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Cited by 166Dental Health and Care UtilizationHIV/AIDS oral health manifestationsSubstance Abuse Treatment and Outcomes

Methamphetamine abuse and dentistry

Hamamoto, DT, Rhodus, NL·2009·Oral Diseases
DOI 10.1111/j.1601-0825.2008.01459.x
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Abstract

Methamphetamine is a highly addictive powerful stimulant that increases wakefulness and physical activity and produces other effects including cardiac dysrhythmias, hypertension, hallucinations, and violent behavior. The prevalence of methamphetamine use is estimated at 35 million people worldwide and 10.4 million people in the United States. In the United States, the prevalence of methamphetamine use is beginning to decline but methamphetamine trafficking and use are still significant problems. Dental patients who abuse methamphetamine can present with poor oral hygiene, xerostomia, rampant caries ('Meth mouth'), and excessive tooth wear. Dental management of methamphetamine users requires obtaining a thorough medical history and performing a careful oral examination. The most important factor in treating the oral effects of methamphetamine is for the patient to stop using the drug. Continued abuse will make it difficult to increase salivary flow and hinder the patient's ability to improve nutrition and oral hygiene. Local anesthetics with vasoconstrictors should be used with care in patients taking methamphetamine because they may result in cardiac dysrhythmias, myocardial infarction, and cerebrovascular accidents. Thus, dental management of patients who use methamphetamine can be challenging. Dentists need to be aware of the clinical presentation and medical risks presented by these patients.

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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 [10]

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Authors
Hamamoto, D., & Rhodus, N.
Affiliations
University of Minnesota (US)
Venue
Oral Diseases
Publisher
Wiley
Published
2008-12-10
Volume
15
Issue
1
Pages
27-37
ISSN
  • 1354-523X (ISSN-L)
  • 1601-0825
DOI
10.1111/j.1601-0825.2008.01459.x
OpenAlex
W2165990981
Cited by
166
References
100
Citations by year
2026: 4 · 2025: 8 · 2024: 7 · 2023: 3 · 2022: 8 · 2021: 4 · 2020: 17 · 2019: 7 · 2018: 7 · 2017: 13 · 2016: 12 · 2015: 16 · 2014: 11 · 2013: 13 · 2012: 13
FWCI
1.10
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Oral Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › HIV/AIDS oral health manifestations
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
methamphetamine abuse, stimulant use disorder, xerostomia, rampant caries, tooth wear, poor oral hygiene, cardiac arrhythmias, medical history, drug trafficking
MeSH terms
Central Nervous System Stimulants, Bruxism, Dental Care, Humans, Methamphetamine, Mouth Diseases, Tooth Diseases, United States, Xerostomia, Amphetamine-Related Disorders

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