Use of Evidence-Based Decision-Making in Comprehensive Dental Treatment of a Patient with MethMouth-A Case Report. This case report illustrates the use of evidence-based practice in formulating a comprehensive dental treatment plan for a patient who presented himself with signs of oral health debilitation accompanying methamphetamine (MA) abuse called "methmouth" with the goal of providing dentistry approach. A clinical question was composed based on the Problem, Intervention, Comparison, and Outcome format to identify past studies and case reports on methmouth. A standard search was conducted on PubMed Central. Standard guidelines on the treatment of methmouth were extracted from the Web site of the American Dental Association. A total of 2 systematic reviews, 7 review articles, 4
on While “methmouth” is a relatively well-known term, few clinical trials have been performed to validate that caries are directly associated with methamphetamine. In the Rommel study, bias may have occurred because the dental examiners assessed the control and crystal-meth-using groups separately. The dental examiners also individually selected the patients and were not blinded. In the Morio study ..
is considerable:Myocardial infarction, dissecting aortic aneurysm, cardiomyopathy.[14]Hypertensive crises and stroke.Rhabdomyolysis and kidney failure.'Crystal cock' (erectile dysfunction).GI ulcers and ischaemic colitis.Pulmonary hypertension.[15]Skin abscesses and lesions.Premature ageing.Cognitive impairment - confusion, memory loss, motor slowing and learning impairment.[16]'Methmouth' (dental decay).[17, 18 with idiopathic pulmonary arterial hypertension? Chest. 2006 Dec130(6):1657-63.Scott JC, Woods SP, Matt GE, et al; Neurocognitive effects of methamphetamine: a critical review and meta-analysis. Neuropsychol Rev. 2007 Sep17(3):275-97.Shetty K; "MethMouth", Medical Journal of Australia, 2006 185 (5): 292Saini T, Edwards PC, Kimmes NS, et al; Etiology of xerostomia and dental caries among methamphetamine abusers
beverage consumption and poor oral hygiene, better explain dental health outcomes. Having a better understanding of the causal mechanisms of "methmouth" sets the stage for clinicians to provide more personalized interventions and management of dental disease in people who use meth.
, and has an extremely high potential for abuse and dependence. As a strong sympathomimetic, "meth" has the potency to switch off hunger, fatigue and, pain while simultaneously increasing physical and mental performance. The most relevant side effects are heart and circulatory complaints, severe psychotic attacks, personality changes, and progressive neurodegeneration. Another effect is "methmouth after tooth extractions or oral surgery have presented clinical pictures similar to MRONJ. This overview summarizes the most relevant aspect concerning "crystal meth" abuse and "methmouth".
Sympathomimetic effects of chronic methamphetamine abuse on oral health: a cross-sectional study. Methamphetamine, a highly addictive sympathomimetic stimulant, is currently widely abused worldwide and has been associated with devastating effects on oral health, resulting in the term "methmouth". However, "methmouth" pathology is primarily based on case reports with a lack of systematic
Maxillary sinus manifestations of methamphetamine abuse Methamphetamines are the second most commonly used illicit drug worldwide and cost the United States health-care system ∼$23.4 billion annually. Use of this drug affects multiple organ systems and causes a variety of clinical manifestations. Although there are commonly known sequelae of methamphetamine abuse such as "methmouth
Oral health effects, brushing habits and management of methamphetamine users for the general dental practitioner. Methamphetamine is a synthetic drug commonly abused in South Africa and is highly addictive. Users have a higher prevalence of dental caries compared to non-users and the classical caries pattern found in methamphetamine users is termed 'methmouth'. The increased consumption of soft drinks and the absence of saliva are the main risk factors for 'methmouth'. To determine the oral health status of individuals using methamphetamine. A cross-sectional study was conducted on a convenience sample of 308 self-reported methamphetamine users at 22 specialised substance addiction treatment centres in the Western Cape, South Africa. There was a significant difference in tooth brushing
Decay ("methmouth") 1. Untreated Tooth Decay in more than half of Methamphetamine users 8. Cardiomyopathy 1. Presents with severely reduced ejection fraction (mean 19%) with global hypokinesis in a young patient 2. Results from Catecholamine related systemic effects, as well as Methamphetamine direct toxic effects 3. Ejection fraction may return to normal after Methamphetamine * "Methmouth" - broken teeth and dry mouth
left ventricular systolic dysfunction. [34] Methamphetamine abuse has severe adverse effects on oral health, colloquially termed "methmouth". As a result of its sympathomimetic effects, methamphetamine results in significantly reduced saliva production and pH, and increased bruxism. Consequently, long-term abusers are at increased risk for caries, dental erosion, periodontal lesions
left ventricular systolic dysfunction. [34] Methamphetamine abuse has severe adverse effects on oral health, colloquially termed "methmouth". As a result of its sympathomimetic effects, methamphetamine results in significantly reduced saliva production and pH, and increased bruxism. Consequently, long-term abusers are at increased risk for caries, dental erosion, periodontal lesions
Decay ("methmouth") 1. Untreated Tooth Decay in more than half of Methamphetamine users 8. Cardiomyopathy 1. Presents with severely reduced ejection fraction (mean 19%) with global hypokinesis in a young patient 2. Results from Catecholamine related systemic effects, as well as Methamphetamine direct toxic effects 3. Ejection fraction may return to normal after Methamphetamine * "Methmouth" - broken teeth and dry mouth
with selective serotonin reuptake inhibitors [SSRIs] than with tricyclics).The rise of illicit methamphetamine Amphetamines Amphetamines are sympathomimetic drugs with central nervous system stimulant and euphoriant properties whose toxic adverse effects include delirium, hypertension, seizures, and hyperthermia... read more use has resulted in an increasing incidence of methmouth, which is severe tooth decay
and then, if untreated, with... read more (“methmouth”).Swimmers who spend a lot of time in overchlorinated pools may lose enamel from the outer facial/buccal side of the teeth, especially the maxillary incisors, canines, and 1st premolars. If sodium carbonate has been added to the pool water to correct pH, brown calculus develops but can be removed by a dental cleaning.Fluorosis is mottled enamel that may develop
decay. Examples include Sjögren syndrome, diabetes mellitus, diabetes insipidus, and sarcoidosis.[48] Medications, such as antihistamines and antidepressants, can also impair salivary flow. Stimulants, most notoriously methylamphetamine, also occlude the flow of saliva to an extreme degree. This is known as methmouth. Tetrahydrocannabinol (THC), the active chemical substance in cannabis, also causes