EdenteV2, Main, Exploration, bibRecord, 001262

Dental disease patterns in methamphetamine users: Findings in a large urban sample

Identifieur interne : 001262 ( Main/Exploration ); précédent : 001261; suivant : 001263

Dental disease patterns in methamphetamine users: Findings in a large urban sample

Auteurs : Vivek Shetty [États-Unis] ; Lauren Harrell [États-Unis] ; Debra A. Murphy ; Steven Vitero ; Alexis Gutierrez [États-Unis] ; Thomas R. Belin [États-Unis] ; Bruce A. Dye [États-Unis] ; Vladimir W. Spolsky [États-Unis]

Source :

Journal of the American Dental Association (1939) [ 0002-8177 ] ; 2015.

RBID : PMC:5364727

Abstract

Background

The authors used a large community sample of methamphetamine users to verify the patterns and severity of dental disease and establish a hierarchy of caries susceptibility by tooth type and tooth surface.

Methods

Using a stratified sampling approach, 571 MA users received comprehensive oral examinations and psychosocial assessments. Three calibrated dentists characterized the dental and periodontal disease using National Health and Nutrition Examination Survey (NHANES) protocols. Data were also collected on substance-use history and other attributes linked to dental disease

Results

On all dental outcome measures, MA users evidenced very high dental and periodontal disease, with older (> 30 years) and moderate/heavy MA users disproportionately affected. Women had higher rates of tooth loss and caries as well as a greater prevalence of anterior caries. Current smokers were more likely to manifest 5 or more anterior surfaces with untreated caries and 3 or more teeth involved with root caries. Nearly 7% were edentulous and a significant percentage (40%) indicated embarrassment with their dental appearance.

Conclusions

MA users have very high rates of dental and periodontal disease, and manifest a dose-response relationship with greater levels of MA use associated with higher rates of dental disease. Women and current cigarette smokers are disproportionally impacted. The intraoral patterns and hierarchy of caries susceptibility in MA users are distinctive.

Practical Implications

The prevalence and patterns of dental and periodontal disease could be used to alert dentists to possible covert MA use as well as to plan treatment. Concerns about dental appearance have potential as triggers for behavioral interventions.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364727

DOI: 10.1016/j.adaj.2015.09.012
PubMed: 26610832
PubMed Central: 5364727

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">The authors used a large community sample of methamphetamine users to verify the patterns and severity of dental disease and establish a hierarchy of caries susceptibility by tooth type and tooth surface.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Using a stratified sampling approach, 571 MA users received comprehensive oral examinations and psychosocial assessments. Three calibrated dentists characterized the dental and periodontal disease using National Health and Nutrition Examination Survey (NHANES) protocols. Data were also collected on substance-use history and other attributes linked to dental disease</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">On all dental outcome measures, MA users evidenced very high dental and periodontal disease, with older (> 30 years) and moderate/heavy MA users disproportionately affected. Women had higher rates of tooth loss and caries as well as a greater prevalence of anterior caries. Current smokers were more likely to manifest 5 or more anterior surfaces with untreated caries and 3 or more teeth involved with root caries. Nearly 7% were edentulous and a significant percentage (40%) indicated embarrassment with their dental appearance.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">MA users have very high rates of dental and periodontal disease, and manifest a dose-response relationship with greater levels of MA use associated with higher rates of dental disease. Women and current cigarette smokers are disproportionally impacted. The intraoral patterns and hierarchy of caries susceptibility in MA users are distinctive.</p>
</sec>
<sec id="S5"><title>Practical Implications</title>
<p id="P5">The prevalence and patterns of dental and periodontal disease could be used to alert dentists to possible covert MA use as well as to plan treatment. Concerns about dental appearance have potential as triggers for behavioral interventions.</p>
</sec>
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Serveur d'exploration sur le patient édenté

Dental disease patterns in methamphetamine users: Findings in a large urban sample

Dental disease patterns in methamphetamine users: Findings in a large urban sample

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Abstract

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