Oral manifestations of illicit drug use
DOI:
https://doi.org/10.18203/2320-6012.ijrms20223299Keywords:
Drug abuse, Illicit drug use effects, Drugs in dentistryAbstract
Oral health problems, among the most prevalent comorbidities related to addiction, require more attention by both clinicians and policy-makers. Our aims were to review oral complications associated with drugs, oral health care in addiction rehabilitation, health services available, and barriers against oral health promotion among addicts. Drug abuse is associated with serious oral health problems including generalized dental caries, periodontal diseases, mucosal dysplasia, xerostomia, bruxism, tooth wear, and tooth loss. Oral health care has positive effects in recovery from drug abuse: patients’ need for pain control, destigmatization, and human immune-deficiency virus (HIV) transmission. Health care systems worldwide deliver services for addicts, but most lack oral health care programs. Barriers against oral health promotion among addicts include difficulty in accessing addicts as a target population, lack of appropriate settings and of valid assessment protocols for conducting oral health studies, and poor collaboration between dental and general health care sectors serving addicts. These interfere with an accurate picture of the situation. Moreover, lack of appropriate policies to improve access to dental services, lack of comprehensive knowledge of and interest among dental professionals in treating addicts, and low demand for non-emergency dental care affect provision of effective interventions. Management of drug addiction as a multi-organ disease requires a multidisciplinary approach. Health care programs usually lack oral health care elements. Published evidence on oral complications related to addiction emphasizes that regardless of these barriers, oral health care at various levels including education, prevention, and treatment should be integrated into general care services for addicts.
References
Ray R. The extent, pattern and trends of drug abuse in India: National Survey. Ministry of Social Justice and Empowerment, Govt. of India & United Nations Office on Drugs and Crime, Regional Office for South Asia. 2004.
Nessa A, Latif SA, Siddiqui NI, Hussain MA, Hossain MA. Drug abuse and addiction. Mymensingh Med J. 2008;17(2):227-35.
United Nations Office on Drug and Crime. World Drug Report 2011. Vienna: United Nations Publication, Sales No. E.11.XI.10. 2011. Available at: https://www.unodc.org/unodc/en/data-and-analysis/WDR-2011.html. Accessed on 12 October 2022.
Mathers BM, Degenhardt L, Phillips B, Wiessing L, Hickman M, Strathdee SA, Wodak A, Panda S, Tyndall M, Toufik A, Mattick RP. Global epidemiology of injecting drug use and HIV among people who inject drugs: a systematic review. Lancet. 2008;372(9651):1733.
Chen CY, Lin KM. Health consequences of illegal drug use. Curr Opin Psychiatry. 2009;22(3):287-92.
Brienza RS, Stein MD, Chen M, Gogineni A, Sobota M, Maksad J, Hu P, Clarke J. Depression among needle exchange program and methadone maintenance clients. J Subst Abuse Treat. 2000;18(4):331-7.
Affinnih YH. A preliminary study of drug abuse and its mental health and health consequences among addicts in Greater Accra, Ghana. J Psychoactive Drugs. 1999;31(4):395-403.
Robinson PG, Acquah S, Gibson B. Drug users: oral health-related attitudes and behaviours. Br Dent J. 2005;198(4):219-24.
Santolaria-Fernández FJ, Gómez-Sirvent JL, González-Reimers CE, Batista-López JN, Jorge-Hernández JA, Rodríguez-Moreno F, Martínez-Riera A, Hernández-García MT. Nutritional assessment of drug addicts. Drug Alcohol Depend. 1995;38(1):11-8.
De Palma P, Nordenram G. The perceptions of homeless people in Stockholm concerning oral health and consequences of dental treatment: a qualitative study. Spec Care Dentist. 2005;25(6):289-95.
Charnock S, Owen S, Brookes V, Williams M. A community based programme to improve access to dental services for drug users. Br Dent J. 2004;196(7):385-8.
Rehm J, Taylor B, Room R. Global burden of disease from alcohol, illicit drugs and tobacco. Drug Alcohol Rev. 2006;25(6):503-13.
