meth mouth patient comes for dental treatment whom to report

by Dr. Akeem Mayert 8 min read

Comprehensive dental treatment for "meth mouth": a …

20 hours ago Summary: The patient's medical and dental histories along with radiographic and clinical findings lead to a diagnosis of "meth mouth." Although three different dental treatment modalities (either conventional or implant-supported) have been offered to the patient since August 2007, the patient has yet to initiate any treatment. Clinical significance: This clinical case showing oral … >> Go To The Portal


What can a dentist do about meth mouth?

There are many routes a dentist can take to address the dental problems associated with meth mouth. Stained teeth may benefit from veneers, and your dentist can replace missing teeth with prosthetic devices, such as dentures or implants. A dentist can fill any cavities and may recommend a mouthguard to help with teeth grinding.

How does methamphetamine affect dental health?

Meth Mouth: How Methamphetamine Use Affects Dental Health 1 96% had cavities. 2 58% had untreated tooth decay. 3 31% had six or more missing teeth.

Can meth use cause oral cancer?

In some cases, substance use can increase the risk for oral cancer. “All of the oral problems, the teeth problems and dental problems, come from one of the direct side effects of meth,” Dr. Edward Bednarczyk of the University at Buffalo told DrugRehab.com.

What is “meth mouth?

“Meth mouth” is characterized by severe tooth decay and gum disease, which often causes teeth to break or fall out. An examination of the mouths of 571 methamphetamine users showed: 96% had cavities 58% had untreated tooth decay

Can you go to the dentist on meth?

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.

Who treat person with dental problems?

Orthodontist. An orthodontist is the oral health care provider who specializes in diagnosis, prevention, interception, and treatment of malocclusions, or "bad bites," of the teeth and surrounding structures.

Can a dentist tell if you do drugs?

When dentists say, “open wide,” they can see a treasure trove of information about your overall health. Your mouth can give the dentist clues about your eating habits, oral hygiene, and other behaviors such as smoking and drug use.

How does substance abuse affect oral health?

Drug abuse is associated with serious oral health problems including generalized dental caries, periodontal diseases, mucosal dysplasia, xerostomia, bruxism, tooth wear, and tooth loss.

What is a mouth doctor called?

Oral surgeons, also called maxillofacial surgeons, are trained to detect, diagnose, and prevent defects and diseases that affect the mouth, jaw, teeth, and gums.

Who is an oral pathologist?

Oral pathology is a specialty of dentistry that focuses on the diagnosis and treatment of oral diseases, including oral cancer. Pathologists are involved in all areas of disease management including research, diagnosis, examination and treatment.

What can a dentist tell from your mouth?

What Can a Dentist Tell by Looking at Your Mouth, Teeth, and Gums...Cardiovascular Disease. Your dental health can impact your heart. ... Diabetes. ... Kidney Disease. ... Osteoporosis. ... Anemia. ... Rheumatoid Arthritis. ... Stress and Poor Nutrition. ... Keep Your Mouth Healthy.

Can a dentist know if you smoke?

Smoking impacts your teeth and gums in several ways. These impacts can be quickly identified by your dentist. So, yes, your dentist will know if you smoke. Among the telltale signs include yellow teeth, plaque, receding gums, and more.

What drugs cause rapid tooth decay?

Methamphetamine – also called ice, crystal meth, glass, shards or puff. This drug causes severe tooth decay in a very short time. The term 'meth mouth' is used to describe the extensive damage typically caused by this drug. Methamphetamine is highly acidic and attacks tooth enamel.

Why do dentists ask if you smoke?

How they can tell: Tobacco is notorious for staining your teeth, says Adibi. Since the color of the stains can vary from person to person, a dentist might smell your clothes or examine your fingers for nicotine stains if he or she suspects you smoke.

What drug turns teeth black?

Boca Recovery Center – Florida. Per the Journal of American Dental Association, Meth mouth is characterized by severe tooth decay and gum disease, which often causes teeth to fall out or break. The teeth of chronic Meth abusers are often blackened, stained, rotting, crumbling, and falling apart.

What drug makes your mouth twitch?

Drugs that include alcohol and narcotics may also cause facial twitches. Twitches can be a sign of nerve irritation caused by these drugs. There may also be severe withdrawal symptoms from them.

How rare is meth mouth?

