Substance Use Disorders
Substance use can result in severe oral consequences, some of which are depicted below.
Rapid onset oral devastation is mainly a problem of teens and young adults. Up to 5% of the 12-to-40-year old population report having used methamphetamines.
Research has shown that behavioral factors, such as smoking, consuming sugary beverages, and poor oral hygiene, are more important than direct drug effects.
Symptoms
- Rampant caries, gingival recession, and dental erosion in a young person
- Involves the buccal smooth surfaces, anterior teeth, and gums
- Often accompanied by behavioral changes and sometimes weight loss
Substance use leads to:
- Drug induced xerostomia
- Poor hygiene
- Increased carbohydrate and carbonated beverage consumption
- Teeth grinding
- Direct acid effect of the drug
Treatment
- Dental/oral surgery referral and behavioral health referral
Clinical examples of the effects of methamphetamine use on teeth
References
Curtis EK. Meth mouth: a review of methamphetamine abuse and its oral manifestations. Gen Dent. 2006; 54(2): 125-9.
Clague J, Belin TR, Shetty V. Mechanisms underlying methamphetamine-related dental disease. J Am Dent Assoc. 2017. 148(6): 377-386.
Spolsky VW, Clague J, Murphy DA, Vitero S, Dye BA, Belin TR, Shetty V. Periodontal status of current methamphetamine users. J Am Dent Assoc. 2018; 149(3): 174-183.
Paisi M, Witton R, Plessas A. Is there an association between drug use and oral health conditions? Evid Based Dent. 2021 Jan;22(1):46-47. doi: 10.1038/s41432-021-0158-2. PMID: 33772138.