The Journal of the American Dental Association
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J Am Dent Assoc, Vol 136, No 11, 1508.
© 2005 American Dental Association
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LETTERS

Authors’ response

We appreciate Dr. Kuttler’s response to our article and his suggestions in approaching the difficult issues with patients having disordered eating practices. We acknowledge that there are numerous approaches that may be successful.

Dr. Kuttler’s approach certainly may be appropriate with some patients. We do believe that the ultimate "best" approach will be one in which the dentist feels comfortable, based on individual personality profiles. The dentist must be prepared to change the tenor of the dialogue if it does not appear to be working in any given situation.

The intent of the article was to offer an initial dialogue. The practitioner also may not feel comfortable with the issue because of uncertainty regarding the clinical findings. In some cases, the findings may not be clearly diagnostic for disordered eating practices. The personality of both the patient and the dentist will play a large role in individual approaches.



Nancy Burkhart, R.D.H., M.Ed., Ed.D., Adjunct Assistant Professor
Department of Periodontics and the Stomatology Center, Baylor College of Dentistry, Dallas

Matthew Alexander, Ph.D., Professor of Family Medicine
School of Medicine

Michael Roberts, D.D.S., M.Sc.D., Henson Distinguished Professor and Anne Dodds, B.D.S., M.P.H., Ph.D., Adjunct Clinical Professor
Department of Pediatric Dentistry, University of North Carolina, Chapel Hill



This Article
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