what syndrome is cahracterized by a refusal of the individual to maintain body weight over the minimal normal weight for age and height
anorexia nervosa
what syndrome is an aversion to eating and results in life threatening weight loss
anorexia nervosa
anorexia involves self imposed _____ that results from an obsessive desire to be ____ and a marked fear of ____ ____
starvation
thin
gaining weight
t/f with anorexia nervosa the persons perception of body image is disturbed
true
what are the two types of anorexia nervosa?
restricting type
bulimarexia
what type of person is an anorexic? 3
high achiever, socially isolated, depressed
the signs and symptoms of anorexia nervosa are severe weight loss with _____, preoccupation with ____, hyperactivity and excessive _____, abuse of ____, _____ and ____. Has ____ and _____ skin, _____ fingernails with ____ on the arms and face
emaciation
food
exercise
diuretics, laxatives and enemas
dry and flaky
brittle
lanugo
what are the vital signs like for a person with anorexia nervosa?
low!
low pulse rate, hypotension, decreased respiratory rate and low body temperature
t/f anorexia nervosa can cause amenorrhea
true
what are the three oral complications of anorexia nervosa?
xerostomia
caries
perimylolysis
what is a psychiatric compulsive disorder marked by recurrent episodes of uncontrollable binge eating?
bulima nervosa
what are the two types of bulima nervosa?
purging
nonpurging
what is caracteristic of the purging type of bulima nervosa?
self induced vomiting after eating or the use of laxatives or diuretics
what does a nonpurging bulimic use or control weight gain?
dieting
fasting
vigorous exercise
what are the individuals that are concered with body weight and shape called?
bulimarexia
is a bulimic aware of their abnormality?
yes
how is an episode of binge eating characterized?
eating within a 2 hour period more than most people would eat in two hours
the lack of control of what or how much one eats
t/f a bulimic alternates during normal eating and fasting
true
in contrast to the thin anorectic person how does a bulimic appear?
normal body weight or slightly overweight
what kinds of foods are consumed during a binge?
cariogenic items, high in calories
sweet taste
texture allows for rapid eating
favorite foods
is drug or alcohol abuse by the pt or family common for bulimia nervosa?
yes yes it sure is
when is amenorrhea a ccomplication for a bulimic?
when there is a history of anorexia nervosa
what does the treatment of bulimia nervosa focus on?
modifying dysfunctional beliefs about body shape and weight
what has ben demonstrated as effective in reducing binge eating and purging?
antidepressants
what is considered the treatment of choice for bulimia nervosa?
cognitive behavioral therapy
after vomiting acid is retained where? and what does this provide?
tongue papillae
longer contact with palatal surfaces of maxillary teeth
what may be ther erliest evidence of bulima?
parimylolysis on smooth palatal surcaces of teeth
how do the restorations appear for a bulimic
raised because of erosion of the enamel around the margins
what promotes caries in bulimia nervosa
pH changes in saliva
zerostomia
large quantities of cariogenic foods
for bulimia nervosa the saliva decreases in ____and _____
quality
quantity
what limits the buffereing and lubricating properties of saliva
pH
how might there be trauma to the oral cavity from bulimia nervosa?
soft palate-fingers, comb, pencils, toothbrush to induce vomiting
pharyngeal-large food bolus that is swallowed or regurgitated
what gland is effected by bulimia
parotid gland
how long does the parotid gland stay enlarged for after a binge
2 to 6 days
how can you instructed the bulimic pt to prevent perimylolysis and dental caries?
reduce cariogenic foods
imporve personal oral care
what should you tell a bulimic pt about brushing?
do not brush after vomiting, demineralization of the tooth surface by the acid from the stomach starts immediately on contact and brushing may abrade the demineralized areas
how can a bulimic help with remineralization?
alkaline rinse (Sodium bicarbonate or magnesium hydroxide solution)