Oral health sensations associated with illicit drug abuse

McGrath, Colman; Chan, Bianca

doi:10.1038/sj.bdj.4812050

Cited by 83 publications

(67 citation statements)

References 21 publications

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“…This result corroborates other studies, 14,26 however different SFR measuring methods were used in the studies, including more accurate methods of sialometry. During the routine medical visit, the quantification of passive or stimulated salivary flow rates in these patients was not possible.…”

Section: Discussionsupporting

confidence: 91%

Oral health assessment for users of marijuana and cocaine/crack substances

et al. 2017

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The objective of this study was to assess the oral health status of users of illicit drugs such as marijuana and cocaine/crack and compare it with individuals not using these chemical substances.Questionnaires were applied to 35 illicit drugs users to gather information on demographic status, general health, and use of drugs. Then, a clinical assessment of the oral health condition was performed to collect data on decayed, missing and filled teeth (DMFT) index, salivary flow rate (SFR), and mucosal lesions. The control group was composed of 35 non-illicit drug users. In the experimental group, 91.43% were males, 80% were smokers, and 42.85% were alcoholics. Cocaine was the most common drug used (77.15%), followed by marijuana (68.6%), and crack (51.4%). The average DMFT index was 9.8 and the SFR was reduced in 60% of subjects. Mucosal alterations were detected, but no potentially malignant disorders or oral cancer were diagnosed. Compared to control group, significantly higher values for gender (40%, p = 0.0001), smoking (22.86%) and heavy drinking (5.7%) habits (p = 0.0001), SFR (31.4%; p = 0.0308), and oral lesions (p = 0.0488) were found for the experimental group, although significantly higher values were found in the control group for DMFT index (p = 0.0148). It can be concluded that the use of illicit drugs contributed to an increased prevalence of oral mucosa lesions. In addition, a decline on SFR and a reduced DMFT index was observed for illicit drug users.

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Section: Discussionsupporting

confidence: 91%

Oral health assessment for users of marijuana and cocaine/crack substances

et al. 2017

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“…17,18 A recent study involving 119 poly-drug users, in which 80% of the participants used MA and 58% used 3,4-methylenedioxy-methamphetamine (ecstasy), found that almost all (95%) reported "dryness of their mouth." 19 Because the action of MA can last for 8 hours or more, the sustained reduction in saliva quantity and quality fosters rapid cariogenic bacterial growth. Additionally, this prolonged reduction in saliva leads to increased demineralization of enamel, because there is insufficient saliva to buffer the decrease in plaque pH during the abuser's frequent consumption of soda or other refined carbohydrate-containing beverages.…”

Section: Discussionmentioning

confidence: 99%

“…A case report in the literature documented a MA patient whose repetitive stereotype behavior, a feature of MA abuse, uncharacteristically focused on tooth brushing and presented clinically with minimal caries. 19 This suggests that meticulous oral hygiene, which prevents dental bacterial plaque colonization and maturation, can counteract the xerostomic effects of MA.…”

Section: Discussionmentioning

confidence: 99%

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"Meth Mouth": Rampant Caries in Methamphetamine Abusers

Shaner

Kimmes

Saini

et al. 2006

AIDS Patient Care and STDs

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Rampant dental caries is a characteristic finding in methamphetamine abusers. The popularity of methamphetamine, particularly among the gay community where it is linked to the spread of HIV, its ready availability, and rapid spread across the nation have placed methamphetamine use in an epidemic status in many communities unaccustomed to dealing with drug abuse. We present a case of a 25-year-old male "meth" abuser of unknown HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) status to promote recognition by the health care team of the association of rampant dental caries with methamphetamine abuse for appropriate intervention to ensure successful treatment and prevention of disease progression. 146

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“…This finding was also seen in our patient. McGrath et al [11] found out that the most frequently dry mouth (95%) as well as chewing, grinding and TMJ tenderness. Nixon et al [12] concluded that the regular use of amphetamine-like drugs could be associated with increased posterior tooth wear (especially of the lower first molar teeth).…”

Section: Discussionmentioning

confidence: 99%

Untitled

2018

OAJTMR

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We described the case of the patient (25 years old male) who two nights before coming to the examination to the School of Dentistry, University of Zagreb, took methylenedioxymethamphetamine (MDMA) and presented with symptoms of lower lip bite which resulted in the erosion and temporomandibular joint pain due to the excessive bruxism. The person took 0.25 grams of pure MDMA during that night. The patients was prescribed betamethasone (oitnment) in orabase (powder) (1 g: 3 g mixture) and analgesic (Dexomen, dexketoprofen trometanol, 25 mg three times a day). The lesion and pain subsided after 4 days of the prescribed therapy. It is important that dentists are familiar with oral and dental side-effects of MDMA abuse in order to avoid use of vasoconstrictors and opioids in these patients. Additionally, they might refer these patients for counselling with regard to their bad habit.Keywords: MDMA; Serotonergic neurotoxin; Psychoactive; Drugs; Ulcerations

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Oral health sensations associated with illicit drug abuse

Cited by 83 publications

References 21 publications

Oral health assessment for users of marijuana and cocaine/crack substances

Oral health assessment for users of marijuana and cocaine/crack substances

"Meth Mouth": Rampant Caries in Methamphetamine Abusers

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