- Regular dental visits with Dr. Powell
- Rigorous hygiene and meticulous home care.
- In office flouride applications to prevent further erosion and decrease dentin sensitivity.
- Daily home application of flouride in custom trays to promote the remineralization of enamel.
- Use artificial saliva replacements. There are toothpastes, rinse, and gel.
- Rinse mouth immediately with water after vomiting to reduce acidity in the mouth.
- Use flouride rinse to neutralize acids and protect and remineralize the tooth surfaces.
- Do NOT brush after vomiting, this will lead to excessive enamel erosion.
Dr. Powell has experience with many bulimia sufferers. Some mild, and some with more extensive issues. Bulimia is a disorder that plagues many people, some are able to hide the problem, some aren’t so fortunate. Beside the obvious physical changes, there are changes that can be detected during your routine dental examination. At Asheville Dental Care we carefully diagnose and treat the after effects of bulimia. Some signs are:
Outer surface erosion . This is the most common effect of vomiting. This usually occurs on the upper, front inside surfaces of the teeth. If the back teeth are affected there is often a loss of the biting surface , which become highly susceptible to decay that can lead to infection of the nerve. These signs usually appear after two years of bulimic habits. The symptoms could progress to the point of causing sensitivity, the margins of fillings on the back teeth may appear higher than the surfaces around the filling, change of bite due to change in tooth structure
Parotid gland swelling. Swelling is common in bulimics. Gland enlargement is related to the duration and severity of vomiting. Dr. Powell or the hygienist will check for this enlargement as part of your dental exam.
Dry mouth. The amount of saliva is effected by the abuse of diuretics, laxatives, and dehydration from fasting and vomiting. We carry a variety of products for you to try.
Gum tissue trauma. This is due to ingesting large amounts of food and forced vomiting. The soft pallet may also be damages by using objects to force vomiting. Dehydration will also effect gum tissue.
All these issues and more can be addressed by Dr. Powell and staff at your first visit. The first visit for someone with an eating disorder can be scary, we do everything possible to help you feel comfortable, safe and understood. There are many ways we can help, give us a call.
Dr. Powell has seen an increase in the effects of acid erosion on our patients teeth. This is due to an increase in the consumption of sodas, energy drinks and coffee products. Acid erosion is a type of tooth wear that occurs when acid softens the surface of the tooth’s enamel. The constant attack from acids in our food, drink and stomach temporarily softens the enamel and it loses some of its mineral content. Even with the natural defense of saliva that slows this process, you are still fighting a loosing battle. If you combine this situation with aggressive brushing the result is significant wear leading to transparency, cracks, change of tooth shape, and thinning of the teeth. We have patients that are dealing with this issue, Dr. Powell can help prevent the progress of this problem.