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Changes to the teeth and mouth often stem from self-induced vomiting, also known as ",{"text":241,"type":71,"marks":242},"purging",[243],{"type":104,"attrs":244},{"href":245,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18335",{"text":247,"type":71},".",{"type":223,"attrs":249,"content":250},{"level":225,"textAlign":67},[251],{"text":252,"type":71},"What does bulimia do to your teeth?",{"type":65,"attrs":254,"content":255},{"textAlign":67},[256,258,263,265,270,272,276],{"text":257,"type":71},"Self-induced vomiting with bulimia can cause erosion of the enamel and dentin of the teeth, affecting nearly half of all people who purge this way",{"text":259,"type":71,"marks":260},"[1]",[261],{"type":262},"superscript",{"text":264,"type":71},". 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This is a different location compared to damage to teeth related to binge eating or drinking highly acidic foods and liquids.",{"type":65,"attrs":312,"content":313},{"textAlign":67},[314],{"text":315,"type":71},"Erosion of the enamel and dentin caused by purging has a characteristic pattern. This makes it easy to spot during a dental exam. Because of this, it is common for the first diagnosis of bulimia to come from a dental professional.",{"type":223,"attrs":317,"content":318},{"level":225,"textAlign":67},[319],{"text":320,"type":71},"Signs of bulimia teeth damage",{"type":65,"attrs":322,"content":323},{"textAlign":67},[324],{"text":325,"type":71},"Watch for the following signs:",{"type":327,"attrs":328,"content":330},"ordered_list",{"order":329},1,[331,338,345,352,359,366],{"type":281,"content":332},[333],{"type":65,"attrs":334,"content":335},{"textAlign":67},[336],{"text":337,"type":71},"Dental erosion may initially make the teeth look smooth and glossy.",{"type":281,"content":339},[340],{"type":65,"attrs":341,"content":342},{"textAlign":67},[343],{"text":344,"type":71},"Later, the erosion may cause teeth to appear shorter in length.",{"type":281,"content":346},[347],{"type":65,"attrs":348,"content":349},{"textAlign":67},[350],{"text":351,"type":71},"Enamel surfaces will appear dull with irregular edges.",{"type":281,"content":353},[354],{"type":65,"attrs":355,"content":356},{"textAlign":67},[357],{"text":358,"type":71},"Teeth may become very sensitive to hot and cold temperatures.",{"type":281,"content":360},[361],{"type":65,"attrs":362,"content":363},{"textAlign":67},[364],{"text":365,"type":71},"Fillings\u002Famalgams may appear raised above the teeth.",{"type":281,"content":367},[368],{"type":65,"attrs":369,"content":370},{"textAlign":67},[371,373,377],{"text":372,"type":71},"An increase in cavities may occur",{"text":374,"type":71,"marks":375},"[3]",[376],{"type":262},{"text":247,"type":71},{"type":223,"attrs":379,"content":380},{"level":225,"textAlign":67},[381],{"text":382,"type":71},"Does bulimia increase the risk for cavities?",{"type":65,"attrs":384,"content":385},{"textAlign":67},[386,388,391,393,396],{"text":387,"type":71},"The science is mixed as to whether purging with bulimia increases the risk of cavities",{"text":259,"type":71,"marks":389},[390],{"type":262},{"text":392,"type":71},". Some research suggests that people with bulimia do not have a higher rate of cavities compared to the general population. Other studies suggest that the opposite is true, and that people with bulimia do have more cavities",{"text":374,"type":71,"marks":394},[395],{"type":262},{"text":247,"type":71},{"type":65,"attrs":398,"content":399},{"textAlign":67},[400,402,406],{"text":401,"type":71},"What is known is that someone with bulimia may engage in behaviors that can increase cavities. This includes bingeing on sweet, sugary, carbohydrate-rich foods or drinking highly acidic beverages",{"text":403,"type":71,"marks":404},"[2,3]",[405],{"type":262},{"text":407,"type":71},". Additionally, reduced salivary flow is seen in people who purge. Reduced salivary flow can increase the risk of cavities.",{"type":223,"attrs":409,"content":410},{"level":225,"textAlign":67},[411],{"text":412,"type":71},"Other signs of bulimia related to the mouth and face",{"type":65,"attrs":414,"content":415},{"textAlign":67},[416],{"text":417,"type":71},"Self-induced vomiting can lead to many other serious health complications in the mouth, face and cheeks. 