Evidence map›Paper›PMID 40903831›Full record

ReviewThe British journal of nutrition2025

Intertwined paths: exploring the link between oral diseases and eating disorders. A comprehensive narrative review.

Alessandro Chiesa, Rachele De Giuseppe, Giulia Motta, Francesca Sottotetti, Andrea Scribante, Hellas Cena, Andrea Butera

Abstract readReview
In one paragraph

Review in The British journal of nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Alessandro ChiesaUnit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia27100, Italy.
Rachele De GiuseppeLaboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia27100, Italy.ORCID https://orcid.org/0000-0002-5583-7735
Giulia MottaUnit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia27100, Italy.
Francesca SottotettiLaboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia27100, Italy.
Andrea ScribanteUnit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia27100, Italy.
Hellas CenaLaboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia27100, Italy.
Andrea ButeraUnit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia27100, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eating disorders (ED) are psychiatric conditions with profound impacts on physical health, emotional well-being and quality of life. They are associated with reduced employment participation and increased healthcare costs, representing a significant public health concern. Major ED, including anorexia nervosa, bulimia nervosa, binge-eating disorder and other specified feeding and eating disorders, are closely linked to oral health complications, which serve as both diagnostic markers and therapeutic targets in ED management. This narrative review explores twenty-two studies, organised around transdiagnostic behavioural and physiological risk factors, including caloric restriction, purging behaviours, binge episodes and oral hygiene neglect. Evidence indicates that malnutrition, vomiting-induced acid exposure, high intake of cariogenic foods and inconsistent hygiene practices contribute to the deterioration of dental and periodontal health. The review highlights the diagnostic and therapeutic potential of oral assessments in ED management, underscoring the importance of early detection. A dedicated section addresses the role of dental professionals, proposing individualised care pathways and the use of clinical indices such as the Basic Erosive Wear Examination and Schiff air index, alongside emerging tools like tele dentistry. The findings advocate for a multidisciplinary approach, incorporating nutritional support, psychological therapy and targeted dental treatment, which is crucial for developing comprehensive care plans. Such collaboration enhances the effectiveness of interventions, addressing both the physiological and psychological dimensions of ED to improve patient outcomes.

Indexed as

Feeding and Eating DisordersMouth DiseasesHumansOral HealthOral HygieneRisk FactorsAnorexia nervosaBinge eating disorderBulimia nervosaDental cariesDental erosionEating disordersOral healthOral hygienePeriodontal disease

Identifiers

PMID40903831
PMCPMC12623125

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.