Salivary secretion and dental caries experience in drug addicts

Cugno, F Di; Perec, Carlos J.; Tocci, A.A.

doi:10.1016/0003-9969(81)90031-5

Cited by 51 publications

(45 citation statements)

References 15 publications

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“…A study involving young drug addicts in a long term residential treatment program reported a 73% reduction in stimulated parotid salivary secretion in amphetamine users and a 59% reduction in the stimulated parotid secretion in subjects abusing both amphetamine and marijuana compared to healthy controls. 17 The caries rate in the amphetamine abusers was four times higher than that of the controls.…”

Section: Discussionmentioning

confidence: 89%

“…The primary mechanism for both the caries and periodontal disease is the combination of xerostomia, frequent sipping of carbonated soft drinks to relieve the sensation of dry mouth, extremely high dental plaque levels, and nonexistent or inadequate oral hygiene. 1,[17][18] The rampant caries clinically resembles early childhood caries (baby bottle caries) and has being referred to as "meth mouth" by the press. 1,15 A distinctive caries pattern is seen on the buccal smooth surface of the posterior teeth and the interproximal surfaces of the anterior teeth (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

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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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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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“…Meth mouth includes dental necrosis, but may also lead to dental infections and frequent dental fractures. The etiology of meth mouth is multifactorial and includes methamphetamine-related xerostomia, 37,39 vasospasm, 26 and poor dental hygiene. Dental diseases were not identified in previous ED studies.…”

Section: 3mentioning

confidence: 99%

Methamphetamine‐related Emergency Department Utilization and Cost

Hendrickson

Cloutier

McConnell

2008

Academic Emergency Medicine

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Objective: To quantify the frequency, cost, and characteristics associated with emergency department (ED) visits that are related to methamphetamine use.Methods: This was a prospective observational study. The authors performed a training program for ED clinicians on the acute and chronic effects of methamphetamine and the signs of methamphetamine abuse. A standardized two question survey was administered to clinicians concerning the relationship between the ED visit and the patient's methamphetamine use. The survey was embedded in the patient tracking system and was required for all ED patients before disposition. Survey results were merged with administrative data on demographics, diagnosis, disposition, and charges. Univariate analyses were used to determine patient characteristics associated with methamphetamine-related ED visits. Results:The authors examined 15,038 ED visits over a 20-week period from February 2006 to June 2006. There were a total of 353 methamphetamine-related visits, for an average of 17.65 visits per week (2.4% of all visits). Hospital charges for methamphetamine-related ED visits averaged $133,181 per week, for an estimated total of $6.9 M in annual charges. Methamphetamine-related ED patients were more likely to be male (odds ratio [OR] 1.6, 95% confidence interval [CI] = 1.30 to 2.01), white (OR 1.8, 95% CI = 1.38 to 2.29), and uninsured (OR 3.2, 95% CI = 2.21 to 4.69). The top four medical conditions associated with methamphetamine-related visits were mental health (18.7%), trauma (18.4%), skin infections (11.1%), and dental diagnoses (9.6%).Conclusions: Methamphetamine abuse accounts for a modest but substantial proportion of ED utilization and hospital cost. Methamphetamine-related ED visits are most commonly related to mental illness, trauma, skin, and dental-related problems.ACADEMIC EMERGENCY MEDICINE 2008; 15:23-31 ª

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“…[4]. Чистый секрет около-ушных слюнных желез характеризуется снижением в среднем в 2 раза, по сравнению с показателями у здоровых лиц, скорости саливации и вязкости [2,8,10,14]. Выраженность патоморфологических изменений слюнных желез пропорциональна дли-тельности употребления психоактивных веществ [3,5].…”

Section: воспалительные изменения слизистойunclassified