Although there are some case reports of meth mouth in the literature, 7, 10, 11, 12, 13 cases of successful dental treatment are rare. Morales14 reported a case of dental treatment of meth mouth in a 22-year-old man who had successfully gone through a drug intervention program 2 years earlier.

Why are dental patients less than eager to declare their abuse of drugs?

Several studies have concluded that drug-addicted dental patients are less than eager to declare their abuse of drugs because of the fear of being ostracized or legally prosecuted. 18 However, obtaining a history of drug abuse was not difficult in this case. Aside from the patient's willingness to reconstruct his dental appearance, the reason proposed was that most MA users are conscious of their dental problems, some even know the link between MA abuse and oral health problems. 13, 19

What is MIC in dental?

Methamphetamine-induced caries (MIC) is the rampant caries often found in methamphetamine (MA) users and is often called “meth mouth”. It leads to devastating effects on dentition and is the major reason that brings patients to professional help. Dental management of these patients is challenging and the most important factor is cessation of MA use.

Why should dentists express concern for the unusual damage?

Dentists should express concern for the unusual damage and highlight that obtaining a thorough medical history is essential to ensuring the safety and efficacy of dental therapies. 20 Conversations could begin with, “How did your teeth get to be this way? Normally, we don't see this kind of decay and/or tooth damage very often. It usually happens if someone drinks excessive amounts of sugary soda or takes drugs.” It is advised that doctors should present the facts rather than assign blame and stop immediately if the patient becomes agitated or paranoid.

How to manage MA addiction?

Management of MA addiction is a complicated procedure and beyond the responsibility of dental professionals, but the dental team may help these individuals on many levels. First, unlike the psychiatric and neurological symptoms of MA abuse, which tend to be transient, dental disease may provide a stable and specific marker for MA users. Dental professionals are in a unique position to help in the early detection and intervention of undisclosed MA use.24 Second, oral hygiene and dietary counseling can change the lifestyle of patients and attract the attention of their relatives, which can help them refrain from MA. Third, the majority of patients are concerned about the cosmetic aspects of their dental disease, 19 which may provide a stimulus for engaging in stepped, motivational, dental clinic-based interventions patterned after similar tobacco-use cessation programs.25 In the end, once the patient successfully completes a drug rehabilitation program, functional and aesthetic dental reconstruction is beneficial to improve their self-esteem and help them return to normal life.14

How long after last drug use can you postpone dental treatment?

If drug use is confirmed, a thorough medical/dental history and complete examination must be performed. All dental treatment should be postponed within 24 hours of the last drug usage. 21 Intravenous sedation with a benzodiazepine or general sedation should be avoided. Pain control of patients high on MA can be accomplished through local anesthetics without epinephrine and adequate postoperative doses of acetaminophen or ibuprofen.15 For the patients free from MA, local anesthetic with vasoconstrictor is not contraindicated. Nonsteroidal anti-inflammatory agents can be routinely used.22

How did MA abuse affect MIC?

The patient's medical history, along with the radiographic and intra-oral findings led to a diagnosis of MIC caused by MA abuse with poor oral hygiene and smoking habits. The key importance of rehabilitation and proper oral hygiene was emphasized to the patient and his relatives. As the patient was eager for aesthetic reconstruction of his dental appearance, he agreed to abstain from MA abuse and was encouraged to seek professional help. A signed consent form was obtained, in which he acknowledged an understanding of the ill effects of future MA use on restorative dental procedures. The patient refused extraction of his teeth for fear of changes to his facial structure as a result of alveolar bone absorption. After full consultation with the patient and his relatives, a treatment plan was established as follows:

How much more likely is meth to break teeth?

However, research by The Recovery Village found the more you use meth, the higher your risk: heavy meth users were over four times more likely than others to get meth mouth in general and three times more likely to get broken teeth in particular. The method of use also mattered: people who smoked meth were three times more likely ...

How many people have cavities from meth?

According to the American Dental Association, research shows that out of a large sampling of meth users: 96% had cavities. 58% had untreated tooth decay. 31% had six or more missing teeth. Unfortunately, most people who use meth will experience meth mouth to some degree, and many will have severe effects.

How do you know if you have meth?

Some of the most common symptoms of meth mouth include: 1 Cottonmouth 2 Gum disease 3 Red, swollen gums 4 Tooth decay 5 Clenching or grinding of teeth 6 Cravings for sugary drinks 7 Inconsistent oral hygiene

Why does meth cause anxiety?

