Oral manifestations of illicit drug use
Open accessAbstract
The use of illicit and misuse of licit drugs is a global public health problem, with illicit drug use being responsible for 1.8% of the total disease burden in Australia in 2011. Oral adverse effects associated with illicit drug use are well‐established, with aggressive caries, periodontitis, bruxism, poor oral hygiene and general neglect documented. Other factors such as a high cariogenic diet and lifestyle, social and psychological factors compound the poorer oral health in illicit drug users. Literature has shown that the oral health‐related quality of life among injecting drug users is poorer compared with the Australian general population and the overall quality of life of addicted people correlates with caries experience. Thus, the role of the dentist is imperative in managing the oral health of these individuals. Given their widespread recreational use, it is likely that dental practitioners will encounter patients who are regular or past users of illicit drugs. The aim of this article is to describe the prevalence and mechanism of action of commonly used illicit drugs in Australia, including cannabis, methamphetamine, cocaine and heroin and to inform dentists about the common orofacial presentations of their side effects to help with patient management.
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Regular methamphetamine use is associated with various harms and symptoms including psychosis, mood swings, insomnia, skin lesions, depression, malnutrition, respiratory illness, gum disease, severe tooth decay, risky behaviours, and endocarditis.
“Regular methamphetamine use is associated with various harms and symptoms including psychosis, mood swings, insomnia, skin lesions, depression, malnutrition, respiratory illness, gum disease and severe tooth decay, risky behaviours (e.g., criminal behaviours, injection of other illicit substances, sexual practices that increase risk of sexually transmitted infections), and endocarditis [1, 7–18].”
From Psychosocial and pharmacologic interventions for problematic methamphetamine use: Findings from a scoping review of the literature (2023) · cites this paper as [9]
The methamphetamine discussion (Author Manuscript, page unavailable) links use to insomnia, mood disturbances, depression and psychosis. The oral-implications section (page unavailable) reports substantially increased tooth decay. Our copy does not establish skin lesions, malnutrition, respiratory illness, gum disease or the specified risky behaviours as harms of methamphetamine use; it discusses endocarditis as a risk for injecting drug users generally, not specifically methamphetamine users. (LLM, conf=0.88)
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- Authors
- Teoh, L., Moses, G., & McCullough, M.
- Affiliations
- The University of Melbourne (AU)
- The University of Queensland (AU)
- Melbourne Dental School The University of Melbourne Carlton Victoria Australia
- Corresponding author
- Teoh, L
- Venue
- Australian Dental Journal
- Publisher
- Wiley
- Published
- 2019-07-30
- Volume
- 64
- Issue
- 3
- Pages
- 213-222
- ISSN
- 0045-0421 (ISSN-L)
- 1834-7819
- OpenAlex
- W2957483247
- Cited by
- 69
- References
- 80
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 12 · 2023: 19 · 2022: 7 · 2021: 9 · 2020: 7 · 2019: 1
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Australian Dental Journal (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral Health Pathology and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › HIV/AIDS oral health manifestations
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Keywords
- illicit drug use, people who inject drugs, oral health-related quality of life, periodontitis, bruxism, poor oral hygiene, cannabis, methamphetamine, cocaine, heroin, adverse drug reactions
- MeSH terms
- Australia, Humans, Oral Health, Quality of Life, Illicit Drugs, Substance-Related Disorders
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