"Meth Mouth": Rampant Caries in Methamphetamine Abusers

Shaner, John W.; Kimmes, Nicole S.; Saini, Tarnjit; Edwards, Paul C.

doi:10.1089/apc.2006.20.146

Cited by 75 publications

(65 citation statements)

References 21 publications

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“…Literature was sent via e-mail including two review articles on methamphetamine-related ED visits, 2,3 methamphetamine-related dental decay, 25,26 methamphetamine-related agitation, 12 and methamphetamine-related trauma. 8 To clarify the meaning of the survey questions and ensure consistency, we presented the survey questions for discussion at departmental faculty meetings, resident meetings, nurse practitioner meetings, and at a departmental grand rounds lecture.…”

Section: Study Protocolmentioning

confidence: 99%

“…The effects of methamphetamine use on dental health are well documented. 25,26,[36][37][38] ''Meth mouth'' has been used to describe a typical pattern of rapid dental necrosis that typically occurs at the base of the anterior maxillary teeth. 26 However, this pattern may be seen mostly in insufflators of methamphetamine and less so in injectors and smokers given the proposed mechanism of local vasospasm.…”

Section: 3mentioning

confidence: 99%

“…2,3 This may be related to the fairly recent description of methamphetamine-related dental disorders in the medical literature. 25,26,36,37 In addition, methamphetamine-related dental decay may be more obvious in this institution's catchment area as the majority of our patients are served by unfluoridated public water systems.…”

Section: 3mentioning

confidence: 99%

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Methamphetamine‐related Emergency Department Utilization and Cost

Hendrickson

Cloutier

McConnell

2008

Academic Emergency Medicine

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Objective: To quantify the frequency, cost, and characteristics associated with emergency department (ED) visits that are related to methamphetamine use.Methods: This was a prospective observational study. The authors performed a training program for ED clinicians on the acute and chronic effects of methamphetamine and the signs of methamphetamine abuse. A standardized two question survey was administered to clinicians concerning the relationship between the ED visit and the patient's methamphetamine use. The survey was embedded in the patient tracking system and was required for all ED patients before disposition. Survey results were merged with administrative data on demographics, diagnosis, disposition, and charges. Univariate analyses were used to determine patient characteristics associated with methamphetamine-related ED visits. Results:The authors examined 15,038 ED visits over a 20-week period from February 2006 to June 2006. There were a total of 353 methamphetamine-related visits, for an average of 17.65 visits per week (2.4% of all visits). Hospital charges for methamphetamine-related ED visits averaged $133,181 per week, for an estimated total of $6.9 M in annual charges. Methamphetamine-related ED patients were more likely to be male (odds ratio [OR] 1.6, 95% confidence interval [CI] = 1.30 to 2.01), white (OR 1.8, 95% CI = 1.38 to 2.29), and uninsured (OR 3.2, 95% CI = 2.21 to 4.69). The top four medical conditions associated with methamphetamine-related visits were mental health (18.7%), trauma (18.4%), skin infections (11.1%), and dental diagnoses (9.6%).Conclusions: Methamphetamine abuse accounts for a modest but substantial proportion of ED utilization and hospital cost. Methamphetamine-related ED visits are most commonly related to mental illness, trauma, skin, and dental-related problems.ACADEMIC EMERGENCY MEDICINE 2008; 15:23-31 ª

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Section: Study Protocolmentioning

confidence: 99%

Section: 3mentioning

confidence: 99%

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Methamphetamine‐related Emergency Department Utilization and Cost

Hendrickson

Cloutier

McConnell

2008

Academic Emergency Medicine

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“…Abuse of methamphetamine also results in bruxism, or teeth grinding and dental erosion [30]. Often CD patients using methamphetamines have undiagnosed oral and other diseases: HIV, Hepatitis B (HBV), Hepatitis C (HCV) and other viruses [31].…”

Section: )mentioning

confidence: 99%

The Importance of Oral Health in Treatment Outcomes for the Chemically Dependent Population

Msn¹

2015

J Alcohol Drug Depend

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Chemical dependency induces bone demineralization often resulting in (but not limited to) degraded oral health status. The omission of dental status assessment in chemical dependency, when initially evaluating the patient for needed treatment referrals, constitutes disregard of one of the many possible reasons for relapse [3]. Also, chemical dependency results in increased sensitivity to pain. Pain, frequently associated with dental infection can lead to medication-seeking behaviors and abuse of opioid medication (and medication classes). Advanced dental disease, and poor general health outcomes results in poor social outcomes. Poor social outcomes include: 1) return to substance abuse due to persistent anhedonia 2) negative outcomes of job-seeking as a result of cultural values and prejudice toward obvious lack of dental care in the form of missing, broken and rotting teeth, and finally, 3) possible death as a result of advanced dental infection. This writing explores substance-specific dental diseases, provides a dental assessment tool for triaging symptom presentation, and suggests treatment and policy changes to improve standard of care.

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“…31 Methamphetamine use is also associated with physical changes such as dental caries. 32,33 Prior studies on methamphetamine use and HIV/STDs have primarily focused on the risk of HIV-uninfected persons becoming infected as a result of riskier sexual behavior while using methamphetamine. This cross-sectional survey was performed to rapidly assess the prevalence of methamphetamine use and the sexual activity among persons who are already HIV-positive and therefore at risk of transmitting HIV to uninfected partners or acquiring other STDs themselves.…”

Section: Introduction Mmentioning

confidence: 99%