Oral Manifestations of Bulimia Nervosa

Zachariasen, Rita D.

doi:10.1300/j013v22n04_04

Cited by 35 publications

(51 citation statements)

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“…1 The literature on the treatment of bulimic patients is restricted to case reports of restoration of the damaged surfaces with porcelain-laminated veneers, dentin-bonded crowns with minimal tooth preparation, composites, and complete-coverage restorations. [18][19][20][21]36,[38][39][40][41][42][43][44][45] Ideally, the interface of dentists and physicians in the management of bulimia nervosa would prevent further dental tissue damage. However, no one can predict whether the patient will undergo remission or relapse after medical treatment.…”

Section: Treatmentmentioning

confidence: 99%

Oral profiles of bulimic women: Diagnosis and management. What is the evidence?

Bretz¹

2002

The Journal of Evidenced-Based Dental Practice

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This article is a critical appraisal of the literature on the oral complications of bulimia. The MEDLINE database yielded a total of 82 English-language reports published between 1966 and 2002 that were pertinent to the topic of oral manifestations and treatment of bulimia. The literature is composed primarily of reviews, letters, case reports with or without restorative management, and descriptive studies of small sample sizes. At present, retrospective case-control studies are the only studies available with levels of evidence in the vicinity of 3 to 4. From these studies it is apparent that bulimic women present with a variety of oral and pharyngeal signs and symptoms, including dental caries and tooth erosion, dental pain, increased levels of cariogenic bacteria, orthodontic abnormalities, xerostomia (the subjective complaint of a dry-mouth) and decreased saliva secretion (the objective measure), decreased salivary pH, decreased periodontal disease, parotid enlargement, and swallowing impairments. Dental erosion is the major finding associated with bulimia. Case reports describe restoration of damaged surfaces with porcelain-laminated veneers, dentin-bonded crowns with minimal tooth preparation, composites, and completecoverage restorations. However, what is really needed is identification of oral markers of bulimic behavior for early detection of bulimic patients by dentists and by physicians that can prevent the deleterious effects of frequent vomiting on the oral/dental tissues.Bulimia nervosa is a constellation of nutritional and psychological disorders that is characterized by uncontrollable eating binges usually followed by periods of fasting, purging, or vomiting. These bingeing/vomiting episodes presumably affect oral health. Oral symptoms related to bulimia nervosa that have been described in case reports, descriptive studies, and case-control studies include enamel erosion, dental caries, dental pain, orthodontic abnormalities, xerostomia, reduced saliva secretion, parotid enlargement and dysphagia, among others. All but 2 of the oral symptoms can be reversed: dental caries and tooth erosion. The dental profession can promptly diagnose these pathoses. However, this diagnosis reflects an established condition that leaves the professional with no other option than repair of damaged dental surfaces. Although it is important to diagnose erosion of the teeth in order to advise patients to seek medical treatment, the diagnosis of an established pathosis fails to anticipate its development and progression and does not permit the professional to implement interceptive and preventive strategies. EPIDEMIOLOGY OF BULIMIA NERVOSAThe eating disorders anorexia nervosa, bulimia nervosa, and their variants affect an estimated 5 million Americans yearly. 22 Although the prevalence of bulimia nervosa is unknown, the prevalence of dieting is very high. Modern women are bombarded with unrealistic images of what they should look like and what they should achieve. A recent survey of the San Francisco Bay area r...

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Section: Treatmentmentioning

confidence: 99%

Oral profiles of bulimic women: Diagnosis and management. What is the evidence?

Bretz¹

2002

The Journal of Evidenced-Based Dental Practice

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“…26 Already now, approximately 95% of all women living in industrialised countries experience menopause during their life-time. 27 These numbers help to explain why over the past decades menopause has grown from a subject that was peripheral to medical interest into one which takes a central place in clinical practice.…”

Section: Menopausementioning

confidence: 99%

The epidemiology of the association between hypertension and menopause

1998

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Menopause is a normal aging phenomenon in women and consists of the gradual transition from the reproductive to the non-reproductive phase of life. The median age at the menopause is currently around 50 years. As a result of the increasing life expectancy in the first and second worlds, many women will be postmenopausal for over one-third of their lives. The influence of menopause per se on blood pressure remains

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“…It is a retrospective diagnosis usually made after 12 months of amenorrhea. Menopause is accompanied by a number of characteristic physical changes; some of which occur in the oral cavity [3].…”

Section: Introductionmentioning

confidence: 99%

Serum 17β-estradiol and oral dryness feeling in menopause

Agha‐Hosseini¹,

Mirzaii‐Dizgah²

2011

Health

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The aim of this study was to compare serum 17β-estradiol of menopausal women with/without Oral Dryness (OD) feeling, and evaluate the relationship between serum 17β-estradiol and severity of OD feeling. A case-control study was carried out on 70 selected menopausal women aged 40 -77 years with or without OD feeling (35 as case, 35 as control) conducted at the Clinic of Oral Medicine, Tehran University of Medical Sciences. Xerostomia inventory (XI) score was used as an index of OD feeling severity. The serum 17β-estradiol concentration was measured by an enzyme immunoassay kit (ELISA). Statistical analysis of Student's t-test and Spearman correlation coefficient was used. The mean serum concentration of 17β-estradiol was significantly lower in case than control. There was a significant negative correlation between XI score and concentration of 17β-estradiol in menopausal women (r = -0.311, P = 0.004). It seems that there is a negatively slight correlation between OD feeling severity and serum 17β-estradiol in menopausal women.

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Oral Manifestations of Bulimia Nervosa

Cited by 35 publications

References 0 publications

Oral profiles of bulimic women: Diagnosis and management. What is the evidence?

Oral profiles of bulimic women: Diagnosis and management. What is the evidence?

The epidemiology of the association between hypertension and menopause

Serum 17β-estradiol and oral dryness feeling in menopause

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