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J Dent Educ. 69(3): 346-354 2005
© 2005 American Dental Education Association
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Critical Issues in Dental Education

Knowledge of Oral and Physical Manifestations of Anorexia and Bulimia Nervosa Among Dentists and Dental Hygienists

Rita D. DeBate, Ph.D.; Lisa A. Tedesco, Ph.D.; Wendy E. Kerschbaum, R.D.H., M.P.H.

Dr. DeBate is Associate Professor, School of Community and Environmental Health, Old Dominion University; Dr. Tedesco is Professor, Department of Periodontics, Prevention, and Geriatrics, School of Dentistry, and Vice President and Secretary of the University in the Office of the President, University of Michigan; and Prof. Kerschbaum is Associate Professor and Director of Dental Hygiene, Department of Periodontics, Prevention, and Geriatrics, University of Michigan. Correspondence should be directed to Dr. Rita DeBate, 140c Spong Hall, Old Dominion University, Norfolk, VA 23529; 757-683-6180 phone; 757-683-4410 fax; rdebate{at}odu.edu.

Key words: eating disorders, secondary prevention, behavioral research

Submitted for publication 10/04/04; accepted 12/20/04

Despite the crucial role oral health care providers can have in the early identification of eating disorders and the referral and case management of patients with these disorders, little is known concerning their knowledge of oral complications of these disorders. The purpose of this study was to determine the knowledge among dentists and dental hygienists concerning the oral and physical manifestations of eating disorders. Employing a randomized cross-sectional study, data were collected from 576 dentists and dental hygienists randomly selected from the American Dental Association and the American Dental Hygienists’ Association. Results indicated low scores concerning knowledge of oral cues, physical cues of anorexia, and physical cues of bulimia among study participants. More dental hygienists than dentists correctly identified oral manifestations of eating disorders (p=.001) and physical cues of anorexia (p=.010) and bulimia (p=.002). As the first health professional to identify oral symptoms of eating disorders, the most important task of the dental care provider when identifying oro-dental signs of eating disorders is to ensure that the patient receives treatment. Implications for education include the addition of conceptual, procedural, and skill-based curricula objectives addressing etiologic assessment and patient communication—thus increasing behavioral capacity for delivery of restorative care and patient referral.




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