Oral manifestations in patients with eating disorders





Anorexia nervosa; Nervous bulimia; Oral manifestations.


Eating disorders (ED) correspond to a group of psychopathological disorders that affect individuals' relationship with food and their body. Bringing as a consequence harmful habits that result in emotional and functional instability and, in extreme cases, death. The dentist has an essential role in the secondary prevention of these disorders, considering that the oral cavity of these patients presents characteristic signs. However, despite the seriousness of the issue, due to the lack of training that allows reaching a diagnostic hypothesis, a significant portion of professionals are unsure about the measures to be taken. This may indirectly contribute to the worsening of the clinical condition. This work is an integrative review with the aim of evaluating the manifestations present in the oral cavity resulting from eating disorders, anorexia nervosa and bulimia nervosa, as well as bringing a perspective of the dental surgeon as a health professional about their importance in these cases.


Cordás, T. A. (2004). Transtornos alimentares: classificação e diagnóstico. Archives of Clinical Psychiatry, 31(4), 154–157. https://doi.org/10.1590/s0101-60832004000400003

DeBate, R. D., Shuman, D., & Tedesco, L. A. (2007). Eating disorders in the oral health curriculum. Journal of Dental Education, 71(5), 655–663. https://pubmed.ncbi.nlm.nih.gov/17493974/

Debate, R. D., & Tedesco, L. A. (2006). Increasing dentists’ capacity for secondary prevention of eating disorders: identification of training, network, and professional contingencies. Journal of Dental Education, 70(10), 1066–1075. https://pubmed.ncbi.nlm.nih.gov/17021286/

DeBate, R. D., Tedesco, L. A., & Kerschbaum, W. E. (2005). Knowledge of oral and physical manifestations of anorexia and bulimia nervosa among dentists and dental hygienists. Journal of Dental Education, 69(3), 346–354. https://pubmed.ncbi.nlm.nih.gov/15749945/

DeBate, R. D., Vogel, E., Tedesco, L. A., & Neff, J. R. (2006). Sex differences among dentists regarding eating disorders and secondary prevention practices. 137(6), 773–781. https://doi.org/10.14219/jada.archive.2006.0289

Ela, F. para. (2021, July 1). Transtornos Alimentares afetam cerca de 10 milhões de pessoas no Brasil. Feito Para Ela. https://feitoparaela.com.br/2021/07/01/transtornos-alimentares-afetam-cerca-de-10-milhoes-de-pessoas-no-brasil/

Figueiredo, B. Q. de. (2022). Eating disorders: etiologies, triggering factors, management challenges, and screening methods. https://oasisbr.ibict.br/vufind/Record/UNIFEI_f3b584e11cb912b3af4aa6721a3840d9

Fleitlich, B. W., Larino, M. A., Cobelo, A., & Córdas, T. A. (2000). Anorexia nervosa na adolescência. J. Pediatr., S323–S329. https://pesquisa.bvsalud.org/bvsms/resource/pt/lil-279212

Hasan, S., Ahmed, S., Panigrahi, R., Chaudhary, P., Vyas, V., & Saeed, S. (2020). Oral cavity and eating disorders: An insight to holistic health. Journal of Family Medicine and Primary Care, 9(8), 3890–3897. https://doi.org/10.4103/jfmpc.jfmpc_608_20

Langlois Oliveira, L., & Simon Hutz, C. (2010). Transtornos alimentares: o papel dos aspectos culturais no mundo contemporâneo eating disorders: the role of cultural aspects in the contemporary world. https://www.scielo.br/j/pe/a/MGVrVGGrjn8VPDYyCqdmNLj/?format=pdf

Lourenço, M., Azevedo, Á., Brandão, I., & Gomes, P. S. (2017). Orofacial manifestations in outpatients with anorexia nervosa and bulimia nervosa focusing on the vomiting behavior. Clinical Oral Investigations, 22(5), 1915–1922. https://doi.org/10.1007/s00784-017-2284-y

Lozano-Muñoz, N., Borrallo-Riego, Á., & Guerra-Martín, M. D. (2022). Influencia de las redes sociales sobre la anorexia y la bulimia en las adolescentes: una revisión sistemática. Anales Del Sistema Sanitario de Navarra, 45(2), e1009–e1009. https://doi.org/10.23938/ASSN.1009

Mais de 70 milhões de pessoas no mundo possuem algum distúrbio alimentar. Ministério Da Saúde. https://www.gov.br/saude/pt-br/assuntos/noticias/2022/setembro/mais-de-70-milhoes-de-pessoas-no-mundo-possuem-algum-disturbio-alimentar

Monda, M., Costacurta, M., Maffei, L., & Docimo, R. (2021). Oral manifestations of eating disorders in adolescent patients. A review. European Journal of Paediatric Dentistry, 22(2), 155–158. https://doi.org/10.23804/ejpd.2021.22.02.13

Panico, R., Piemonte, E., Lazos, J., Gilligan, G., Zampini, A., & Lanfranchi, H. (2018). Oral mucosal lesions in Anorexia Nervosa, Bulimia Nervosa and EDNOS. Journal of Psychiatric Research, 96, 178–182. https://doi.org/10.1016/j.jpsychires.2017.09.022

Pinzon, V., & Nogueira, F. C. (2004). Epidemiologia, curso e evolução dos transtornos alimentares. Archives of Clinical Psychiatry, 31(4), 158–160. https://doi.org/10.1590/s0101-60832004000400004

Romanos, G. E., Javed, F., Romanos, E. B., & Williams, R. C. (2012). Oro-facial manifestations in patients with eating disorders. Appetite, 59(2), 499–504. https://doi.org/10.1016/j.appet.2012.06.016

Strumìa, R., Varotti, E., Manzato, E., & Gualandi, M. (2001). Skin Signs in Anorexia nervosa. Dermatology, 203(4), 314–317. https://doi.org/10.1159/000051779

Thaiana, P. (2022). O que é Transtorno Alimentar? Saiba como identificar e tratar. Psitto. https://www.psitto.com.br/blog/transtorno-alimentar-como-identificar/

Tirico, P. P., Stefano, S. C., & Blay, S. L. (2010). Qualidade de vida e transtornos alimentares: uma revisão sistemática. Cadernos de Saúde Pública, 26(3), 431–449. https://doi.org/10.1590/s0102-311x2010000300002



How to Cite

SANTOS, J. R. S. dos .; ALMEIDA, M. T. A. de .; ANJOS, R. S. dos. Oral manifestations in patients with eating disorders . Research, Society and Development, [S. l.], v. 12, n. 12, p. e118121244029, 2023. DOI: 10.33448/rsd-v12i12.44029. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/44029. Acesso em: 22 feb. 2024.



Review Article