How Teen Eating Disorders can Affect Dental Health

Eating disorders such as binge eating, bulimia and anorexia nervosa are not uncommon among teens. Obsession over their weight affects millions of adolescents, particularly girls. A study has found that about 36% of adolescent girls think they are overweight. Over 90% of cases of eating disorders are girls. Teen boys, while they also experience body image concerns, often strive for a perfect body by doing excessive exercise.

What is Eating Disorder?

The most popular forms of eating disorders include bulimia nervosa, anorexia nervosa, and binge eating disorders. Eating disorders are psychological disorders involving extreme disturbances on a person's eating behavior. For instance, a teenager with bulimia suffers from frequent binge eating followed by the use of laxatives or vomiting to get rid of the food. An anorexic person refuses to maintain a normal body while a binge eater has uncontrolled overeating.

How Eating Disorders Affect Dental Health

Here’s a list of dental complications brought about by eating disorders:

1. Due to inadequate nutrition, the gums and other tissues inside the mouth may be damaged easily. A teen may suffer chronic dry mouth or swelling of the salivary gland.

2. Self-starvation, as in the case of anorexia nervosa, usually lead to nutritional deficiency or malnutrition. Nutrients necessary for healthy teeth and gums include iron, calcium, and B-vitamins. Insufficient intake of these essential nutrients can lead to gum disease and tooth decay.

Dental discoloration and damage due to bulimia

3. Frequent vomiting leads to harsh gastric acid coating the teeth repeatedly. Vomit is highly toxic and damaging to your teeth and oral tissues as it contains stomach acid. When this happens over and over again, the enamel may be lost and the teeth may change its shape, color, and translucence. The teeth may become brittle, weak and highly sensitive. Drinking hot or cold beverages may be very uncomfortable.

The edges of the teeth usually thin out or break easily. Sometimes, the pulp may be exposed, causing infection or pulp death.

4. Purging can cause redness, irritation, and wounds inside the mouth, specifically on the soft palate or the upper surface of the mouth. When the soft palate is already damaged, this is already a warning sign among dental professionals that the eating disorder is getting worse, as this part rarely gets harmed unless it is done intentionally. Soft palate scratches appear from using fingers to induce vomiting.

5. Frequent purging can lead to enlargement of the salivary glands. This can cause pain and discomfort.

How to Manage Oral Health Complications from Eating Disorders

In order to maintain oral health, the patient must follow meticulous oral health care such as tooth brushing, flossing, and frequent communication by the pediatric dentist. While curbing the purging behavior, a person must immediately rinse their mouth with water only after purging due to the high acid content of the oral cavity. Brushing must be halted for one hour to prevent scrubbing the acids into the enamel.

Dry mouth or xerostomia may occur due to vomiting and this can lead to tooth decay. Moisturize your mouth with water or other suggest products by your dentist to help keep decay at bay.

Could Vitamin D Help Fight Dental Cavities in Kids?

Dental caries has been consistently one of the most common diseases in children. Numerous studies have found that dental cavities in kids can be reduced by up to 50 percent through intake of Vitamin D. The results were promising, indicating that Vitamin D can be the secret weapon against childhood caries.

What is the Link Between Dental Caries and Vitamin D?

Enamel is considered as the most mineralized part of the human body. It is primarily made up of phosphate and calcium. Vitamin D is essential for the absorption of phosphate and calcium from our diet. Increasing calcium and phosphate absorption can help fight demineralization of enamel due to bacteria, thereby improving the strength of the teeth.

Vitamin D receptors are present on the cells of your immune system and your teeth. Vitamin D receptors bind with Vitamin D and works by increasing the level of antimicrobial proteins to help the body fight the bacteria that destroy tooth enamel.

Furthermore, the osteoblasts that form the enamel and dentin contain Vitamin D receptors, which means that Vitamin D plays a crucial role in their function.

Some studies have shown that dental caries are more prevalent during early spring and late winter, when the levels of Vitamin D are often at their lowest. Numerous studies have revealed that sun exposure and the geographic located are linked to dental caries. People living near the equator, where there’s great amount of sun exposure have less likelihood to develop dental cavities.

In addition, pregnant women with low levels of Vitamin D are more likely to have a child develop early childhood caries (ECC). Kids with ECC seems to have lower levels of Vitamin D than healthy kids. Some experiments have shown that supplementing a mother with Vitamin D supplements during pregnancy can help reduce the rate of dental enamel issues in their child. Defects in dental enamel may increase the possibility of a child having dental caries.

Benefits of Vitamin D on Kids’ Oral Health

The beneficial effects of Vitamin D when provided to children include the following:

1. Improvement in the formation of dentin

2. Better tooth development

3. Enhance the components and amount of saliva to improve tooth enamel strength

4. Tooth protection comparable to fluoride

5. Boosts the body’s immune system

When Vitamin D supplementation is introduced, studies revealed up to 50 percent reduction in dental caries.

 

What are the Best Sources of Vitamin D?

Infants up to 12 months should have 400 IU per day while babies older than 1 year need 600 IU a day.

Vitamin D is also known as the ‘Sunshine Vitamin’ since the body can make its own through sun exposure. However, your child’s body couldn’t produce sufficient Vitamin D when covered with sunscreen or clothing. Other factors that hinder Vitamin D production through sun exposure include clouds, smog, geographic location and dark skin.

Fortunately, there are other ways to get the Vitamin D you need. Some of the best food sources of Vitamin D include salmon, canned tuna, orange juice, egg yolk, Vitamin D-fortified food products and Swiss cheese.

The American Academy of Pediatrics recommends that all children, from the infants to teens take Vitamin D supplements of 400 IU every day.