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Bulimia and tooth erosion

I Rytömaa1, V Järvinen, R Kanerva

  • 1Department of Cariology, Institute of Dentistry, Helsinki, Finland.

Acta Odontologica Scandinavica
|April 16, 1998
PubMed
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Bulimic patients exhibit significantly higher rates of dental erosion and caries compared to controls. Reduced salivary flow and increased tooth sensitivity are common, highlighting the need for dental protection in bulimia nervosa.

Area of Science:

  • Dentistry
  • Psychiatry
  • Gastroenterology

Background:

  • Eating disorders, particularly bulimia nervosa, are linked to oral health issues like dental erosion due to gastric content regurgitation.
  • Dental erosion and caries are significant concerns in individuals with eating disorders, impacting oral health and quality of life.

Purpose of the Study:

  • To clinically evaluate the dental status of bulimic patients.
  • To compare dental health outcomes between bulimic individuals and a matched control group.
  • To identify factors associated with dental erosion and caries in bulimia nervosa.

Main Methods:

  • Clinical examination of dental status in 35 bulimic patients and 105 controls.
  • Interviews to assess factors contributing to dental erosion and caries.

Related Experiment Videos

  • Matching of control group for age, sex, and educational level.
  • Main Results:

    • Bulimic patients showed significantly higher prevalence of severe dental erosion and caries.
    • Low salivary flow rate was common in bulimics, but other risk factors for erosion did not differ.
    • Bulimics reported more frequent dry mouth and increased tooth sensitivity to cold and touch.

    Conclusions:

    • Bulimia nervosa is strongly associated with increased dental erosion and caries.
    • Reduced salivary flow and heightened tooth sensitivity are key oral health issues in bulimics.
    • Proactive dental protection is crucial for bulimic patients, as tooth tissue loss is often irreversible.