Oral manifestations of "meth mouth": a case report.
OBJECTIVE
The aim of the documentation of this clinical case is to make clinicians aware of "meth mouth" and the medical risks associated with this serious condition.


BACKGROUND
Methamphetamine is a very addictive, powerful stimulant that increases wakefulness and physical activity and can produce other effects such as cardiac dysrhythmias, hypertension, hallucinations, and violent behavior. Dental patients abusing methamphetamine can present with poor oral hygiene, xerostomia, rampant caries ("meth mouth"), and excessive tooth wear. Oral rehabilitation of patients using methamphetamine can be challenging.


METHODS
A 30-year-old Caucasian woman presented with dental pain, bad breath, and self-reported poor esthetics. A comprehensive examination including her medical history, panoramic radiograph, and intraoral examination revealed 19 carious lesions, which is not very common for a healthy adult. She reported her use of methamphetamine for five years and had not experienced any major carious episodes before she started using the drug.


CONCLUSIONS
The patient's medical and dental histories along with radiographic and clinical findings lead to a diagnosis of "meth mouth." Although three different dental treatment modalities (either conventional or implant-supported) have been offered to the patient since August 2007, the patient has yet to initiate any treatment.


CONCLUSIONS
This clinical case showing oral manifestations of meth mouth was presented to help dental practitioners recognize and manage patients who may be abusing methamphetamines. Dental practitioners also may be skeptical about the reliability of appointment keeping by these patients, as they frequently miss their appointments without reasonable justification.
Turkyilmaz
Ilser
I
Division of Implant Prosthodontics, Department of Prosthodontics, University of Texas, Health Science Center, San Antonio School of Dentistry, San Antonio, TX, USA. turkyilmaz@uthscsa.edu
D000328:Adult; D019969:Amphetamine-Related Disorders / Q000150:complications*; D001071:Appointments and Schedules; D000697:Central Nervous System Stimulants / Q000009:adverse effects*; D003728:Dental Calculus / Q000209:etiology; D003731:Dental Caries / Q000209:etiology; D005260:Female; D005891:Gingivitis / Q000209:etiology; D006801:Humans; D008694:Methamphetamine / Q000009:adverse effects*; D009059:Mouth Diseases / Q000209:etiology*; D010352:Patient Dropouts; D014098:Toothache / Q000209:etiology
D000697:Central Nervous System Stimulants; D008694:Methamphetamine