Eating disorders part II: clinical strategies for dental treatment.
OBJECTIVE
To present the strategies of treatment for dental implications of eating disorders.


METHODS
A comprehensive review of the literature was conducted with special emphasis on the treatment of the oral implications of anorexia nervosa and bulimia nervosa, dividing the treatment into different parts.


RESULTS
Oral manifestations of eating disorders represent a challenge to the dental practitioner. Dental erosion, caries, xerostomia, enlargement of parotide glands, traumatized oral mucosa, and other oral manifestations may present in anorexic and bulimic patients.


CONCLUSIONS
Often the dentist is the first healthcare provider to observe the clinical symptoms of an eating disorder. Dental treatment should be carried out simultaneously with the medical treatment. However, dentists are not aware of the fundamental importance of the dentist's participation in the multidisciplinary treatment and no training is provided with regard to the strategies involved in the dental treatment.


CONCLUSIONS
Oral complications of eating disorders are a major concern. The difficulties of recognizing the oral manifestations, and the failure to do so, may lead to serious systemic problems in addition to progressive and irreversible damage to the oral hard tissues. Considering the increasing incidence and prevalence rates of eating disorders, the dentist's participation and dental treatment should be discussed.
Aranha
Ana Cecilia Corréa
AC
Department of Restorative Dentistry, School of Dentistry, University of São Paulo, SP, Brazil. acca@usp.br
Eduardo
Carlos de Paula
Cde P
Cordás
Táki Athanassios
TA
D017742:Dental Care for Chronically Ill; D003731:Dental Caries / Q000209:etiology / Q000628:therapy; D003793:Dental Restoration, Permanent; D003807:Dentin Sensitivity / Q000209:etiology / Q000628:therapy*; D001068:Feeding and Eating Disorders / Q000150:complications*; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use; D028022:Low-Level Light Therapy; D010305:Parotid Diseases / Q000209:etiology / Q000628:therapy; D010348:Patient Care Team; D011613:Psychotherapy; D014077:Tooth Erosion / Q000209:etiology / Q000628:therapy*; D014089:Tooth Remineralization; D014987:Xerostomia / Q000209:etiology / Q000628:therapy