eating disorder

Question 1

Name the 3 board eating disorders you are most likely to see clinically

Answer 1

1. Anorexia nervosa
2. Bulimia nervosa
3. Binge eating disorder

Question 2

What are the 2 min reasons eating disorders lnk to dentistry

Answer 2

1. Directly affects oral health

2. Affects clinicians diagnosis and can affect early detection and assistence

Question 3

How can eating disorders affect a persons oral health

Answer 3

1. Dental effects such as caries, erosion hypersensitivity
2. Effects on bone like osteoporosis and later periodontal disease
3. Can lead to oral mucosa and salicary changes

Question 4

Give some diagnostic features of anorexia nervosa

Answer 4

1. Active maintence of low body weight (BMI of <17)
2. Extreme shape and weight concern
3. Amenorrhea (women only)

Question 5

How can BMI be used to detect anorexia nervosa?

Answer 5

Mild anorexia= > or = 17
Moderate= 16-16.99
severe = 15-15.99
extreme= < 15

Question 6

What is the prevelemce of anorexia nervosa?

Answer 6

0.5% girls ages 15-18

Question 7

What is the sex ratio for anorexia nervosa?

Answer 7

95% cases in females

Question 8

What is the avreage age of onset for anorexia nervosa?

Answer 8

Peaks at 15 and 18

Question 9

How can anorexia nervosa iaffect the body?

Answer 9

Severe physiological and psychological effect on all the organ systems due to starvation

Question 10

What are some of the behavioural signs of anorexia nervosa?

finish this slide

Answer 10

1. Avoiding food they feel is fattening
2. Hiding food
3. Finding it difficult to think about anything other than food
4. Missing meals
5. Eating only low calorie
   food
6. strict dieting

Question 11

Slide 6

Answer 11

1

Question 12

slide 6

Answer 12

2

Question 13

slide 6

Answer 13

3

Question 14

What are some physical signs of anorexia nervosa?

Answer 14

1. Difficulty sleeping and tiredness
2. Feeling dizzy
3. Being irritable and moody
4. Difficulty concentrating
5. Low BP
6. Severe weight loss
7. Irregular periods
8. Hair fall
9. Swelling in their feel, hands or face
10. Weaknesses of muscle strength
11. Feeling cold/ having low body weight

Question 15

What are the diagnostic features of bulimia nervosa?

Answer 15

1. Recurrent binge eating (feelings of loss of control)
2. Compensatory behaviour
   3 Extreme shape and weight concern

Question 16

What is the prevalence of bulimia nervosa?

Answer 16

1-3 % Girls ages 18-25

Question 17

What is the sex ratio of bulimia nervosa

Answer 17

95% cases in females

Question 18

What is the age of onset of bulimia nervosa?

Answer 18

Late adolescence

Young adult

Question 19

What impairments can bulimia nervosa have on the body?

Answer 19

Complications of purging

Severe psychological effects

Question 20

Give some behavioral signs of bulimia nervosa

Answer 20

1. Bingeing
2. Secretive bulimic episodes (disappearing after eating)
3. Feelings of guilt and shame
4. Mood swings
5. Distorted perception of body weight or shape
6. Preoccupied wuth thoughts of food and life is organised around shopping and eating
7. Feelings of loss of control leading to over eating

Question 21

Give some physical signs of bulimia nervosa

Answer 21

1. Vomiting
2. Excessive exercising
   3 Fatigue and lethargy
3. Stomach pain
   5 Constipation
   6 Felling bloated
   7 Gastric problems
4. Irregular periods
   9 Enlarged salivary glands
5. Electrolyte abnormalities

Question 22

Give some diagnostic features of binge eating disorder

Answer 22

1. Recurrent binge eating
2. Features of binge episodes
3. Marked distress regarding binge eating
4. No compensatory behaviour

Question 23

What do eating disorders hav in common?

Answer 23

1. Behaviour is centres around food
2. Core beliefs and associated concerns are similar
   3 Levels of distress associated with all 3

Question 24

WHat can make a young person more likely to develop an eating disorder

Answer 24

1. Mental health problems
2. Family history
3. Perfectionism
4. History of significant dieting
5. Being part of a sport/ activity where there is an emphasis of appearance

Question 25

Give some body dissatisfaction risk factors that can lead to eating disorders

Answer 25

1. Having a negative body image 2. Weight preoccupation 3. Dieting

Question 26

Give some self regulatory risk factors

Answer 26

1. Low self esteem 2. Affective dysregulation 3. Insecure attachment

Question 27

Why do adolescence have a higher risk of developing an eating disorder

Answer 27

1. Identity bound to external appearance 2. High levels of shape wight concern 3. Acted out though food eg skipping meals dieting vegetarianism 4. Refusing parental control 5. Conforming to socially normative dieting

Question 28

How can eating be linked to emotions

Answer 28

1. Stopping eating when external events feel outside your personal control 2. Can stop eating to influence others 3. Binge eating and purging to regulate negative emotional states

Question 29

Who makes up the specialist eating disorder team?

Answer 29

``` CAMHS Practitioners Dietitian Family Therapists Nurses Pediatricians Psychiatrists Psychologists ```

Question 30

What are the 3 steps we take to treat eating disorders

Answer 30

1. Weight managements 2. psychological therapies 3. Relapse prevention

Question 31

What is the course of disordered eating?

Answer 31

1. Single short crisis where recovery is more likely | 2. Chronic intractable disorder

Question 32

What is the dentists responsibility when communicating about eating disorders

Answer 32

1. Slowly tell the patient about oral changes | 2. Be aware of community resources for refferal if patient admits to n eating disorder

Question 33

What is the dentists responsibility when treating a patient with an eating disorders?

Answer 33

1. Monitor dental erosion and mucosal lesions 2. Minimise use of abrasive material sin treatment 3. Advice patient not to brush teeth with toothpaste after binging 4. Use sugarless gum to promote salivary flow