Because of its addictive nature, methamphetamine can cause users to neglect daily hygiene routines. That specifically includes brushing teeth. Methamphetamine also causes anxiety and nervousness, resulting in users grinding and clenching their teeth, which wears down the already fragile teeth.

How do you know if you are addicted to meth?

One of the common signs of long-term methamphetamine addiction is tooth decay. Using meth causes an abuser’s teeth to first stain, then decay and eventually fall out as early as one year into abusing meth. According to the American Dental Association, research shows that out of a large sampling of meth users: ...

What happens if you use meth?

Meth mouth is incurable and, in many cases, can lead to tooth extraction and extensive dental work.

What are the side effects of methamphetamine?

Other symptoms of meth abuse and addiction include: Formication (The sensation of insects crawling under your skin) Nausea. Anxiety.

What is meth mouth?

Also known as “crank decay,” meth mouth is a condition characterized by the fracturing, erosion, decay or loss of teeth caused by methamphetamine use. According to a 2005 New York Times report, a growing number of people in rural areas and cities are experiencing meth mouth, and severe damage can occur within months of initiating meth abuse.

How to save your mouth from meth?

To save the mouth from irreparable damages, people addicted to methamphetamine should seek professional assistance. Rehab centers across the United States can help people overcome methamphetamine and crystal meth addiction. These facilities develop meth treatment plans to meet an individual’s specific needs.

What is the term for the decay of meth?

Methamphetamine and crystal meth can decrease the amount of protective saliva around the teeth and lead to a condition called meth mouth, a term used to describe the effects of methamphetamine use on oral health. Also known as “crank decay,” meth mouth is a condition characterized by the fracturing, erosion, decay or loss ...

Why is saliva important for teeth?

Saliva is also important for keeping your teeth from rotting out of your mouth. That’s the primary mechanism for the dental things, is that you get this really dry mouth.”. “Everybody gets a dry mouth from something every now and then,” Bednarczyk explained.

What are the problems with methamphetamine?

Methamphetamine is an addictive stimulant often used to treat attention-deficit/hyperactivity disorder. In addition to stroke, brain damage and addiction, meth use can cause significant dental problems. Abuse of various other drugs also can cause severe oral hygiene problems. ...

What is the treatment for addiction?

Treatment for addiction takes many forms and depends on the needs of the individual. In accordance with the American Society of Addiction Medicine, we offer information on outcome-oriented treatment that adheres to an established continuum of care. In this section, you will find information and resources related to evidence-based treatment models, counseling and therapy and payment and insurance options.

What is DrugRehab.com?

DrugRehab.com provides information regarding illicit and prescription drug addiction, the various populations at risk for the disease, current statistics and trends, and psychological disorders that often accompany addiction. You will also find information on spotting the signs and symptoms of substance use and hotlines for immediate assistance.

How does meth affect dental health?

Meth Mouth: How Methamphetamine Use Affects Dental Health. Note: A graphic image of meth mouth can be found at the bottom of this article. Methamphetamine (meth) is a dangerously addictive drug that can have severe health consequences, including stroke and permanent brain damage.

Why do meth addicts have black teeth?

The teeth of people addicted to methamphetamines are characterized by being blackened, stained, rotting, crumbling and falling apart. Often, the teeth cannot be salvaged and must be removed. The extensive tooth decay is likely caused by a combination of drug-induced psychological and physiological changes resulting in dry mouth and long periods of poor oral hygiene. Methamphetamine itself is also acidic.

What is a meta mouth?

“Meth mouth” is characterized by severe tooth decay and gum disease, which often causes teeth to break or fall out. An examination of the mouths of 571 ...

How long does meth last?

The high (which causes the brain to feel intense pleasure) can last up to 12 hours. This can lead to long periods of poor dental hygiene.

Does meth cause shortness of breath?

In addition, they may grind or clench their teeth, all of which can harm teeth. In the short term, meth can cause shortness of breath, nausea, vomiting, diarrhea, insomnia, hyper activity, decreased appetite, tremors and trouble breathing.

Does meth cause anxiety?

Over time, meth can cause irregular heartbeats, high blood pressure, stroke, violent behavior, anxiety, confusion, paranoia, hallucinations and delusions. It can also negatively affect ability to learn long-term. Though on the decline nationwide, meth use remains high in certain areas of the country, like the West and Midwest.

