A Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of a Patient with Bulimia Nervosa: A Clinical Report

Treatment of a patient with bulimia nervosa is a challenge for the dental clinician. The oral manifestations of bulimic behavior, which include sore and inflamed throat, swollen salivary glands, tooth wear and decay, require a multidisciplinary approach. This clinical report illustrates the treatment of a 22-year-old female patient with history of bulimia nervosa and dentition with extended signs of erosion. It included thorough diagnosis with the use of screening tool BITE (Bulimic Investigatory Test, Edinburgh) and initial evaluation of tooth wear with the TWI (Tooth Wear Index). Crown lengthening and prosthetic rehabilitation with all- ceramic restorations on anterior teeth and metal- ceramic single crowns on posterior teeth was the treatment of choice