Which of the following is the most likely explanation for the dental abnormalities in bulimia nervosa (BN)?
Recurrent vomiting and exposure of the teeth to stomach acid leads to loss of dental enamel and eventual chipping and erosion of the teeth. The vomiting may be manually induced, but eventually most patients with bulimia (BN) are able to trigger vomiting at will.
self-induced physical trauma
self-induced vomiting
excess cortisol levels
osteoporotic changes
Endocrinology