Diet & Nutrition, teeth erosion, anorexia, bulimia, acid, fruit juice, soda

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by Dr. Jeffrey Dorfman, Director of The Center for Special Dentistry.

Diet & Nutrition, teeth erosion, anorexia, bulimia, acid, fruit juice, soda
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Image	Photo Description
	30 year old female who suffered from Bulimia and Anorexia. The erosion on her lower teeth was from this disorder; her lower teeth were NOT drilled by a dentist. The upper teeth were treated with porcelain veneers three years earlier while they still had sufficient enamel. The lower teeth will now need all ceramic crowns because of insufficient remaining enamel for adhesive bonding. Prophylactic endodontics is also recommended; the pulp chamber may be seen in many of these lower front teeth.
	Diet and nutrition in dentistry. This middle aged male patient had bulimia as a teenager but still maintained a very poor diet and exhibited severe teeth grinding. Oral Reconstruction of a phobic Wall Street executive. Total treatment time was about nine hours in two visits during one business week: Monday (four hours) and Friday (five hours). This patient hid his dental condition for over a decade by never smiling. In the first row of photos, note that the bite was over-closed due to a prior history of an eating disorder, now controlled, and a current tooth grinding habit. An Oral Surgery consultation with panoramic x-ray (second row) was performed prior to treatment to evaluate opening the bite. The third row shows x-rays taken after the Endodontist completed eight root canals on the first day on tooth #'s: 6 - 11 and 14, 15. The fourth row shows the lab-processed 11 unit (11 tooth) temporary bridge and the cast gold post/cores (with Kaitlyn loops) for the root canal treated teeth. The fifth row shows the cast gold post/cores cemented. The sixth row shows the lab-processed temporary bridge in place after the surgeon extracted tooth #'s: 3 - 5 and 12, crown lengthening gum surgery was performed on tooth #'s: 6 - 11, and a distal wedge was performed on #15. The patient will have a final porcelain-metal bridge made after the gums heal. Implants may also be placed in the upper right posterior. A bite plate is also necessary to try to mitigate the force of tooth grinding. Referral for pharmacological management of anxiety is also worthwhile.
	Diet and nutrition in dentistry. Dental signs of bulimia. Note erosion of the teeth.
	Diet and nutrition in dentistry. Treatment of teeth decalcification. This is frequently caused by oral ingestion of fruit juices and improper oral hygiene.
Information about these dental photos In medicine and dentistry "left" and "right" are based upon the orientation of the patient's body and not how they appear in a photograph of a smile. For example, a reference to the upper left teeth will actually appear to be on the right side when viewing a picture of the face and similarly an upper right tooth will appear to be on the left side. Many words in dentistry like oral and mouth have a similar meaning and are frequently used together to help our readers find specific words they best understand. This is particularly important because a majority of our visitors are from countries where English is not their primary language. Maxilla or maxillary refer to the upper jaw. Mandible or mandibular refer to the lower jaw. There are many other similar word combinations used throughout this website because our pages are read by patients and dentists. A few of the most common are discussed here. Tooth decay, tooth cavity and dental caries all mean the same thing. Tooth, teeth and dental are also frequently interchanged as in teeth veneers or dental veneer laminate. Oral rehabilitation and dental reconstruction mean smile makeover. The word for x-ray may be used with or without a hyphen (this is true for other words too) and can also be called a radiograph.

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