Dental sequelae to the binge-purge syndrome (bulimia): report of cases

Wolcott, Robert B.; Yager, Joel; Gordon, Ginni

doi:10.14219/jada.archive.1984.0186

Cited by 21 publications

(14 citation statements)

References 3 publications

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“…Several authors have reported orthodontic anomalies resulting from bulimic behaviour (O'Reilly et al, 1991;Shaw, 1994). Reports of the prevalence of periodontal disease in individuals with bulimia nervosa are variable, Willerhausen et al (1990) found better levels of gingival health in bulimics than controls, Altshuler (1990) found no significant difference between bulimics and controls, whereas others have described increased prevalence and severity of periodontal disease (Wolcott et al, 1984;Brady, 1980). This sign certainly cannot be taken as a reliable indicator of bulimia as it is so common in the general population.…”

Section: Introductionmentioning

confidence: 99%

Dental aspects of bulimia nervosa: Implications for the health care team

Harwood

Newton

1995

Euro Eating Disorders Rev

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This paper reviews the published literature regarding the oral signs and symptoms of bulimia nervosa and discusses the benefits of involving the dental profession in the early identification of suspected cases. It is argued that the primary care dental team can act as a valuable resource to mental health professionals provided that liaison and mutual education take place. The oral manifestations of bulimia nervosa include increased levels of dental caries, sensitivity to hot and cold substances, dry mouth, enamel erosion and occasionally swelling of the parotid salivary gland. These signs can develop within six months of the onset of bulimia nervosa. The general dental practitioner is ideally placed to pick up these early warning signs. The oral condition may be controlled through local measures but the true value of the involvement of the dental practitioner may only be realized if they are made aware of the importance of early referral for specialist advice and management of the underlying condition and the consequent improvement in prognosis. Recent work has suggested that many dental practitioners are unaware of oral signs that may indicate the existence of bulimia nervosa and tend to restrict management to the local oral problem.

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Section: Introductionmentioning

confidence: 99%

Dental aspects of bulimia nervosa: Implications for the health care team

Harwood

Newton

1995

Euro Eating Disorders Rev

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“…persentivity (Harrison, George, & Cheatham, 1984), dental caries (Hurst et al, 1977), xerostomia (Altshuler, Hylin, Waller, & Hardy, 1988b), parotid enlargement (Levin, Falko, Dixon, Gallup, & Saunders, 1980), and parotid dysfunction and periodontal disease (Wolcott, Yager, & Gordon, 1984). Due to lack of symptoms, physical signs, and secrecy, oral pathologies may present the only clues that bulimia nervosa exists (House et al, 1981;Herzog, 1982).…”

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confidence: 99%

“…However, there is a controversy concerning which hygiene measures to recommend. Wolcott et al (1984) recommend immediate toothbrushing after vomiting to prevent erosion by removal of vomitus from the teeth. In contrast, Knewitz and Drisko (1987) warn that toothbrushing may accelerate erosion by burnishing acid into enamel.…”

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confidence: 99%

An investigation of the oral pathologies occurring in bulimia nervosa

Altshuler¹,

Dechow²,

Waller

et al. 1990

Int. J. Eat. Disord.

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This study investigated oral pathologies associated with bulimia nervosa and examined the relationship between these pathologies and the bulimic's binge eating, vomiting, and postvomiting oral hygiene. Results revealed a greater prevalence of enamel erosion, dental caries, dentin hypersensitivity, parotid dysfunction, and xerostomia in the bulimic group when compared with a nonbulimic control group. Enamel erosion was related to the duration of vomiting behavior. After 6 months the majority of bulimics exhibited erosion, which increased in severity with time. Tap water rinsing appeared to enhance erosion and cannot be recommended as a postvomiting hygiene practice. Since oral pathology may be the only detectable sign of bulimia nervosa, the information provided by this study facilitates the identification of bulimic patients and provides guidelines for evaluation of oral pathology in bulimia nervosa.

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“…Oral symptoms that are directly related to chronic vomiting directly include dental erosion of the palatal surface [38,103] and mucosal atrophy [38]. Previous reports indicated that medications such as dextrose tablets and sucrose-containing vitamin C beverages increase the incidence of dental caries [104,105]. Although the association between the rate of development of caries and vomiting frequency remains unclear [106,107,108], this damage exposes the dentin and results in tooth hypersensitivity [109,110] and occlusal changes, such as an anterior open bite [104].…”

Section: The Role Of Salivary Secretions In Eating Disordersmentioning

confidence: 99%

The Role of Ghrelin, Salivary Secretions, and Dental Care in Eating Disorders

et al. 2012

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Eating disorders, including anorexia and bulimia nervosa, are potentially life-threatening syndromes characterized by severe disturbances in eating behavior. An effective treatment strategy for these conditions remains to be established, as patients with eating disorders tend to suffer from multiple relapses. Because ghrelin was originally discovered in the stomach mucosa, it has been widely studied over the past decade in an effort to uncover its potential roles; these studies have shed light on the mechanism by which ghrelin regulates food intake. Thus, studying ghrelin in the context of eating disorders could improve our understanding of the pathogenesis of eating disorders, possibly resulting in a promising new pharmacological treatment strategy for these patients. In addition, early detection and treatment of eating disorders are critical for ensuring recovery of young patients. Oral symptoms, including mucosal, dental, and saliva abnormalities, are typically observed in the early stages of eating disorders. Although oral care is not directly related to the treatment of eating disorders, knowledge of the oral manifestations of eating disorder patients may aid in early detection, resulting in earlier treatment; thus, oral care might contribute to overall patient management and prognosis. Moreover, ghrelin has also been found in saliva, which may be responsible for oral hygiene and digestion-related functions. This review discusses the pharmacological potential of ghrelin in regulating food-intake and the role of saliva and oral care in young patients with eating disorders.

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Dental sequelae to the binge-purge syndrome (bulimia): report of cases

Cited by 21 publications

References 3 publications

Dental aspects of bulimia nervosa: Implications for the health care team

Dental aspects of bulimia nervosa: Implications for the health care team

An investigation of the oral pathologies occurring in bulimia nervosa

The Role of Ghrelin, Salivary Secretions, and Dental Care in Eating Disorders

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