Eating Disorders (ED) - Oral Health Care Considerations
- ED require a team-based approach, including a physician, registered nurse, psychiatrist/psychologist, registered dietitian and social worker.
- Once the oral health care professional recognizes the presence of an ED the patient/guardian should be approached and if indicated referred to an ED program and the patient’s physician.
- Many patients with EDs have concerns with their self-image. This can be addressed and, if indicated, esthetic/cosmetic enhancement of the dentition can be suggested.
- The acidic environment due to purging, or oral dryness, may cause teeth erosions and trauma to the oral mucosa and pharynx, as well as enlarged parotid glands.
- Determine the type of dental restorations offered to the patient based on type and extent of erosion and oral dryness.
- Patients experiencing regurgitation and frequent vomiting may present with palatal enamel erosions
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Medical Complexity Status - Eating Disorders#
| Eating Disorders | MCS1B |
|---|---|
| Anticipated complication | Controlled/ stable |
| Hemostasis | None |
| Microbial susceptibility | None |
| Drugs/ drug interactions | None |
| Stress/trauma | Minor |
See Medical Complexity Status for more information.
Related Pages#
- Medical Disorders
- Images
References/Websites#
References
- Cost J, et al. Medical complications of anorexia nervosa. Cleveland Clin J Med 2020;87(6):361-366.
- Nitsch A, et al. Medical complications of bulimia nervosa. Cleveland Clin J Med 2021;88(6):333-343.
- Romanos GE, et al. Oro-facial manifestations in patients with eating disorders. Appetite. 2012;59(2):499-504.
Websites