A patient who abuses methamphetamines may develop a number of oral and dental changes over time. These are affected by the severity of the addiction, drug sources, practices during drug use, and personal support system.





caries and missing teeth

high sugar intake from soft drinks, poor dental hygiene

periodontitis and gingivitis

poor dental hygiene

dental erosions and abrasions

bruxism, acid in soft drinks

temporomandibular joint dysfunction

severe bruxism and clenching

bilateral masseter muscle hypertrophy

severe bruxism and clenching

angular cheilitis and glossodynia, muscle wasting



methamphetamine effect, HCV, AIDS

thermal and chemical burns

flammable solvents used in synthesis; residual chemicals from synthesis

oral infections (thrush, HSV, syphilis, other)

HIV, sexually transmitted disease

broken teeth, bruising

traumatic injury


The presence of one or more of these findings should alert the clinician to the possibility of an underlying abuse problem.


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