Eating Disorders and Oral Health

Eating disorders, such as anorexia nervosa and bulimia, can have devastating effects on your health, including your teeth.

Anorexia is marked by an extreme restriction on how much is eaten, while bulimia is associated with binging and purging, or vomiting after eating. The effects on teeth and oral hygiene are:

  • Tooth erosion

Caused by stomach acid in vomit and by lack of nutrition, many people who suffer from eating disorders suffer from tooth erosion. Teeth that have eroded might chip easily, appear translucent, and become sensitive to hot and cold temperatures. If enamel has been lost, some restoration techniques include veneers and crowns.

  • Tooth decay

Eating disorders often cause nutritional deficiencies, including calcium. If your body needs calcium and doesn’t have it, it will draw calcium from bones and teeth, possibly leading to tooth decay.

  • Increased risk of infection in the gums

Other nutritional deficiencies caused by eating disorders are a lack of vitamin D and iron, which are necessary to fight infection. Without proper nutrients, there is an increased risk of gum disease.

  • Dry mouth

Highly restrictive eating and frequent vomiting can cause the salivary glands to swell and decrease production. Saliva neutralizes the acid in your mouth and without it, there is an increased risk for tooth decay and infections in the mouth.

Help and support is necessary for recovery, so if you or a loved one is struggling with an eating disorder, please let your healthcare provider know.

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  • "Dear Jay,

    I have been to the dentist here in Raleigh,NC twice since coming here from Morristown, NJ (and the magnificent dinner in Westfield with you, your lovely wife and Ginny Williams) and both times the dentist has said, "Wow! Whoever did your dental work was a real professional. You need nothing done except a routine cleaning."

    Jane and I miss you. And your exquisite professionalism. And, of course, we miss much more your friendship."
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  • "Dear Dr. Schuster,

    Jay, really nice crown. Now THAT’s the way dentistry should be done:)

    Thank you for allowing me to participate in the care of your patient. I will of course keep you apprised of any changes if they occur. If I may be of any additional assistance regarding this or any other patient, please feel free to call.

    With best personal regards,"
    Mitchell H. Davich, DMD, FACD, FICD