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Therefore, a full physical and dental examination is recommended for individuals who are showing signs of an eating disorder.",{"type":223,"attrs":504,"content":506},{"level":505,"textAlign":67},3,[507],{"text":508,"type":71},"Russell's sign",{"type":65,"attrs":510,"content":511},{"textAlign":67},[512],{"text":513,"type":71},"Calluses on the back of the hands and knuckles may appear if the fingers are irritated by the teeth during purging episodes. This is known as Russell’s sign.",{"type":223,"attrs":515,"content":516},{"level":225,"textAlign":67},[517],{"text":518,"type":71},"How to reduce tooth damage caused by purging",{"type":65,"attrs":520,"content":521},{"textAlign":67},[522],{"text":523,"type":71},"A primary goal of bulimia treatment is to stop episodes of purging, including self-induced vomiting. If patients are still actively purging, they can discuss any concerns about tooth damage with their treatment providers. It is very important that they follow up regularly with their dentist. Eating disorders are complex and can be difficult to overcome, but recovery is possible.",{"type":223,"attrs":525,"content":526},{"level":225,"textAlign":67},[527],{"text":528,"type":71},"Bulimia treatment options",{"type":65,"attrs":530,"content":531},{"textAlign":67},[532],{"text":533,"type":71},"Most medical complications from eating disorders are fully reversible with full treatment of the eating disorder. However, dental erosion related to chronic regurgitation with self-induced vomiting is permanent. Maintaining good dental health is vital. Only essential restorative dental work should be completed until the patient is no longer purging since acid erosion will shorten the life of the dental restorations.",{"type":223,"attrs":535,"content":536},{"level":225,"textAlign":67},[537],{"text":538,"type":71},"Find recovery from bulimia",{"type":65,"attrs":540,"content":541},{"textAlign":67},[542],{"text":543,"type":71},"The best way to reduce tooth damage and other oral health effects related to bulimia is to stop purging. Treatment for purging is similar to treatment for other eating disorders. 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While pursuing these degrees, her research interests focused on eating disorders and body image. Britt has over 20 years of experience in the behavioral health field and is a former Nationally Certified Counselor and Licensed Associate Professional Counselor. Before she joined the team at Eating Recovery Center and Pathlight Mood & Anxiety Center (ERC Pathlight) in 2016, Britt was a therapist and managed psychology and psychiatry research projects for internationally renowned faculty at Emory and Georgia State. Britt is currently an SEO content strategist and writer for ERC Pathlight. 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",[],[],[],[],{"type":62,"content":640},[641],{"type":65},[],[],"britt-berg","profile\u002Fbritt-berg",-2160,[],148823052330811,"175275d5-bb53-4ad1-a7e5-7f7f7def3551","2026-03-02T14:02:24.264Z",[],"\u003Col>\u003Cli>Mehler, P.S., & Andersen, A.E. (2022). \u003Ca href=\"https:\u002F\u002Fwww.amazon.com\u002FEating-Disorders-Comprehensive-Medical-Complications-dp-1421443589\u002Fdp\u002F1421443589\u002Fref=dp_ob_title_bk\">Eating disorders: A comprehensive guide to medical care and complications (4th ed.)\u003C\u002Fa>. Johns Hopkins University Press.\u003C\u002Fli>\u003Cli>Douglas, L. (2015). \u003Ca href=\"https:\u002F\u002Fwww.nature.com\u002Farticles\u002Fbdjteam20159\">Caring for dental patients with eating disorders\u003C\u002Fa>. BDJ Team 1, Article number 15009. \u003Ca href=\"https:\u002F\u002Fdoi.org\u002F10.1038\u002Fbdjteam.2015.9\">https:\u002F\u002Fdoi.org\u002F10.1038\u002Fbdjteam.2015.9\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Rosten, A., & Newton, T. 