Eating Disorders Part II: Clinical Strategies for Dental Treatment

JOURNAL TITLE: The Journal of Contemporary Dental Practice

1. Táki Athanassios Cordás
2. Ana Cecília Corrêa Aranha
3. Carlos de Paula Eduardo
Publishing Year
Author Affiliations
    1. Department of Restorative Dentistry, School of Dentistry University of São Paulo, São Paulo, Brazil
    1. Dr. Eduardo is a Full Professor in the Department of Restorative Dentistry of the School of Dentistry of the of the University of São Paulo, SP, Brazil. He is the Coordinator of the Special Laboratory of Lassers in Dentistry (LELO). e-mail:
    1. Dr. Cordás is a Psychiatrist in the Institute of Psychiatry of the School of Medicine at the University of São Paulo, SP, Brazil. He is the Coordinator of the Ambulatory of Bulimics and Eating Disorders (AMBULIM) service. e-mail:
  • Article keywords



    To present the strategies of treatment for dental implications of eating disorders.

    Methods and Materials

    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.


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


    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.


    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 ACC, Eduardo CP, Cordás TA. Eating Disorders Part II: Clinical Strategies for Dental Treatment. J Contemp Dent Pract 2008 November; (9)7:089-096.

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