Figure 5.

A 40-year-old woman who had suffered from Bulimia Nervosa since she was a teenager. Frequent vomiting followed by intense and meticulous toothbrushing in combination with a high intake of light cola-type soft drinks have resulted in severe erosive tooth wear. A number of “raised” amalgam fillings have developed resulting in an unstable occlusion. At the time that these photographs were taken, she had for a long time been free of her eating disorder but suffers a lot from tooth sensitivity [11].