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06 Nov 2026 15:11:36 GMT","W\u002F\"05da103177ec847c42cf617135b5f9fa\"","1.1 31018efa0f6c4b43ab018b8f561f340a.cloudfront.net (CloudFront)","D9EgP8kj4CuF7DAksT0-wyPnUu5UXVQ0FBdO7te_MsOkleyCaAOboQ==","de084cb0-a729-4e7e-a631-84587816d548","0.039525",{"data":2868,"headers":3051,"perPage":3060,"total":3061},{"stories":2869,"cv":203,"rels":3049,"links":3050},[2870,2909,2945,2991],{"name":2871,"created_at":2872,"published_at":2873,"updated_at":2874,"id":2875,"uuid":2876,"content":2877,"slug":2902,"full_slug":2903,"sort_by_date":67,"position":2904,"tag_list":2905,"is_startpage":177,"parent_id":2386,"meta_data":67,"group_id":2906,"first_published_at":2907,"release_id":67,"lang":201,"path":67,"alternates":2908,"default_full_slug":67,"translated_slugs":67},"What parents should know about ‘looksmaxxing’","2026-11-02T15:49:36.084Z","2026-11-02T16:14:43.923Z","2026-11-02T16:14:43.937Z",237342622072832,"ee603b73-6cd2-4e46-9b5c-a3e6a4506843",{"_uid":2878,"body":2879,"authors":2887,"excerpt":14,"summary":2889,"component":2368,"categories":2890,"article_type":2404,"external_link":2891,"featured_image":2892,"external_link_text":2410,"listing_thumbnail_image":2899},"e1d33b35-2ed6-4879-ab14-1e1fbc2662a1",{"type":62,"attrs":2880,"content":2881},{"backgroundColor":67},[2882],{"type":65,"attrs":2883,"content":2884},{"textAlign":67},[2885],{"text":2886,"type":71},"Therapist Lorin Terrell explores concerns surrounding the looksmaxxing trend and discusses ways parents can address body image with their teens.",[2888],"368766a3-16e7-4f94-88d2-3922d1eb14b2","Eating Recovery Center Executive Director Lorin Terrell, LMFT discusses the latest social media trend - looksmaxxing - and shares ways caregivers can address body image with their teens. \n",[],"https:\u002F\u002Fwww.9news.com\u002Fvideo\u002Flife\u002Fstyle\u002Fwhat-parents-should-know-about-looksmaxxing\u002F73-72199e46-1d62-4106-ab3e-8d19ff0a2d67",{"id":2893,"alt":2894,"name":14,"focus":2895,"title":14,"source":14,"filename":2896,"copyright":14,"fieldtype":175,"meta_data":2897,"is_external_url":177},237342362931297,"Eating Recovery Center Executive Director Lorin Terrell, LMFT discusses looksmaxxing on 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Caregiving meant healing herself, too","2026-09-01T15:45:22.326Z","2026-09-01T15:50:15.477Z","2026-09-01T15:50:15.488Z",215400129878194,"144a223b-01fa-4566-b26c-2f6b6cd373ed",{"_uid":2953,"body":2954,"authors":2972,"excerpt":14,"summary":2974,"component":2368,"categories":2975,"article_type":2370,"external_link":2976,"featured_image":2977,"external_link_text":2982,"listing_thumbnail_image":2983},"38fb8d5c-e5f1-4819-9fc0-7ff6e5e2d061",{"type":62,"attrs":2955,"content":2956},{"backgroundColor":67},[2957,2962,2967],{"type":65,"attrs":2958,"content":2959},{"textAlign":67},[2960],{"text":2961,"type":71},"Beth Ayn Stansfield, of Virginia, was excited when her preteen told her she wanted to start running together.",{"type":65,"attrs":2963,"content":2964},{"textAlign":67},[2965],{"text":2966,"type":71},"\"Initially, she came home from school one day, middle school, and announced that she just wanted to get healthy and that she was going to go on a diet,\" Stansfield said. \"At that time, I didn't give it much thought because I was on the South Beach diet.\"",{"type":65,"attrs":2968,"content":2969},{"textAlign":67},[2970],{"text":2971,"type":71},"Stansfield enjoyed bonding with her daughter, Carly, through food and exercise, especially working out together as a way to have fun and relieve stress. But she soon realized that for Carly, \"it started to become extreme.\" At first Carly eliminated sweets. Then she cut out all carbs. Stansfield then noticed her daughter sometimes skipped meals altogether.",[2973],"1d5cd4af-12a4-4c28-911c-6884dbf73df1","USA Today recently put a spotlight on the lived experience perspective of ERC National Family Advocate Beth Ayn Stansfield who shared her story of supporting a daughter in eating disorder treatment while also recognizing her own complex relationship with food. This thoughtful article highlights a situation many caregivers may go through while caring for a child with an eating disorder -- and addresses the complexities of living in a diet-culture and GLP-1-driven society.",[],"https:\u002F\u002Fwww.usatoday.com\u002Fstory\u002Flife\u002Fhealth-wellness\u002F2026\u002F07\u002F27\u002Fchild-parent-eating-disorder-recovery\u002F90997723007\u002F",{"id":2978,"alt":2979,"name":14,"focus":14,"title":14,"source":14,"filename":2980,"copyright":14,"fieldtype":175,"meta_data":2981,"is_external_url":177},215400775769246,"Beth Ayn Stansfield with daughters posing at the