People with eating disorders can suffer from oral health problems as well. This is because many of the behaviors associated with anorexia nervosa and bulimia nervosa—such as binge eating, self-induced vomiting, and use of diuretics or laxatives—cause changes in the mouth. 

For example, repeated episodes of vomiting, which is common in people with bulimia, release harmful stomach acids that pass through the mouth and can erode tooth enamel, causing cavities, discoloration and tooth loss.  Other problems, such as poorly fitting fillings and braces, are another byproduct of such eating disorders.

Brushing after episodic vomiting is actually more harmful than one would think. The best practice is to rinse thoroughly with a neutral solution such as baking soda and water.

The BERLIN Sleeping Car travels by being added to Amtrak trains. The Map of Amtrak routes gives you an idea of the possible train vacation destinations that you may wish to consider when planning your itinerary. The BERLIN Sleeping Car may be chartered by a family, group of friends, corporate travel or any combination you desire. When you charter your private railcar, you create your own luxury railcar trip. You determine where you want your private railcar excursion to go - which route you want to take - and how long you wish to stay at your "train vacation destination."