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VOLUME 11 , ISSUE 1 ( January, 2010 ) > List of Articles

RESEARCH ARTICLE

Oral Manifestations of “Meth Mouth”: A Case Report

Ilser Turkyilmaz

Citation Information : Turkyilmaz I. Oral Manifestations of “Meth Mouth”: A Case Report. J Contemp Dent Pract 2010; 11 (1):73-80.

DOI: 10.5005/jcdp-11-1-73

License: CC BY-NC 3.0

Published Online: 01-01-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The aim of the documentation of this clinical case is to make clinicians aware of “meth mouth” and the medical risks associated with this serious condition.

Background

Methamphetamine is a very addictive, powerful stimulant that increases wakefulness and physical activity and can produce other effects such as cardiac dysrhythmias, hypertension, hallucinations, and violent behavior. Dental patients abusing methamphetamine can present with poor oral hygiene, xerostomia, rampant caries (“meth mouth”), and excessive tooth wear. Oral rehabilitation of patients using methamphetamine can be challenging.

Case Description

A 30-year-old Caucasian woman presented with dental pain, bad breath, and self-reported poor esthetics. A comprehensive examination including her medical history, panoramic radiograph, and intraoral examination revealed 19 carious lesions, which is not very common for a healthy adult. She reported her use of methamphetamine for five years and had not experienced any major carious episodes before she started using the drug.

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 implantsupported) have been offered to the patient since August 2007, the patient has yet to initiate any treatment.

Clinical Significance

This clinical case showing oral manifestations of meth mouth was presented to help dental practitioners recognize and manage patients who may be abusing methamphetamines. Dental practitioners also may be skeptical about the reliability of appointment keeping by these patients, as they frequently miss their appointments without reasonable justification.

Citation

Turkyilmaz I. Oral Manifestations of “Meth Mouth”: A Case Report. J Contemp Dent Pract [Internet]. 2010 Jan; 11(1):073-080. Available from: http://www.thejcdp.com/journal/ view/volume11-issue1-turkyilmaz.


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  1. For the dental patient … methamphetamine use and oral health. J Am Dent Assoc. 2005; 136(10):1491.
  2. Methamphetamine exposures in young children. Pediatr Emerg Care. 2007; 23(9):638-40.
  3. S. Department of Health and Human Services, National Institute on Drug Abuse. Methamphetamine: abuse and addiction. National Institute on Drug Abuse Research Report Series, 2006, http://www.nida.nih.gov/ResearchReports/methamph/methamph.html.
  4. S. Department of Health and Human Services, National Institute on Drug Abuse. Methamphetamine. NIDA infofacts, 2007, http://www.nida.nih.gov/infofacts/methamphetamine.html.
  5. Amphetamines. In: Ford MD, Delaney KA, Ling LJ, Erickson T, editors. Clinical toxicology. Philadelphia: W.B. Saunders Co.; 2001. p. 620-7.
  6. Assessing patient willingness to reveal health history information. J Am Dent Assoc. 1995; 126(3):375-9.
  7. Meth mouth: a national scourge. J Indiana Dent Assoc. 2005; 84(3):28-9.
  8. Hepatitis C virus infection among methamphetamine-dependent individuals in outpatient treatment. J Subst Abuse Treat. 2006; 31(2):195-202.
  9. Associations between methamphetamine use and HIV among men who have sex with men: a model for guiding public policy. J Urban Health. 2006; 83(6):1151-7.
  10. Caries associated with methamphetamine abuse. J Mich Dent Assoc. 2002; 84(9):42-7.
  11. Etiology of xerostomia and dental caries among methamphetamine abusers. Oral Health Prev Dent. 2005; 3(3):189-95.
  12. “Meth mouth”: rampant caries in methamphetamine abusers. AIDS Patient Care STDS. 2006; 20(3):146-50.
  13. Meth mouth: a review of methamphetamine abuse and its oral manifestations. Gen Dent. 2006; 54(2):125-9.
  14. Oral health sensations associated with illicit drug abuse. Br Dent J. 2005; 198(3):159-62.
  15. The occurrence of toothwear in users of Ecstasy (3,4-methylenedioxymethamphetamine). Community Dent Oral Epidemiol. 1999; 27(4):283-7.
  16. Clinical evaluation of a commercially available oral moisturizer in relieving signs and symptoms of xerostomia in postirradiation head and neck cancer patients and patients with Sjögren's syndrome. J Otolaryngol. 2000; 29(1):28-34.
  17. Pilocarpine for the treatment of xerostomia associated with salivary gland dysfunction. Oral Surg Oral Med Oral Pathol. 1986; 61(3):243-8.
  18. Oral pilocarpine HCl stimulates labial (minor) salivary gland flow in patients with Sjögren's syndrome. Oral Dis. 1997; 3(2):93-8.
  19. “Meth mouth”. Med J Aust. 2007; 186(12):661.
  20. Spontaneous intracerebral hemorrhage related to methamphetamine abuse: autopsy findings and clinical correlation. Am J Forensic Med Pathol. 2004; 25(4):334-7.
  21. Oral health of the methamphetamine abuser. Am J Health Syst Pharm. 2006; 63(21):2078-82.
  22. Meth mouth. N Y State Dent J. 2008; 74(5):50-1.
  23. Methamphetamine abuse and dentistry: a review of the literature and presentation of a clinical case. Quintessence Int. 2007; 38(7):583-90.
  24. Comparing diet, oral hygiene and caries status of adult methamphetamine users and nonusers: a pilot study. J Am Dent Assoc. 2008; 139(2):171-6.
  25. Aesthetic reconstruction of “meth mouth”. Dent Today. 2006;25(5):86, 88-91.
  26. Methamphetamine abuse and dentistry. Oral Dis. 2009; 15(1):27-37.
  27. Current opinion on drug-induced oral reactions: a comprehensive review. J Contemp Dent Pract. 2008; 9(3):1-15.
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