beach","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F441x460\u002F0389a68824\u002Fbeth-ayn-stansfield-daughters.png",{"alt":2979,"title":14,"source":14,"copyright":14},"Read more",{"id":2978,"alt":2979,"name":14,"focus":14,"title":14,"source":14,"filename":2980,"copyright":14,"fieldtype":175,"meta_data":2984,"is_external_url":177},{"alt":2979,"title":14,"source":14,"copyright":14},"child-parent-eating-disorder-recovery","news\u002Fchild-parent-eating-disorder-recovery",-4900,[],"a551d1fa-fc6c-40a7-b5ba-de204a97bcb8",[],{"name":2992,"created_at":2993,"published_at":2994,"updated_at":2995,"id":2996,"uuid":2997,"content":2998,"slug":3043,"full_slug":3044,"sort_by_date":67,"position":3045,"tag_list":3046,"is_startpage":177,"parent_id":2386,"meta_data":67,"group_id":3047,"first_published_at":2994,"release_id":67,"lang":201,"path":67,"alternates":3048,"default_full_slug":67,"translated_slugs":67},"Parents may not know: Baltimore expert warns AI chatbots can encourage disordered eating","2026-09-01T15:33:29.337Z","2026-09-01T15:38:20.050Z","2026-09-01T15:38:20.062Z",215397209483565,"a7148c77-c3c7-46bd-b0da-98b153f79503",{"_uid":2999,"body":3000,"authors":3028,"excerpt":14,"summary":3030,"component":2368,"categories":3031,"article_type":2404,"external_link":3032,"featured_image":3033,"external_link_text":2982,"listing_thumbnail_image":3040},"54d16e8d-7833-4742-afab-7bfb61cd093e",{"type":62,"attrs":3001,"content":3002},{"backgroundColor":67},[3003,3008,3013,3018,3023],{"type":65,"attrs":3004,"content":3005},{"textAlign":67},[3006],{"text":3007,"type":71},"HUNT VALLEY, Md. — Psychologists are warning parents about a new trend of kids using artificial intelligence chatbots as a \"secret eating disorder coach.\"",{"type":65,"attrs":3009,"content":3010},{"textAlign":67},[3011],{"text":3012,"type":71},"Not only do the chatbots give tips on weight loss, but they may also encourage disordered eating.",{"type":65,"attrs":3014,"content":3015},{"textAlign":67},[3016],{"text":3017,"type":71},"Dr. Kaitlin Slaven, an expert with the Eating Recovery Center in Baltimore, told WBAL-TV 11 News that parents may have no idea it's going on.",{"type":65,"attrs":3019,"content":3020},{"textAlign":67},[3021],{"text":3022,"type":71},"\"These chatbots are equipped with tools to be able to sort of gather information and learn. And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":3024,"content":3025},{"textAlign":67},[3026],{"text":3027,"type":71},"Slaven advises parents to pay attention to clues.",[3029],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. In this segment, Dr. Slaven discusses how these problematic chatbots work; what signs caregivers should watch for; and understanding how to access help.",[],"https:\u002F\u002Fwww.wbaltv.com\u002Farticle\u002Fai-chatbots-disordered-eating-baltimore\u002F73172472",{"id":3034,"alt":3035,"name":14,"focus":3036,"title":14,"source":14,"filename":3037,"copyright":14,"fieldtype":175,"meta_data":3038,"is_external_url":177},215397905808365,"Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots on eating disorders","659x220:660x221","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F900x556\u002Faff736e1fd\u002Fkaitlins-slaven-wbaltv-11-nbc.png",{"alt":3035,"size":3039,"title":14,"source":14,"copyright":14},"900x556",{"id":3034,"alt":3035,"name":14,"focus":3041,"title":14,"source":14,"filename":3037,"copyright":14,"fieldtype":175,"meta_data":3042,"is_external_url":177},"672x206:673x207",{"alt":3035,"size":3039,"title":14,"source":14,"copyright":14},"ai-chatbots-disordered-eating-baltimore","news\u002Fai-chatbots-disordered-eating-baltimore",-4890,[],"732a7f18-be5e-46bc-a614-40b1b1581381",[],[],[],{"age":3052,"cache-control":683,"connection":684,"content-encoding":685,"content-type":686,"date":3053,"etag":3054,"per-page":3055,"referrer-policy":689,"sb-be-version":690,"server":691,"strict-transport-security":692,"total":3056,"transfer-encoding":693,"vary":694,"via":695,"x-amz-cf-id":3057,"x-amz-cf-pop":697,"x-cache":698,"x-content-type-options":699,"x-frame-options":700,"x-permitted-cross-domain-policies":701,"x-request-id":3058,"x-runtime":3059,"x-xss-protection":704},"3505","Fri, 06 Nov 2026 15:07:16 GMT","W\u002F\"3345342f949c9a5dc5c450486a2b9dd4\"","4","478","26eus8XckiSJHXWANYLvLKGyc3l3ocvMDDcmMy49pyiYqYsEBL0_yQ==","9429368c-7803-4f73-9dba-b00a64668748","0.095296",4,478]