Is methamphetamine acidic?

Methamphetamine itself is also acidic. The study found that the more meth a person used, the worse their tooth decay was. Meth users who were 30 years of age or older, women or cigarette smokers were more likely to have tooth decay and gum disease.

What is meth mouth?

Meth mouth is a term used to describe the damaging effects of methamphetamine use on the mouth. The chemicals in meth can result in serious health problems, including severe gum disease and cavities, permanent brain damage, and even death.

What are the contributing factors to the oral health of methamphetamine users?

Other contributing factors to the oral health of the methamphetamine users included age and frequency of use . Patients over the age of 30 displayed more severe cases of dental disease. The study classified more than half of the participants as moderate or heavy meth users after admitting to meth use on at least four of the previous 30 days.

How does meth affect your health?

Not only can meth use cause serious damage to your mental and physical health, but it can also be severely devastating to your oral health. Signs of meth mouth include: 1 Stained teeth. Smoking meth causes your teeth to yellow, stain, and darken, just like tobacco. 2 Teeth that are falling out or severely decayed. Meth users are more likely to experience severe tooth decay and tooth loss than non-users. The poor oral hygiene, low-quality diet, and increased sugar intake associated with meth users may contribute to the decay. 3 Teeth grinding. Meth stimulates your brain, causing you to grind your teeth. Grinding can cause teeth to break or loosen and worsens periodontal disease. Additionally, it can lead to a feeling of stiff facial muscles and temporomandibular joint disorder. 4 Reduced salivary flow. Meth can also reduce salivary flow, leading many users to experience severe dry mouth. The lack of saliva makes it hard to swallow, more challenging to speak, and heightens the chances of developing tooth decay since saliva washes bacteria away from the teeth.

How does a dentist help you?

Each patient's needs and concerns are different, so your dentist will work closely with you to establish a unique treatment plan. One of the most important factors for oral health is establishing a healthy lifestyle, including good dietary choices and daily brushing and flossing. These simple habits will help you avoid further dental problems. Finding a dentist you can trust and talk with about your goals will help you restore confidence in your smile.

Is meth a disease?

According to a study funded by the National Institute on Drug Abuse and published in the American Dental Association Journal, meth users are far more likely to develop dental and periodontal disease.

Does grinding teeth cause periodontal disease?

Grinding can cause teeth to break or loosen and worsens periodontal disease. Additionally, it can lead to a feeling of stiff facial muscles and temporomandibular joint disorder. Reduced salivary flow. Meth can also reduce salivary flow, leading many users to experience severe dry mouth.

Does meth cause tooth decay?

Meth users are more likely to experience severe tooth decay and tooth loss than non-users. The poor oral hygiene, low-quality diet, and increased sugar intake associated with meth users may contribute to the decay. Teeth grinding. Meth stimulates your brain, causing you to grind your teeth.

What is the term for the caries associated with meth?

The severe caries associated with use of methamphetamine is referred to colloquially as “meth mouth” or “crank decay” and is said to resemble early childhood caries.

How to find out about treatment resources in your community?

State dental society well-being committee members may be familiar with such resources, as well. State governments may have a division for addiction services in the state, and may make that information available on websites. In addition, information can be found at http://findtreatment.samhsa.gov.

Is meth a bitter taste?

Methamphetamine can be smoked, snorted, injected, or taken orally. 4, 5 Typically, it is a bitter-tasting powder that readily dissolves in water or alcohol. 3 Another common form of the drug is a clear, chunky crystal. This is the form known as “ice” or “crystal meth” and it is smoked in a manner similar to crack cocaine. 3 Methamphetamine can also be in the form of small, brightly colored tablets, sometimes combined with caffeine; these pills are often called by their Thai name, yaba. 3, 4

Does methamphetamine cause permanent brain damage?

As well as being a potent central nervous system stimulant that can cause permanent brain damage, methamphetamine use has also been associated with severe oral health effects. 1, 3, 4 Awareness of methamphetamine’s adverse oral health effects and the treatment considerations for users of this drug can help dental professionals identify oral conditions that may be attributable to methamphetamine use.

Abstract

Methamphetamine also popularly known as meth crystal, crystal, or ice is a highly addictive recreational drug that is a central nervous system stimulant. Even though the drug is banned, availability in the illegal black market because of its low cost and easy production technique makes it one of the most commonly used drugs by the addicts.

References (7)

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