Pubdate: Tue, 15 Aug 2006 Source: Times Democrat (OH) Copyright: 2006, Brown Publishing Company, Inc. Contact: http://www.newsdemocrat.com/ Details: http://www.mapinc.org/media/2886 Author: Ray Virost Note: Raymond Virost is a dentist in Georgetown. Bookmark: http://www.mapinc.org/meth.htm (Methamphetamine) METH MOUTH FROM A DENTIST'S PERSPECTIVE Tooth decay has always been in existence. In today's world it is even more prevalent due to the amount of sugar that is in everyday foods. In the person who uses methamphetamine, decay is rampant and the destruction of the teeth and gums is swift, irreversible and in many cases, unrestorable. Methamphetamine is extremely addictive and causes feelings of pleasure and euphoria. At the time it is used, it can seem like a dream but, in fact, it will be your worst nightmare. There is a very distinctive pattern of decay in the person who uses meth. The decay will appear on the buccal (cheek side) smooth surfaces of the teeth and also on the interproximal (between) surfaces of the anterior (front) teeth. The tooth and gum decay is due to several factors: 1. The acidic nature of the drug. 2. The xerostomic effect of the drug (dry mouth). 3. The drug's propensity to cause cravings for high calorie carbonated beverages (lots of sugar and acid). 4. Tooth grinding and clenching. 5. Poor oral hygiene due to the fact that the effects of methamphetamine last a long time and the meth user doesn't even care about brushing their teeth. The profile of the meth user includes males between the ages of 19 and 40. The meth user may have a malnourished appearance because methamphetamine acts as an appetite suppressant. I have seen meth users in my office. The decay that was present was such like I have never seen before. Some areas were able to be restored and some were not. Some patients need to have all of their upper teeth removed and a full upper denture made. The lower molars sometimes need to be removed. In most cases, the teeth that I try to save need extensive restoration. The effects of methamphetamine are devastating. If this article can help just one young person decide not to try meth, then it will be worth it. Unlike Nike...Just Don't Do It! - --- MAP posted-by: Beth Wehrman