Niklas Rommel1, Nils H Rohleder2, Stefan Wagenpfeil3, Roland Haertel-Petri4, Marco R Kesting2. 1. Department of Oral and Maxillofacial Surgery, Munich University of Technology, Ismaninger Str. 22, D-81675 Munich, Germany. Electronic address: rommel@mkg.med.tum.de. 2. Department of Oral and Maxillofacial Surgery, Munich University of Technology, Ismaninger Str. 22, D-81675 Munich, Germany. 3. Institute for Medical Biometry, Epidemiology and Medical Informatics, University of Saarland at Homburg/Saar, Kirrberger Straße 100, D-66424 Homburg/Saar, Germany. 4. Department of Addiction Medicine, Hospital for Psychiatry, Psychotherapy, Psychosomatic Medicine, and Neurology, Nordring 2, D-954, 44 Bayreuth, Germany.
Abstract
BACKGROUND: Chronic methamphetamine abuse can lead to multiple health hazards. In particular, the substance is associated with devastating effects on oral health including symptoms such as rampant caries, gingiva inflammation, and xerostomia, whereby the term "Meth Mouth" occurs in the current literature. However, "Meth Mouth" pathology is primarily described on the basis of individual cases or has been evaluated without consideration of the mass of potential influencing factors. Therefore, we have conducted a systematic study to investigate the effects of accompanying factors and circumstances on oral health in cases of chronic methamphetamine abuse. METHODS: In cooperation with two centers for addiction medicine, we assessed the data of 100 chronic methamphetamine users and 100 matched-pair controls between March 2012 and November 2013. We investigated their socioeconomic status, details of methamphetamine consumption behavior, collateral consumption of sugar beverages, nicotine alcohol, and other addictive substances including cannabis, opioids, other stimulants, and hallucinogens, and dental care. RESULTS: We found considerably greater unstable social circumstances, a high collateral consumption of substances with pathogenic potential for the stomatognathic system, and significantly poorer dental care in the methamphetamine-user group. CONCLUSIONS: Various factors have to be considered with regard to methamphetamine use and its influence on oral health. These factors can trigger potential damage by the drug methamphetamine possibly leading to the symptoms of "Meth Mouth", and should be considered in prevention and therapy strategies.
BACKGROUND: Chronic methamphetamine abuse can lead to multiple health hazards. In particular, the substance is associated with devastating effects on oral health including symptoms such as rampant caries, gingiva inflammation, and xerostomia, whereby the term "Meth Mouth" occurs in the current literature. However, "Meth Mouth" pathology is primarily described on the basis of individual cases or has been evaluated without consideration of the mass of potential influencing factors. Therefore, we have conducted a systematic study to investigate the effects of accompanying factors and circumstances on oral health in cases of chronic methamphetamine abuse. METHODS: In cooperation with two centers for addiction medicine, we assessed the data of 100 chronic methamphetamine users and 100 matched-pair controls between March 2012 and November 2013. We investigated their socioeconomic status, details of methamphetamine consumption behavior, collateral consumption of sugar beverages, nicotine alcohol, and other addictive substances including cannabis, opioids, other stimulants, and hallucinogens, and dental care. RESULTS: We found considerably greater unstable social circumstances, a high collateral consumption of substances with pathogenic potential for the stomatognathic system, and significantly poorer dental care in the methamphetamine-user group. CONCLUSIONS: Various factors have to be considered with regard to methamphetamine use and its influence on oral health. These factors can trigger potential damage by the drug methamphetamine possibly leading to the symptoms of "Meth Mouth", and should be considered in prevention and therapy strategies.
Authors: Nicholas A Kolaitis; Roham T Zamanian; Vinicio A de Jesus Perez; David B Badesch; Raymond L Benza; Charles D Burger; Murali M Chakinala; Jean M Elwing; Jeremy Feldman; Matthew R Lammi; Stephen C Mathai; John W McConnell; Kenneth W Presberg; Jeffrey C Robinson; Jeffrey Sager; Oksana A Shlobin; Marc A Simon; Steven M Kawut; David V Glidden; Jonathan P Singer; Teresa De Marco Journal: Ann Am Thorac Soc Date: 2021-04
Authors: Linda Chang; Kenichi Oishi; Jon Skranes; Steven Buchthal; Eric Cunningham; Robyn Yamakawa; Sara Hayama; Caroline S Jiang; Daniel Alicata; Antonette Hernandez; Christine Cloak; Tricia Wright; Thomas Ernst Journal: JAMA Psychiatry Date: 2016-12-01 Impact factor: 21.596