Preventative measures for bulimic patients with dental erosion.
The preventative techniques suggested to bulimic patients are frequently undervalued and ignored in favour of restorative treatment, possibly because the dentist may not be aware of the eating disorder. Educating bulimic patients about fluoride application, the use of brushing techniques, antacids, cheese, xylitol chewing gum and the possible use of mouth guards may minimise the effect of acids. Together with attempts at improving patient compliance they can be a valuable adjunct to treatment of bulimic patients with dental problems. Monitoring the wear on teeth by comparing study casts is a good way to maintain control but there are circumstances when restorations are indicated, perhaps when further delay may result in the prognosis of the teeth being compromised. Following a brief introduction to causes of bulimia and the consequences to the dentition, this paper, based on a literature review, considers patient-orientated techniques for prevention and provisional management of erosion of dental hard tissues for patients with bulimia nervosa.
Sundaram
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Floor 25, Division of Conservative Dentistry, Guy's, King's and St Thomas' Dental Institute, Guy's Tower, London Bridge SE1 9RT.
Bartlett
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D
D000863:Antacids / Q000627:therapeutic use; D002032:Bulimia / Q000150:complications* / Q000517:prevention & control; D002327:Cariostatic Agents / Q000627:therapeutic use; D002611:Cheese; D002638:Chewing Gum; D003793:Dental Restoration, Permanent; D017220:Dentin-Bonding Agents / Q000627:therapeutic use; D005459:Fluorides / Q000627:therapeutic use; D006267:Health Education, Dental; D006801:Humans; D009064:Mouth Protectors; D010349:Patient Compliance; D010353:Patient Education as Topic; D011379:Prognosis; D013549:Sweetening Agents / Q000627:therapeutic use; D014077:Tooth Erosion / Q000209:etiology / Q000517:prevention & control*; D014099:Toothbrushing / Q000379:methods; D014993:Xylitol / Q000627:therapeutic use
D000863:Antacids; D002327:Cariostatic Agents; D002638:Chewing Gum; D017220:Dentin-Bonding Agents; D013549:Sweetening Agents; D005459:Fluorides; D014993:Xylitol