bulimia nervosa the role of dentists Lv4UmkDO |

Bulimia nervosa; the role of dentists

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General Description of Bulimia:

Bulimia Nervosa is the name given to the chronic eating disorder, which occurs when the act of uncontrolled eating and throwing them out of the body by vomiting turns into an unavoidable habit. Generally, this disease is often seen in people who cannot overcome their depression and do not accept that they are depressed. stuck in the face of the problem, lost their faith in themselves, seeing themselves as unsuccessful in their life efforts, giving up somewhere and withdrawing, isolating themselves from social life and quickly eating whatever they find their only life pleasure, eating unconsciously and quickly afterwards regretting what they ate. to do the act of vomiting or to make a lot of effort to get rid of it…. And one day, when the person realizes that this has become a disease, but this has become a habit, this time he panics and realizes that another important health problem has been added to his depression, even applying to the doctor and getting help. either he is afraid … he hides it from everyone, he thinks that he will solve it by himself, and it is always said that tomorrow is the last …. but those tomorrows never come…

For example: The dentist says; Complaining, there is sensitivity in my teeth, but I take very good care of my teeth … But after a proper examination, we should definitely talk to the patient alone, after a proper examination, what causes the erosion in the teeth, and give him a session if necessary. We will have to give an appointment and try to solve the reason why these erosions in the teeth can generally be caused by too much circulating in the mouth of the stomach acid, and to make the patient open to the dentist, to give him the belief that he can share his secret, and maybe we will have to spare a little more time than usual for this type of patient.. In my 2 cases that I was able to catch, by spending a little more time and even by getting professional help from a psychiatrist friend in one, success was achieved in both of them…

Differential diagnosis:

The formation of stains, cavities on the teeth, and chemical abrasions on the tooth enamel by being affected by acid wastes, irritation and wounds in the throat, lesions on the gums and bad breath due to these, in addition to the restlessness observed during the patient’s anamnesis, hair loss, memory loss, heart and kidneys. signs of damage, the person is angry and restless because he is ashamed of what he has done.

The frequent circulation of stomach acid in the mouth and its contact with the teeth, and its chemical resolution by being affected by acid wastes and the formation of erosions in the teeth.

Diagnosis: A good anamnesis should be taken …. In the first sessions with the patient, the way of eating should be learned with strict supervision and conversation…..


First of all, he should treat the habit of throwing out every food that enters the chronically body by vomiting, if necessary, by getting help from a psychiatrist, the treatment of the existing eroded teeth should be done quickly, he should keep the patient under follow-up for a few months. should be explained.

Medicines used in the treatment: Esthetic composite veneers or filling repairs can be made to the teeth with erosion and enamel destruction.

Advice and protection :

First, the person should be encouraged to make peace with himself, he should teach that the diseases caused by the wrong eating habits can cause very dangerous secondary diseases, and if necessary, the dentist should continue his treatment with a Psychiatric support.

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