Document Detail


Communicating effectively with patients suspected of having bulimia nervosa.
MedLine Citation:
PMID:  16161368     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The dental team often is confronted with the clinical appearance of erosion affecting the hard and soft oral tissues. An investigative process often is needed to determine the cause of such erosion, because factors other than eating disorders may be involved. The authors present a protocol that should be considered in the assessment of dental erosion. Guidelines provide direction for the clinician toward opening a dialogue with a patient when the suspected cause of erosion is an eating disorder. TYPES OF STUDIES REVIEWED: The authors review publications related to the causes of dental erosion and the patterns that are involved with both chemical and mechanical destruction of oral tissues. They also discuss the oral-tissue effects related to eating disorders. The authors stress the importance of assisting parents in obtaining adequate treatment for pediatric patients. RESULTS: Cases of eating disorders among female college students, athletes, preadolescent children and men are well-documented. However, dental staff members often do not feel comfortable beginning a dialogue with patients who are suspected of having an eating disorder. This article focuses on the proper protocol for approaching such patients and beginning a dialogue. In addition, the authors provide suggestions for limiting further erosive damage to the tissues. They also discuss other causes of erosion that should be considered when assessing any type of oral erosion. CLINICAL IMPLICATIONS: The dental team is in a prime position to assist patients who have eating disorders. Timely treatment by mental health and other medical professionals is crucial. The authors suggest a dialogue for approaching these patients and offer educational material to reduce further tissue destruction.
Authors:
Nancy Burkhart; Michael Roberts; Matthew Alexander; Anne Dodds
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Dental Association (1939)     Volume:  136     ISSN:  0002-8177     ISO Abbreviation:  J Am Dent Assoc     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-09-15     Completed Date:  2005-10-04     Revised Date:  2005-12-07    
Medline Journal Info:
Nlm Unique ID:  7503060     Medline TA:  J Am Dent Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1130-7     Citation Subset:  D; IM    
Affiliation:
Baylor College of Dentistry, Department of Periodontics and the Stomatology Center, Dallas, USA. nburkhart@bcd.tamhsc.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Body Image
Bulimia / complications*,  psychology*
Child
Communication
Dentist-Patient Relations*
Female
Humans
Male
Tooth Erosion / etiology*,  prevention & control
Comments/Corrections
Comment In:
J Am Dent Assoc. 2005 Nov;136(11):1508, 1510; author reply 1510   [PMID:  16329408 ]
Erratum In:
J Am Dent Assoc. 2005 Nov;136(11):1517

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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