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A 21-year-old male asked:

Dental hygiene advice on the best proper care routine, techniques, and precautions for bulimics. it relapsesapproximately 5-7 days monthly; otherwise has a healthy diet.

4 doctor answers7 doctors weighed in
Dr. Benjamin Vela
Dentistry 16 years experience
See your dentist!: Bulimia has obvious detrimental consequences to the teeth. An electric toothbrush and a toothpaste like pronamel. Act mouth rinse is excellent at restoring some microscopic damage. A nightguard and/or Fluoride trays help too. Definitely take care when relapses occur as the damage gets multiplied when one brushes aggressively after vomiting. Of course, see a dentist to consider additional options.
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Dr. Steven Koos
Oral and Maxillofacial Surgery 22 years experience
Bulimia & Teeth: Please seek the care of a clinical psychologist or psychiatrist who specialized in eating disorders to begin a path to overcoming this issue. But for the time being, rinse with water several times vigorously after an episode (do not brush), in order to wash away any of the acidic stomach fluids that may have bathed the teeth after regurgitating. Also as dr. Vela mentioned, rinse with act after.
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Dr. Arnold Malerman
Orthodontics 54 years experience
Acid erosion: The big problem is acid erosion of the backs of the teeth from purging. Perhaps a baking soda rinse would be helpful. Avoid acidic foods. Don't brush for at least an hour after purging. Best advice would be to get professional help to resolve the problem.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. James Anderson
Dentistry 20 years experience
Floride rinse: Bulimia is destructive to your teeth due to the high concentration of gastrointestinal acids that pass through the oral cavity. This lowers the ph of the area and causes destruction of enamel until the ph can be increased to a more neutral level. Using a Fluoride rinse like act! will help by increasing the ph at a more rapid rate than your saliva does naturally.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Sep 28, 2016

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