Pubdate: Fri, 05 Aug 2005 Source: Edmonton Sun (CN AB) Copyright: 2005, Canoe Limited Partnership. Contact: http://www.canoe.com/NewsStand/EdmontonSun/ Details: http://www.mapinc.org/media/135 Author: Andrew Hanon Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) METH LEAVES A LOUSY MOUTHFUL "But Annie kept on speeding Her health was getting poor She saw things in the window She heard things at the door Her mind was like a grinding mill Her lips were cracked and sore Her skin was turning yellow I just couldn't take it no more" - - from the song Amphetamine Annie, by Canned Heat It's a grotesque phenomenon that more and more U.S. dentists are seeing, and thanks to the explosion in crystal meth use here, you can bet it's on its way to northern Alberta. It's called "meth mouth," and its signatures are rotting gums and crumbling teeth. It's caused by prolonged use of crystal methamphetamine, a highly addictive form of speed that many fear is becoming the recreational drug of choice in Edmonton and rural Alberta. Media reports in the U.S. suggest dentists in the Midwestern states, where meth use is an epidemic, are seeing an exploding number of patients in their 20s and 30s whose teeth are little more than blackened stumps barely clinging to pus-oozing gums. One New Mexico dentist told the New York Times he had to fit a 17-year-old patient for a full set of dentures. In case you've been living under a rock, crystal meth is a synthetic form of speed that can be manufactured out of materials bought in any hardware store and pharmacy. It's been around for decades, but in the past few years has had a resurgence in popularity across North America. It's not only popular among street people. Police have reported seizing it from well-to-do kids, truckers and other shift workers trying to stay alert, and even supermoms trying to keep house and home together. Its active ingredient is pseudo ephedrine, a common cold remedy. What makes crystal meth so popular is that it's dirt cheap, a fraction of the cost of crack cocaine, and the high can last 10 times as long. Drug dealers love it because it can be made completely domestically, so there's no risky international smuggling involved. It's also profoundly addictive, and the side-effects of continual use include rapid weight loss, inability to sleep, paranoia, delusions and violent outbursts. And meth mouth. There has been very little research done into the exact causes of meth mouth, but the dental profession has plenty of theories. For starters, addicts generally don't take care of themselves, and one of the telltale signs that someone's life is out of control is that personal hygiene goes out the window, including oral hygiene. More specific to meth heads, though, is the fact that crystal meth causes a dry mouth, which speeds the decaying process because saliva helps control bacteria in the mouth. Combine bad oral hygiene with 24-7 use of meth and you've got a biological weapon growing in your mouth. Jim Myklebust, clinical supervisor at Poundmaker's Lodge Treatment Centre near St. Albert, adds another piece to the puzzle. "Back in the 70s and 80s, it was well-known that speed freaks had bad, bad teeth," he said. "They were so wired all the time that they'd grind them down to nothing." The term "meth mouth" isn't even being used yet in Canada, but it will be soon. Poundmaker's Lodge keeps an extensive research database on its clients, and some of the figures the centre has compiled are nothing short of terrifying. Of the 500 clients - mostly from Alberta - who sought treatment there in 2002, nine per cent reported using crystal meth. Two years later, that figure had nearly tripled to 24%. So far in 2005, a staggering 59% of Poundmaker's Lodge clientele are crystal meth users. With ominous statistics like that coming out of Alberta drug treatment centres, the local dental profession better get ready for a whole new kind of problem - meth mouth. - --- MAP posted-by: Jay Bergstrom