title: Cocaine and oral health.
abstract: In the UK almost one million individuals use cocaine on a regular basis, implying that dentists are likely to encounter individuals that use cocaine. Regular use of this drug may have several orofacial effects, such as perforation of the nasal septum and palate, gingival lesions and erosion of tooth surfaces. In addition, recent use of cocaine increases the risk of a medical emergency during dental treatment, especially when epinephrine-containing local anaesthetics or retraction cords are used. Therefore, dental treatment should be postponed for 6 to 24 hours after the use of cocaine.
authors.affiliation: Department of Dental Basic Sciences, Academic Centre for Dentistry Amsterdam (ACTA), Medical Faculty, Room A-220, Vrije Universiteit, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands. hs.brand@vumc.nl
authors.forename: H S
authors.initials: HS
authors.lastname: Brand
authors.forename: S
authors.initials: S
authors.lastname: Gonggrijp
authors.forename: C J
authors.initials: CJ
authors.lastname: Blanksma
mesh_terms: D000014:Abnormalities, Drug-Induced / Q000209:etiology; D000779:Anesthetics, Local; D000818:Animals; D002493:Central Nervous System Diseases / Q000139:chemically induced; D003042:Cocaine / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000150:complications*; D000075202:Contraindications; D003729:Dental Care; D017742:Dental Care for Chronically Ill; D005260:Female; D006801:Humans; D006973:Hypertension / Q000139:chemically induced; D007231:Infant, Newborn; D008297:Male; D009300:Nasal Septum / Q000187:drug effects; D009667:Nose Deformities, Acquired / Q000139:chemically induced; D016155:Oral Fistula / Q000139:chemically induced*; D019226:Oral Ulcer / Q000139:chemically induced*; D021362:Palate, Hard / Q000187:drug effects*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000139:chemically induced; D014661:Vasoconstriction
chemical_list: D000779:Anesthetics, Local; D003042:Cocaine