Eating Disorders

The two most common eating disorders are anorexia nervosa and bulimia (Ruff et al, 1992). A variety of specialists, including gastroenterologists, psychiatrists, psychologists, dentists, internists, clinical social workers, nurses, and dietitians, must provide the treatment of eating disorders. There is a separate chapter on this topic (see Chapter 38, "Anorexia Nervosa and Bulimia").

The cardinal oral manifestation of eating disorders is severe erosion of the enamel on the lingual surfaces of the maxillary teeth. Acids from chronic vomiting are the cause (Shaw, 1994; Tylenda et al, 1991). Examination of the patient's fingernails and volar surfaces of the fingers may disclose abnormalities related to using these fingers to initiate purging. Mandibular teeth are not usually affected to the same degree as the maxillary teeth. Parotid enlargement may develop as sequelae of starvation.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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