Dental issues that may occur with eating disorders:
- Tooth erosion: Vomiting causes teeth to erode (wear) due to high acidity of stomach contents.
- Dental caries: Antidepressants used in the treatment of eating disorders may decrease saliva flow and increase the risk of decay.
- Reduced Bone health: Adolescent females with an eating disorder may show low peak bone mass so it would be expected that periodontal disease may be enhanced later in life.
- Soft tissue damage: Inducing vomiting can cause injuries that dentist may see. Glossitis (inflammation of the tongue), ulcers and candida infections can be a sign of lack of vitamins and other nutritional deficiencies that can result from an eating disorder.
- Salivary glands changes: Some people with bulimia nervosa have salivary gland swelling caused from induced vomiting. Taste impairment (hypogeusia) is also associated with bulimia nervosa.