Question

A nurse is counseling a client diagnosed with bulimia nervosa about the symptom of tooth enamel deterioration. Which explanation for this complication of bulimia nervosa should the nurse provide?

1) The emesis produced during purging is acidic and corrodes the tooth enamel.
2) Purging causes the depletion of dietary calcium.
3) Food is rapidly ingested without proper mastication.
4) Poor dental and oral hygiene leads to dental caries.

Answer 1

Tooth enamel erosion in clients with bulimia nervosa is largely due to the acidic environment in the mouth after frequent vomiting, not just poor oral hygiene. This condition is serious as it can cause increased tooth sensitivity, cavities, and other health complications.

Step-by-step explanation:

The deterioration of tooth enamel in clients with bulimia nervosa is primarily due to the repeated exposure to stomach acid during frequent vomiting episodes. This is a form of chemical erosion. While poor dental and oral hygiene can certainly lead to dental caries, it is the acidic environment created during purging that significantly contributes to tooth decay and enamel erosion in bulimia nervosa. Tooth enamel, though protective, can be degraded by the acids produced by bacteria when plaque is present, but in the case of bulimia nervosa, it is the direct contact with stomach acids that is most damaging.

Enamel erosion from bulimia nervosa can lead to increased tooth sensitivity, discoloration, and an increased risk of cavities. Health complications associated with enamel erosion extend beyond dental concerns, potentially affecting overall nutritional health and the function of the digestive system.