Ambekar A, Agrawal A, Rao R, Mishra AK, Khandelwal SK, Chadda RK. On behalf of the group of investigators for the National Survey on Extent and Pattern of Substance Use in India. Magnitude of Substance Use in India. New Delhi: Ministry of Social Justice and Empowerment, Government of India. 2019.
Reece AS. Dentition of addiction in Queensland: poor dental status and major contributing drugs. Aust Dent J. 2007;52(2):144-9.
Molendijk B, Ter Horst G, Kasbergen M, Truin GJ, Mulder J. Dental health in Dutch drug addicts. Community Dent Oral Epidemiol. 1996;24(2):117-9.
Laslett AM, Dietze P, Dwyer R. The oral health of street-recruited injecting drug users: prevalence and correlates of problems. Addiction. 2008;103(11):1821-5.
Morio KA, Marshall TA, Qian F, Morgan TA. 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.
Rees TD. Oral effects of drug abuse. Crit Rev Oral Biol Med. 1992;3(3):163-84.
Titsas A, Ferguson MM. Impact of opioid use on dentistry. Aust Dent J. 2002;47(2):94-8.
Angelillo IF, Grasso GM, Sagliocco G, Villari P, D’Errico MM. Dental health in a group of drug addicts in Italy. Community Dent Oral Epidemiol. 1991;19(1):36-7.
Davis RK, Baer PN. Necrotizing ulcerative gingivitis in drug addict patients being withdrawn from drugs. Report of two cases. Oral Surg Oral Med Oral Pathol. 1971;31(2):200-4.
Ma H, Shi XC, Hu DY, Li X. The poor oral health status of former heroin users treated with methadone in a Chinese city. Med Sci Monit. 2012;18(4):PH51-5.
Picozzi A, Dworkin SF, Leeds JG, Nash J. Dental and associated attitudinal aspects of heroin addiction: a pilot study. J Dent Res. 1972;51(3):869.
Madinier I, Harrosch J, Dugourd M, Giraud-Morin C, Fosse T. The buccal-dental health of drug addicts treated in the University hospital centre in Nice. Presse Med. 2003;32(20):919-23.
Lowenthal AH. Atypical caries of the narcotics addict. Dent Surv. 1967;43(12):44-7.
Llewelyn J, Mitchell R. Smoking, alcohol and oral cancer in south east Scotland: a 10-year experience. Br J Oral Maxillofac Surg. 1994;32(3):146-52.
Thomson WM, Poulton R, Broadbent JM, Moffitt TE, Caspi A, Beck JD, Welch D, Hancox RJ. Cannabis smoking and periodontal disease among young adults. JAMA. 2008;299(5):525-31.
Ahrens AGMS, Bressi T. Marijuana as promoter for oral cancer? More than a suspect. Addictive Disorders & Their Treatment. 2007;6(3):117.
Fazzi M, Vescovi P, Savi A, Manfredi M, Peracchia M. The effects of drugs on the oral cavity. Minerva Stomatol. 1999;48(10):485.
Versteeg PA, Slot DE, van der Velden U, van der Weijden GA. Effect of cannabis usage on the oral environment: a review. Int J Dent Hyg. 2008;6(4):315-20.
Di Cugno F, Perec CJ, Tocci AA. Salivary secretion and dental caries experience in drug addicts. Arch Oral Biol. 1981;26(5):363-7.
Schulz-Katterbach M, Imfeld T, Imfeld C. Cannabis and caries--does regular cannabis use increase the risk of caries in cigarette smokers? Schweiz Monatsschr Zahnmed. 2009;119(6):576-83.
Madinier I. Illicit drugs for toothache. Br Dent J. 2002;192(3):120.
Blanksma CJ, Brand HS. Cocaine abuse: orofacial manifestations and implications for dental treatment. Int Dent J. 2005;55(6):365-9.
Kapila YL, Kashani H. Cocaine-associated rapid gingival recession and dental erosion. A case report. J Periodontol. 1997;68(5):485-8.
Krutchkoff DJ, Eisenberg E, O’Brien JE, Ponzillo JJ. Cocaine-induced dental erosions. N Engl J Med. 1990;322(6):408.
