The Hills star Stephanie Pratt made a shocking confession this week. According to MTV, Ms. Pratt is one of the estimated 65% of American women with an eating disorder, specifically bulimia nervosa. By sharing her story, Stephanie apparently hopes to shed light on the issues and struggles surrounding eating disorders.
So, what does Stephanie Pratt's bulimia have to do with dentistry you ask? You may be surprised to learn that dentists are often the first medical provider to spot an eating disorder. Oral conditions such as a dry mouth, cracked lips, gingivitis, and unexplained erosion of the enamel are often key indicators of an eating disorder, such as bulimia nervosa. The strange irony surrounding Ms. Pratt's unfortunate situation is the fact that Stephanie and her not-so-lovable brother Spencer Pratt, are reportedly the children of a very successful Santa Monica dentist, Dr. William Chanucey Pratt . Clearly, Stephanie takes care of her teeth, in-fact I think she has a gorgeous smile. Sadly, most people with bulimia have such extensive damage to their teeth they often avoid the dentist because they are embarrassed by the condition of their teeth.
If you are struggling with an eating disorder or suspect a friend or family member may have an eating disorder, this list of resources may be of assistance to you. I can only wish Stephanie a successful recovery, and hope that her story will bring the needed awareness to this often devastating disease.
Photo: Jason Merritt / Getty Images
Shawn, the challenge is confronting those suspected of having this disorder. They’re accustomed to denying and covering up this issue.
Referring them for medical support is advisable.
The damage from the teeth can be quite extensive. It’s important to distinguish this from Acid Erosion from other sources such as citrus fruits. I wrote a Special Report on Acid Attack because I see so much damage.
For bulimics, it’s usually the lingual service of the upper anteriors that’s most affected.
Joe Bulger DDS
Visit my dental blog – Toronto Dentist Smile Blog
Shawn, one of my patients had the classic signs of bulimia but denied it every time I asked. I focused on the solution – treating the acid damage with lingual composite resins and helping her protect her teeth. Now she’s married with children and her teeth look perfect.
Joe