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Meth Mouth—A Growing Epidemic in Dentistry?

In the past two decades, the synthetic style and fashion drug “crystal meth” (“crystal”, “meth”), chemically representing the crystalline form of the methamphetamine hydrochloride, has become more and more popular in the United States, in Eastern Europe, and just recently in Central and Western Euro...

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Autores principales: Pabst, Andreas, Castillo-Duque, Juan Carlos, Mayer, Axel, Klinghuber, Marcus, Werkmeister, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806971/
https://www.ncbi.nlm.nih.gov/pubmed/29563435
http://dx.doi.org/10.3390/dj5040029
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author Pabst, Andreas
Castillo-Duque, Juan Carlos
Mayer, Axel
Klinghuber, Marcus
Werkmeister, Richard
author_facet Pabst, Andreas
Castillo-Duque, Juan Carlos
Mayer, Axel
Klinghuber, Marcus
Werkmeister, Richard
author_sort Pabst, Andreas
collection PubMed
description In the past two decades, the synthetic style and fashion drug “crystal meth” (“crystal”, “meth”), chemically representing the crystalline form of the methamphetamine hydrochloride, has become more and more popular in the United States, in Eastern Europe, and just recently in Central and Western Europe. “Meth” is cheap, easy to synthesize and to market, 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 “meth mouth”, defined as serious tooth and oral health damage after long-standing “meth” abuse; this condition may become increasingly relevant in dentistry and oral- and maxillofacial surgery. There might be an association between general methamphetamine abuse and the development of osteonecrosis, similar to the medication-related osteonecrosis of the jaws (MRONJ). Several case reports concerning “meth” patients 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 “meth mouth”.
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spelling pubmed-58069712018-03-16 Meth Mouth—A Growing Epidemic in Dentistry? Pabst, Andreas Castillo-Duque, Juan Carlos Mayer, Axel Klinghuber, Marcus Werkmeister, Richard Dent J (Basel) Case Report In the past two decades, the synthetic style and fashion drug “crystal meth” (“crystal”, “meth”), chemically representing the crystalline form of the methamphetamine hydrochloride, has become more and more popular in the United States, in Eastern Europe, and just recently in Central and Western Europe. “Meth” is cheap, easy to synthesize and to market, 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 “meth mouth”, defined as serious tooth and oral health damage after long-standing “meth” abuse; this condition may become increasingly relevant in dentistry and oral- and maxillofacial surgery. There might be an association between general methamphetamine abuse and the development of osteonecrosis, similar to the medication-related osteonecrosis of the jaws (MRONJ). Several case reports concerning “meth” patients 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 “meth mouth”. MDPI 2017-10-30 /pmc/articles/PMC5806971/ /pubmed/29563435 http://dx.doi.org/10.3390/dj5040029 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Pabst, Andreas
Castillo-Duque, Juan Carlos
Mayer, Axel
Klinghuber, Marcus
Werkmeister, Richard
Meth Mouth—A Growing Epidemic in Dentistry?
title Meth Mouth—A Growing Epidemic in Dentistry?
title_full Meth Mouth—A Growing Epidemic in Dentistry?
title_fullStr Meth Mouth—A Growing Epidemic in Dentistry?
title_full_unstemmed Meth Mouth—A Growing Epidemic in Dentistry?
title_short Meth Mouth—A Growing Epidemic in Dentistry?
title_sort meth mouth—a growing epidemic in dentistry?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806971/
https://www.ncbi.nlm.nih.gov/pubmed/29563435
http://dx.doi.org/10.3390/dj5040029
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