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Preventative measures for bulimic patients with dental erosion
1Floor 25, Division of Conservative Dentistry, Guy's, King's and St Thomas' Dental Institute, Guy's Tower, London Bridge SE1 9RT.
The European Journal of Prosthodontics and Restorative Dentistry
|November 7, 2001
Summary
Preventative dental care for patients with bulimia nervosa is often overlooked. Educating patients on techniques like fluoride use and dietary changes can minimize acid erosion and aid dental treatment.
Area of Science:
- Dentistry
- Gastroenterology
- Psychiatry
Background:
- Bulimia nervosa (BN) poses significant risks to dental health due to frequent acid erosion.
- Preventative dental strategies for BN patients are often undervalued compared to restorative treatments.
- Dentists may lack awareness of eating disorders, hindering appropriate patient care.
Purpose of the Study:
- To review patient-oriented preventative and provisional management techniques for dental hard tissue erosion in bulimia nervosa.
- To highlight the importance of preventative measures in managing dental complications of BN.
Main Methods:
- Literature review on the causes and dental consequences of bulimia nervosa.
- Analysis of preventative techniques including fluoride application, brushing methods, antacids, cheese, xylitol chewing gum, and mouth guards.
- Discussion of monitoring tooth wear via study casts and indications for restorations.
Main Results:
- Patient education on preventative measures can minimize the effects of acid erosion.
- Techniques such as fluoride, dietary modifications, and xylitol gum can be valuable adjuncts to dental treatment.
- Monitoring tooth wear is crucial, with restorations indicated when prognosis is compromised.
Conclusions:
- Preventative dental care is essential for patients with bulimia nervosa.
- Educating patients and improving compliance are key to managing dental erosion.
- A multidisciplinary approach integrating dental and psychological care is beneficial.