Pathology · single question

A patient shows multiple erosions on the lingual (palatal) surfaces of the maxillary anterior teeth. What is the most likely diagnosis?

  1. Bulimia
  2. Gastroesophageal reflux disease (GERD)
  3. Bruxism
  4. Amelogenesis imperfecta
Show answer and explanation

Correct answer: A. Bulimia

  • A. CORRECT. Perimylolysis from self-induced vomiting in bulimia classically erodes the palatal surfaces of the maxillary anterior teeth.
  • B. INCORRECT. GERD can also cause erosion, but the classic anterior palatal pattern is keyed to bulimia.
  • C. INCORRECT. Bruxism causes attrition (flat wear), not acid erosion.
  • D. INCORRECT. Amelogenesis imperfecta is a developmental enamel defect, not acquired erosion.

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