Transtornos alimentares de ordem comportamental e seus efeitos sobre a saúde bucal na adolescência

Abstract

Anorexia nervosa and bulimia nervosa are serious eating disorders that affect a significant number of adolescents and young adults. Individuals with anorexia nervosa tend to ignore or deny their excessive dieting and may present purging habits. The individual with bulimia nervosa spends great effort and time in compensating the effects of binge eating with dieting and fasting, self-inducing vomiting, utilization of laxatives or overexercising. The incidence of those behavioral disorders seems to be increasing, but there are no epidemiological data on that matter in Brazil. The dental practitioner has an important role in identifying these disorders since toothwear is very frequent due to the acidic oral environment caused by vomiting. The dentist can help to minimize the effects of anorexia and bulimia on the dentition. The objective of this study is to review the features of those behavioral eating disorders and to highlight the importance of being prepared to diagnose them and implement a comprehensive treatment of patients.

A bulimia nervosa como fator de risco para distúrbios da voz: artigo de revisão

“…[5][6][7]23,25,27,28 It is not incongruous to think that acid gastric content might enter and injure the larynx, causing voice problems.…”

“…1, 16 As a result of vomiting, the mouth may present findings such as xerostomia, oral mucosa irritation, dental sensitivity to temperature changes, radicular caries, among others. 5,6 Dental surgeons who observe these signs should investigate the presence of NB in their patients.…”

Perimolysis: case report

“…Dental surgeons should also alert their patients about care taken with excessive tooth brushing after vomiting, guidance about diet, ingestion of acid beverages with the use of straws, guidance as regards performing mouth washes with alkaline solutions composite or glass ionomer cement restorations is pointed out. In addition there are indirect restorations such as laminated veneers, inlays, onlays or total crowns, according to the complexity of the case [2][3][4]8,10,[12][13] . It is also necessary to perform preventive treatment (fluoride and mouth washes) and provide oral hygiene instructions for the maintenance of the treatment performed, and prevention of diseases, including complete removal of the cause.…”

“…In the modern social context, it has been concluded that the majority of gastrointestinal dysfunctions affect persons who follow a pattern of beauty recommended by the media , in which, in the majority of cases, the obsessive ideal to have a lean body leads to psychosomatic disturbances, with physical consequences characterizing pathologies such as bulimia and anorexia nervosa [8][9][10] .…”

“…There are an increasing number of cases of bulimia and anorexia, although there are no epidemiological data on a population scale in Brazil [9][10][11] . Moreover, they are difficult to diagnose because they involve the psychological aspect.…”