Self-induced Vomiting as a Function of Bulimia Nervosa Increases the Risk for Oral Health Issues

Oberne, Alison; DeBate, Rita

doi:10.1016/j.jebdp.2014.10.002

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Patients with functional GI disorders such as irritable bowel syndrome or functional constipation also have many symptoms suggestive of an eating disorder (29). Although the patient with AN is often malnourished to the point that consideration of eating disorder is obvious, the patient with BN or BED may not be so easily recognized because of the secrecy of the symptoms and the absence of severe undernutrition (30). Many bulimic patients eat alone to conceal their binging habits and are unlikely to seek treatment unless encouraged.…”

Section: Gastrointestinal Manifestationsmentioning

confidence: 99%

Gastrointestinal Manifestations of Eating Disorders

Bern

Woods²,

Rodriguez³

2016

J. pediatr. gastroenterol. nutr.

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Individuals with eating disorders, including anorexia nervosa and bulimia nervosa, may present with a range of gastrointestinal (GI) manifestations. The oral cavity, salivary glands, GI tract, pancreas, and liver can be impacted by nutritional restrictive and binge/purging behaviors. Complications are often reversible with appropriate nutritional therapy. At times, however, the complications in these disorders may be severe, irreversible and even life threatening. Given the often covert nature of eating disorders, the practitioner must be attentive to subtle clues that may indicate their presence. Extensive diagnostic evaluations of the GI manifestations of eating disorders should be used only when nutritional rehabilitation does not remedy the problems.

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Section: Gastrointestinal Manifestationsmentioning

confidence: 99%

Gastrointestinal Manifestations of Eating Disorders

Bern

Woods²,

Rodriguez³

2016

J. pediatr. gastroenterol. nutr.

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“…Erosive tooth wear is the most obvious oral manifestation of the purgative types of eating disorders 22‐26 . Erosive tooth wear is a chemical‐mechanical process resulting in a cumulative loss of hard dental tissue without bacterial involvement, and it is characterized by loss of the natural surface morphology and contour of the teeth 27 …”

Section: Clinical Impact Of Eating Disorders On Oral Health Conditionsmentioning

confidence: 99%

“…Erosive tooth wear is the most obvious oral manifestation of the purgative types of eating disorders. [22][23][24][25][26] Erosive tooth wear is a chemical-mechanical process resulting in a cumulative loss of hard dental tissue without bacterial involvement, and it is characterized by loss of the natural surface morphology and contour of the teeth. 27 Vomitingassociated eating disorders are one of the main causes of intrinsic erosion, along with gastroesophageal reflux disease, alcohol abuse, and pregnancy.…”

Section: Teeth and Temporomandibular Jointsmentioning

confidence: 99%

Eating disorders through the periodontal lens

Rangé

Colon

Godart

et al. 2021

Periodontology 2000

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People with eating disorders suffer from a mental disorder that negatively affects their physical and/or mental health. The three most frequent eating disorders are binge eating disorder, bulimia nervosa, and anorexia nervosa. Environmental and genetic factors are involved in the pathogenesis of eating disorders in vulnerable persons. Although treatment varies among different types of eating disorders, nutrition, medical care combined with psychotherapy and medications are standard of care. The aim of this review is to give an overview of the oral health impact of eating disorders with a special emphasis on the periodontium. Oral health professionals have a unique role to play in the early diagnosis of eating disorders because of the important impact that eating disorders have on the oral cavity. In vomiting‐associated eating disorders, the risk of erosive tooth wear is mainly localized to the palatal surfaces of the incisors. Emerging evidence also indicates a high frequency of gingivitis and gingival recessions associated with compulsive toothbrushing. A holistic approach, including oral health and functional rehabilitation, should be promoted by physicians, psychiatrists, and dentists for people with eating disorders.

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A review of the eating disorders literature with reference to dentistry

Waylen

2021

Orthodontic Update

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Eating disorders are severe psychiatric illnesses associated with physical and psychological morbidity and mortality. In the UK, around 1 in 9 people are directly affected. Oral healthcare professionals may be among the first to observe the signs and symptoms of an eating disorder because of the recognizable and consistent links with oral pathology and it is important that they are sufficiently informed about the condition, and feel confident in raising it with patients and/or their families. CPD/Clinical Relevance: Oral healthcare professionals may be among the first to suspect that a patient has an eating disorder: they can play a role in diagnosis and appropriate referral, as well as providing appropriate oral healthcare advice.

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Self-induced Vomiting as a Function of Bulimia Nervosa Increases the Risk for Oral Health Issues

Cited by 3 publications

References 4 publications

Gastrointestinal Manifestations of Eating Disorders

Gastrointestinal Manifestations of Eating Disorders

Eating disorders through the periodontal lens

A review of the eating disorders literature with reference to dentistry

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