetenskap, Övrig odontologi

Sammanfattning

The aim of the study was to examine signs and symptoms related to temporomandibular disorders (TMD) in patients with eating disorders (ED) and to compare the prevalence with that in sex- and age-matched controls. During a 12-month period, all patients (n=65) who accepted and initiated psychiatric/medical outpatient treatment in an Eating Disorder Clinic/Erikbergsgården, Örebro, Sweden were invited to participate in the study. Of the ED patients, 54 (83 %) accepted participation. ED patients and controls underwent a comprehensive TMD questionnaire and clinical examination. Reported symptoms such as headache, facial pain, jaw tiredness, tongue thrusting, and lump feeling in the throat as well as dizziness, concentration difficulties and sleep disturbances were all significantly more prevalent among ED patients compared to controls. There was also a significantly higher prevalence of clinical TMD signs in the ED patients. Analyses within the ED group showed that those who reported self-induced vomiting reported significantly more heavy feeling in the head, nausea and snoring. Those with binge eating reported significantly more heavy feeling in the head, facial pain, dizzy feeling and concentration difficulties. No significant differences regarding subjective symptoms and clinical signs of TMD were found within the ED group with respect to duration of ED. In conclusion, orofacial pain and TMD related signs and symptoms are significantly more common in ED patients than in matched control subjects. Special emphasis should be made to those who reports vomiting and/or binge eating behaviors.

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