Faruque S, Edlin BR, McCoy CB, Word CO, Larsen SA, Schmid DS, Von Bargen JC, Serrano Y. Crack cocaine smoking and oral sores in three inner-city neighborhoods. J Acquir Immune Defic Syndr Hum Retrovirol. 1996;13(1):87-92.
Hamamoto DT, Rhodus NL. Methamphetamine abuse and dentistry. Oral Dis. 2009;15(1):27-37.
Saini T, Edwards PC, Kimmes NS, Carroll LR, Shaner JW, Dowd FJ. Etiology of xerostomia and dental caries among methamphetamine abusers. Oral Health Prev Dent. 2005;3(3):189-95.
Richards JR, Brofeldt BT. Patterns of tooth wear associated with methamphetamine use. J Periodonto. 2000;71(8):1371-4.
ADA Division of Communications; Journal of the American Dental Association; ADA Division of Scientific Affairs. For the dental patient ... methamphetamine use and oral health. J Am Dent Assoc. 2005;136(10):1491.
Shaner JW. Caries associated with methamphetamine abuse. J Mich Dent Assoc. 2002;84(9):42-7.
Cretzmeyer M, Walker J, Hall JA, Arndt S. Methamphetamine use and dental disease: results of a pilot study. J Dent Child (Chic). 2007;74(2):85-92.
Brand HS, Dun SN, Nieuw Amerongen AV. Ecstasy (MDMA) and oral health. Br Dent J. 2008;204(2):7-81.
McGrath C, Chan B. Oral health sensations associated with illicit drug abuse. Br Dent J. 2005;198(3):159-62.
Milosevic A, Agrawal N, Redfearn P, Mair L. The occurrence of toothwear in users of Ecstasy (3,4-methylenedioxymethamphetamine). Community Dent Oral Epidemiol. 1999;27(4):283-7.
Redfearn PJ, Agrawal N, Mair LH. An association between the regular use of 3,4 methylenedioxy-methamphetamine (ecstasy) and excessive wear of the teeth. Addiction. 1998;93(5):745-8.
Brazier WJ, Dhariwal DK, Patton DW, Bishop K. Ecstasy related periodontitis and mucosal ulceration -- a case report. Br Dent J. 2003;194(4):197-9.
Gahlinger PM. Club drugs: MDMA, gamma-hydroxybutyrate (GHB), Rohypnol, and ketamine. Am Fam Physician. 2004;69:2619-26.
Shekarchizadeh H, Khami MR, Mohebbi SZ, Virtanen JI. Oral health behavior of drug addicts in withdrawal treatment. BMC Oral Health. 2013;13:11.
Zador D, Lyons Wall PM, Webster I. High sugar intake in a group of women on methadone maintenance in south western Sydney, Australia. Addiction. 1996;91(7):1053-61.
Scheutz F. Dental health in a group of drug addicts attending an addiction-clinic. Community Dent Oral Epidemiol. 1984;12(1):23-8.
Sheridan J, Aggleton M, Carson T. Dental health and access to dental treatment: a comparison of drug users and non-drug users attending community pharmacies. Br Dent J. 2001;191(8):453-7.
Scheutz F. Five-year evaluation of a dental care delivery system for drug addicts in Denmark. Community Dent Oral Epidemiol. 1985;12:29-34.
Bullock K. Dental care of patients with substance abuse. Dent Clin North Am. 1999;43(3):513-26.
Soroush AR, Modaghegh MHS, Karbakhsh M, Zarei MR. Drug abuse in hospitalized trauma patients in a university trauma care center: an explorative study. Tehran University Med J. 2006;64(8):43-8.
Nathwani NS, Gallagher JE. Methadone: dental risks and preventive action. Dent Update. 2008;35(8):542-4.
Ship JA. Xerostomia: aetiology, diagnosis, management and clinical implications. In: Saliva and Oral Health. Eds, Edgar M, Davies C, O’Mullane D. BDJ Books, London. 2004;50.
Cassolato SF, Turnbull RS. Xerostomia: clinical aspects and treatment. Gerodontology. 2003;20(2):64-77.
Scully C. Drug effects on salivary glands: dry mouth. Oral Dis. 2003;9(4):165-76.
