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Artes GE. Influence of oral rehabilitation on the quality of life of patients with Bulimia and Purgative Anorexia [thesis]. São Paulo: Universidade de São Paulo, Faculdade de Odontologia; 2016. Versão Corrigida. The purpose of this study was to evaluate some clinical parameters (dental sensibility, BMI, periodontal condition, erosion index and quality of life) of patients with bulimia and purgative anorexia nervosa, before and after mouth rehabilitation. There was also the intention to help these patients, through the return of function and aesthetics, in the motivation for the control of eating disorder, evaluated through the classification of the severity of the disease. The sample consisted of 30 patients, aged over 18 years, both genders, 20 of whom received full mouth rehabilitation treatment and were classified as A1, and 10 (group A2) did not continue treatment. Patients initially responded to the anamnesis form and two questionnaires, one to measure the impact of oral health on OHIP-14 quality of life and another to assess WHOQOL-100 quality of life only. The presence of cavities, acid erosion, sensitivity, periodontal condition and other changes in oral health were evaluated. Patients in group A1 responded to the questionnaires again 30 days after the end of treatment. To analyze the data, the following tests were used: t-Student, Wilcoxon, Fisher exact and McNemar. The analyzes were processed in the statistical software SPSS Statistics 20, and the statistical significance was verified for values of p <0.05 (5%). The prevailing eating disorder was bulimia nervosa (83.3%), the rest of the patients had a diagnosis of purgative anorexia nervosa. The mean age of the patients was 30.67 years, mean age at onset of TA was 20.1 years ± 5.1 years. The mean number of decayed teeth in the A2 group was much higher than the A1 group, with patients with up to 10 decayed teeth, showing that the oral health status of these patients was worse. In the A1 group, 60% of the patients required scaling and polishing, removal of excess restorations and orientation of oral hygiene, 35% presented medium or high acid erosion index, 80% reported sensitivity and 95% inducing vomiting after meals. After the mouth rehabilitation treatment, only 50% of the patients reported sensitivity and 35% stopped vomiting, and the severity rating of the disease improved for this group. In group A2, 30% are considered mild, 10% severe and 50% extreme, regarding the classification of the disease. The A1 group presented improvement in the quality of life after mouth rehabilitation treatment, with significant differences when compared to the A2 group through the WHOQOL-100 in domains 1 (p = 0.009), 2 (p = 0.013), and 3 (p = 0.02). Mouth rehabilitation treatment may influence the improvement of dental sensitivity, the reduction of the frequency of self-induced vomiting and the improvement of the quality of life of patients with purgative anorexia and bulimia nervosa.

Influência da reabilitação oral na qualidade de vida de pacientes com bulimia e anorexia nervosa purgativa