Oral Indicators for ED Screening

NCT ID: NCT07295197

Last Updated: 2025-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

461 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-11-14

Study Completion Date

2026-04-14

Brief Summary

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The main objective of this research project is to explore the capability of a standardized, evidence-based study tool (the OHEDs Checklist) in the early identification of oro-dental manifestations potentially indicative of an eating disorder.

The secondary objective is to evaluate the sensitivity and specificity of the OHEDs Checklist in comparison with validated screening instruments for eating disorders, namely the ESP, SCOFF and DEQ questionnaires.

Detailed Description

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The OHEDS (Oral Health Eating Disorders Screening) study aims to investigate whether specific oro-dental manifestations can be used as early indicators of eating disorders. The project arises from increasing scientific evidence linking various clinical oral signs to disordered eating behaviors, including dental erosion, mucosal alterations, dentin hypersensitivity, changes in salivary flow, and dysfunctional oral hygiene habits. Despite these associations, no structured clinical tool currently exists to interpret such signs as potential early warning indicators.

The OHEDs Checklist was developed from a systematic review of the literature, assigning weighted scores to clinical items based on the consistency and robustness of the available evidence. This study seeks to evaluate the discriminative ability of the Checklist's total score by comparing it with validated screening instruments (SCOFF, ESP, DEQ), with the objective of identifying an optimal cutoff for clinical suspicion.

The study is observational, cross-sectional, and multicentric at a national level. All assessments are performed during routine dental visits already scheduled as part of standard clinical practice, without introducing any experimental interventions. After providing informed consent, participants undergo an intraoral clinical examination conducted by trained clinicians, during which the OHEDs Checklist is completed. Participants also complete validated questionnaires assessing disordered eating behaviors. Demographic, behavioral, and general clinical information is collected according to standard anamnesis procedures.

All data are recorded in pseudonymized form within an electronic Case Report Form (CRF) using the REDCap platform (University of Bologna).

The planned sample size is 461 participants. The first dataset (n = 307) provides adequate precision for estimating the expected prevalence of individuals at risk, while a second independent dataset (n = 154) is used for external validation of the identified cutoff.

Conditions

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Eating Disorders Oral Health Eating Disorders Symptoms

Keywords

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Eating disorders Oral health Dental erosion Oro-dental manifestations Disordered eating Screening tool SCOFF questionnaire ESP questionnaire DEQ questionnaire OHEDs Checklist OHEDs

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Observational Cohort

This is an observational study. No interventions are administered and all assessments are part of routine clinical care.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Age between 18 and 40 years
* Presence of at least 20 permanent teeth (third molars excluded)
* Both males and females are eligible
* Ability to provide written informed consent

Exclusion Criteria

* Pregnancy or breastfeeding
* Use of systemic antibiotics within the previous month
* Active orthodontic treatment
* Presence of systemic diseases that may affect oral conditions, including: diabetes, ulcerative colitis, Crohn's disease, Sjögren's syndrome, HIV infection, hematologic diseases, neoplasms
* Mental disorders or neuromotor deficits that may interfere with the oro-dental clinical signs evaluated by the OHEDs Checklist
* Use of xerogenic medications or drugs that may alter salivary flow or oral/perioral mucosal conditions, including: antihypertensives, beta-blockers, non-steroidal anti-inflammatory drugs (NSAIDs), antiparkinson medications, anxiolytics, antidepressants, neuroleptics
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Bologna

OTHER

Sponsor Role lead

Responsible Party

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Marco Montevecchi

Researcher

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Clinica Odontoiatrica - Reparto di Igiene Dentale, Università di Bologna

Bologna, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Marco Montevecchi

Role: CONTACT

Phone: 0039‭0512088128‬

Email: [email protected]

Facility Contacts

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Marco Montevecchi, DDS

Role: primary

References

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Valeriani L, Frigerio F, Piciocchi C, Piana G, Montevecchi M, Donini LM, Mocini E. Oro-dental manifestations of eating disorders: a systematic review. J Eat Disord. 2024 Jun 24;12(1):87. doi: 10.1186/s40337-024-01050-8.

Reference Type RESULT
PMID: 38915100 (View on PubMed)

Related Links

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https://piattaformadisturbialimentari.iss.it/

Italian National Platform for Eating Disorders (ISS)

Other Identifiers

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OHEDS

Identifier Type: -

Identifier Source: org_study_id