title: A case report: recognizing factitious injuries secondary to multiple eating disorders.
abstract: This report describes the uncommon problem of a female patient diagnosed with an eating disorder, bulimia nervosa, who reported self-mutilating dental factitious behavior. The case presents a serious diagnostic and management problem. Notwithstanding the clinical appearance of the dentition, a thorough medical-dental history was essential for this uncommon diagnosis.
authors.affiliation: Department of Restorative Dentistry and Oral Biomaterials, University of Texas Houston Health Science Center Dental Branch, USA.
authors.forename: C D
authors.initials: CD
authors.lastname: Johnson
authors.forename: J
authors.initials: J
authors.lastname: Cunningham
authors.forename: C C
authors.initials: CC
authors.lastname: Sullivan
authors.forename: R
authors.initials: R
authors.lastname: Bebermeyer
mesh_terms: D000293:Adolescent; D001828:Body Image; D002032:Bulimia / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D003793:Dental Restoration, Permanent; D003937:Diagnosis, Differential; D005162:Factitious Disorders / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D005260:Female; D006801:Humans; D016728:Self-Injurious Behavior; D014077:Tooth Erosion / Q000209:etiology* / Q000628:therapy; D014082:Tooth Fractures / Q000209:etiology* / Q000628:therapy