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    Eating Disorders

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    Alliyah Pilar
    This document discusses eating disorders and plasma cell neoplasia. For eating disorders, it outlines the criteria for anorexia nervosa and bulimia nervosa including refusal to maintain a healthy weight, fear of gaining weight, binge eating and purging behaviors. Oral manifestations include enamel erosion, parotid enlargement and palatal ulcers. Management involves referral to other practitioners and supporting the patient physically and psychologically. For plasma cell neoplasia, it defines the condition as a malignant disorder of plasma cells causing bone lesions. Risk factors include genetics and radiation. Oral manifestations can include maxillary/mandibular lesions and dental amyloidosis. Dental management focuses on preventing infections and monitoring bisphosphonate treatment

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    Eating Disorders

    Uploaded by

    Alliyah Pilar
    139 views13 pages
    This document discusses eating disorders and plasma cell neoplasia. For eating disorders, it outlines the criteria for anorexia nervosa and bulimia nervosa including refusal to maintain a healthy weight, fear of gaining weight, binge eating and purging behaviors. Oral manifestations include enamel erosion, parotid enlargement and palatal ulcers. Management involves referral to other practitioners and supporting the patient physically and psychologically. For plasma cell neoplasia, it defines the condition as a malignant disorder of plasma cells causing bone lesions. Risk factors include genetics and radiation. Oral manifestations can include maxillary/mandibular lesions and dental amyloidosis. Dental management focuses on preventing infections and monitoring bisphosphonate treatment

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    Eating Disorders

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    This document discusses eating disorders and plasma cell neoplasia. For eating disorders, it outlines the criteria for anorexia nervosa and bulimia nervosa including refusal to maintain a healthy weight, fear of gaining weight, binge eating and purging behaviors. Oral manifestations include enamel erosion, parotid enlargement and palatal ulcers. Management involves referral to other practitioners and supporting the patient physically and psychologically. For plasma cell neoplasia, it defines the condition as a malignant disorder of plasma cells causing bone lesions. Risk factors include genetics and radiation. Oral manifestations can include maxillary/mandibular lesions and dental amyloidosis. Dental management focuses on preventing infections and monitoring bisphosphonate treatment

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    139 views13 pages

    Eating Disorders

    Uploaded by

    Alliyah Pilar
    This document discusses eating disorders and plasma cell neoplasia. For eating disorders, it outlines the criteria for anorexia nervosa and bulimia nervosa including refusal to maintain a healthy weight, fear of gaining weight, binge eating and purging behaviors. Oral manifestations include enamel erosion, parotid enlargement and palatal ulcers. Management involves referral to other practitioners and supporting the patient physically and psychologically. For plasma cell neoplasia, it defines the condition as a malignant disorder of plasma cells causing bone lesions. Risk factors include genetics and radiation. Oral manifestations can include maxillary/mandibular lesions and dental amyloidosis. Dental management focuses on preventing infections and monitoring bisphosphonate treatment

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    EATING DISORDERS

    A. CRITERIA FOR ANOREXIA NERVOSA


    According to the latest Diagnostic and Statistical Manual of
    Mental Disorders Fourth Edition (DSM-IV) criteria:
    Refusal to maintain body at or above a minimally normal weight
    for age and height.
    Intense fear of gaining weight
    The central concern of weight and shape in the evaluation of the
    self, in addition to a reference to the denial of the serious
    consequence of weight loss.
    Amenorrhea.
    SUBTYPES:
    The restrictor type
    The binge purger type

    B. CRITERIA FOR BULIMIA NERVOSA


    Diagnostic criteria for Bulimia Nervosa:
    Recurrent episodes of binge eating .
    Recurrent inappropriate compensatory behavior to prevent
    weight gain.
    The binge eating and inappropriate compensatory behaviors
    both occur, on average, at least twice a week for 3 months.
    Self evaluation is unduly influenced by body shape and weight.
    The disturbance does not occur exclusively during episodes of
    anorexia nervosa.
    SUBTYPES:
    Purging
    Non purging

    C. ORAL MANIFESTATIONS

    Severe erosion of the enamel on the lingual


    surfaces of the maxillary teeth - cardinal
    oral manifestation of eating disorders, due
    to acids from chronic vomiting.
    Parotid enlargement - as a result of
    starvation
    Mandibular teeth may be affected.
    Palatal ulcerations

    D. Management

    Refer to other practitioners.


    Support of the patient physically, by
    treatment of tooth desensitization
    and esthetics.
    Support of the patient
    psychologically, by demonstrating a
    caring and compassionate attitude.

    PLASMA CELL NEOPLASIA


    I. DEFINITION

    Is a group of related malignant disorders of terminally


    differentiated B lymphocytes (plasma cells), of which plasma cell
    myeloma or multiple myeloma is the most common (90% of cases).

    This condition is characterized by bone marrow multifocal


    infiltration by malignant plasma cells. There are typically multiple
    destructive lesions or diffuse demineralization of bone. The tumour
    cells secrete a homogenous, complete or partial, immunoglobulin
    molecule, an M component or para protein, most commonly IgG or
    IgA.
    II. ETIOLOGY
    Genetic predisposition
    Ionizing radiation
    Chronic antigenic

    III. ORAL MANIFESTATION


    Maxillary or mandibular lesions
    Root resorption and loss of lamina
    dura may be found.
    Amyloid like deposition in the gingiva
    and tongue.

    IV. DENTAL MANAGEMENT


    Patients are prone to postoperative hemorrhage
    due to thrombocytopenia.
    Development of dental amyloidosis.
    Dental hygiene care should focus on controlling
    infections associated with a compromised
    immune system.
    Patients being treated with bisphophonates must
    be monitored closely for the development of
    osteonecrosis of the jaw.
    Educate patient about the necessity of reporting
    unusual sores or painful areas in the mouth.

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