by Lukasz Lassmann, DDS

The incidence of bulimia appears to be increasing, but diagnosing it can be difficult, especially because many patients are too embarrassed to admit to having it. This disorder should be differentiated from occlusive, nutritional, and gastrointestinal problems, as well as from numerous parafunctions. The correct diagnosis allows the dental clinician to choose a treatment that should solve all of the patient’s esthetic and functional problems with a minimum number of procedures. With a minimally invasive approach in erosive patients, it is necessary to know the decision criteria for increasing the vertical dimension of occlusion and for selecting a preparation technique, type of prosthetic restoration, type of ceramic, and method of cementation.

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