The impact of the new scene drug “crystal meth” on oral health: a case–control study

Rommel, Niklas; Rohleder, Nils H.; Wagenpfeil, Stefan; Härtel-Petri, Roland; Jacob, Frédéric; Wolff, Klaus‐Dietrich; Kesting, Marco

doi:10.1007/s00784-015-1527-z

Cited by 21 publications

(27 citation statements)

References 20 publications

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“…In our meta-analysis we considered 5 studies evaluating the relationship between drug type and periodontal disease [48,50,51,53,55]. These studies described the relationship between drug type as an exposure variable and periodontal disease as an outcome variable.…”

Section: Synthesis Of Results/meta-analysismentioning

confidence: 99%

“…Four studies were implemented in highincome country (such as USA, Germany, New Zealand, Saudi Arabia) [50,51,53,55], and the study of Rooban et al [48] was completed in India. The three of considered studies used cross-sectional analysis [48,50,51], one of them was a cohort study [53] and the last one used case-control design [55] and evaluated drug type using a self-report questionnaire. Regarding the oral health measure, the five studies applied bleeding on probing index (BOP) and periodontal screening index (PSI).…”

Section: Synthesis Of Results/meta-analysismentioning

confidence: 99%

“…Seven studies [24,27,48,49,52,54,55] examined the relationship between the type of drug used and DMFT index among PWUD. Five studies were conducted in high-income countries [24,27,49,54,55], and two in a low middle-income country (India) [48,52]. The date of studies ranged from 2007 to 2016, and the sample sizes were between 8 and 571.…”

Section: Dmft Index Compare To Drug Type Usedmentioning

confidence: 99%

“…All had high quality approaches and three studies were categorized as having moderate quality of evidence. Four studies used a casecontrol approach for their analysis [24,27,54,55] and three studies used cross-sectional design [48,49,52]. The results demonstrated a positive relationship on the pooled estimate for type of drug used as an exposure variable for DMFT index.…”

Section: Dmft Index Compare To Drug Type Usedmentioning

confidence: 99%

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Dental caries and periodontal disease among people who use drugs: a systematic review and meta-analysis

et al. 2020

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Background: The aim of our study was to perform a systematic review of the literature and meta-analysis in order to investigate relationship between drug use and oral health. Methods: We searched for studies in English published before July 1, 2019 on PsycINFO, PubMed, SciELO, Scopus, and Web of Science. We assessed the relationship between drug use (methamphetamines, heroin; opiates; crack, cocaine and cannabis as dependent variables) and reported tooth loss, periodontal disease, or decayed, missing, and filled teeth index as an independent variable. The data were analyzed using Stata 12.0 software. Results:We initially identified 1836 potential articles (with 1100 duplicates) and screened the remaining 736 titles and abstracts, comprising 54 studies. In the next step, we evaluated the full-texts; 44 studies were excluded, accordingly. In total, we included 10 publications in the meta-analysis. Drug type was associated with periodontal disease (OR 1.44; 95% CI 0.8-2.6) and pooled estimates showed that type of drug used increased the odds of the number of decayed, missed and filled teeth (DMFT) (OR 4.11; 95% CI 2.07-8.15) respectively. Conclusions: The analytical challenges of segregating the impact of individual drug types on oral health diseases mean that investigations on the direct relationship between oral health status and drug use are limited. Developing programs to improve potential confounding with various substances and addressing the dental health needs of people who use drugs is vital if we are to improve their overall quality of life.

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Section: Synthesis Of Results/meta-analysismentioning

confidence: 99%

Section: Synthesis Of Results/meta-analysismentioning

confidence: 99%

Section: Dmft Index Compare To Drug Type Usedmentioning

confidence: 99%

Section: Dmft Index Compare To Drug Type Usedmentioning

confidence: 99%

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Dental caries and periodontal disease among people who use drugs: a systematic review and meta-analysis

et al. 2020

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“…More recently, Rommel et al (2015) studied a sample of 100 chronic MA users and 100 matched-pair controls to establish that MA users have significantly higher rates of caries (P < 0.001) and higher DMFT scores (P < 0.001). Our propensity score and quintile stratification approach confirmed these findings while minimizing the biases inherent to the simple matching approach used by Rommel et al (2015). The patterns of tooth surface involvement in the MA users were also very distinctive.…”

Section: Discussionmentioning

confidence: 99%

Methamphetamine Users Have Increased Dental Disease

et al. 2016

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Methamphetamine (MA) users are assumed to have a high burden of tooth decay. Less clear is how the distribution and severity of dental caries in MA users differ from the general population. Using a covariate-balancing propensity score strategy, we investigated the differential effects of MA use on dental caries by comparing the patterns of decayed, missing, and filled teeth in a community sample of 571 MA users with a subset of 2,755 demographically similar control individuals selected from a National Health and Nutrition Examination Survey (NHANES) cohort. Recruited over a 2-y period with a stratiﬁed sampling protocol, the MA users underwent comprehensive dental examinations by 3 trained and calibrated dentists using NHANES protocols. Propensity scores were estimated with logistic regression based on background characteristics, and a subset of closely matched subjects was stratified into quintiles for comparisons. MA users were twice as likely to have untreated caries (odds ratio [OR] = 2.08; 95% confidence interval [95% CI]: 1.55 to 2.78) and 4 times more likely to have caries experience (OR = 4.06; 95% CI: 2.24 to 7.34) than the control group of NHANES participants. Additionally, MA users were twice as likely to have 2 more decayed, missing, or filled teeth (OR = 2.08; 95% CI: 1.29 to 2.79) than the NHANES participants. The differential involvement of the teeth surfaces in MA users was quite distinctive, with carious surface involvement being highest for the maxillary central incisors, followed by maxillary posterior premolars and molars. Users injecting MA had significantly higher rates of tooth decay compared with noninjectors ( P = 0.04). Although MA users experienced decayed and missing dental surfaces more frequently than NHANES participants, NHANES participants had more restored surfaces, especially on molars. The high rates and distinctive patterns of dental caries observed could be used 1) to alert dentists to covert MA use in their patients and 2) as the basis for comprehensive management strategies.

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Recreational Drug Use

2022

A Practical Approach to Special Care in Dentistry

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The impact of the new scene drug “crystal meth” on oral health: a case–control study

Abstract: Based on our results, we recommend a specific prevention and therapeutic concept including educational campaigns for MA users and specialized dental care for CM patients.

Cited by 21 publications

References 20 publications

Dental caries and periodontal disease among people who use drugs: a systematic review and meta-analysis

Dental caries and periodontal disease among people who use drugs: a systematic review and meta-analysis

Methamphetamine Users Have Increased Dental Disease

Recreational Drug Use

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