Dental erosion due to abuse of illicit drugs and acidic carbonated beverages

General dentistry 03/2013; 61(2):38-44.
Source: PubMed


Consumption of illicit drugs and the abusive intake of acidic carbonated beverages (particularly soda) often are associated with similar types of damage to the human dentition, the most common of which is dental erosion. The dentitions of individuals who are addicted to methamphetamines or crack cocaine can be misdiagnosed as dental caries rather than generalized dental erosion, a condition that also is associated with chronic excessive consumption of soda. Failing to identify the causative etiology could lead to a wrongful diagnosis that could in turn adversely affect treatment planning and misdirect a specified prevention protocol. This article seeks to identify the unique clinical features of each one of these conditions, highlight the resemblances between them, and recognize the unambiguous differences in their fundamental characteristics. Three representative cases-involving a methamphetamine user, a crack cocaine addict, and an avid consumer of diet soda-are presented. In each case, the patient has admitted to the cause of their poor oral health. The dental, oral, and paraoral manifestations of each case are documented and differentiated from one another, and the factors that contributed to the associated disease process are discussed.

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    ABSTRACT: PurposeThis study evaluated the synergistic effect of pronanthocyanidin (PA) and casein phosphopeptide amorphous calcium fluoride phosphate (CPP-ACFP) on remineralization of artificial root caries.Methods Demineralized root fragments (n=90) were randomly divided into six groups based on treatments: (i) 6.5% PA, (ii) CPP-ACP, (iii) CPP-ACFP, (iv) CPP-ACFP + 6.5% PA, (v) 1000 ppm fluoride and (vi) deionized water (control). Each specimen was immersed in demineralizing solution for 14 h, testing solutions/pastes for 2 h, remineralizing solution for 8 h and pH cycling was performed at 37°C for 8 days. Specimens were evaluated using transverse microradiography (lesion depth and mineral loss), Knoop microhardness and confocal laser scanning microscopy.ResultsLesion depth was significantly lower in CPP-ACFP+PA and 1000 ppm fluoride groups (p<0.001) with no significant difference between the two groups (p>0.05). Mineral loss was the lowest in CPP-ACFP+PA group (p<0.05). Fluoride and CPP-ACFP groups showed similar mineral gain (p>0.05). Artificial caries lesions treated with CPP-ACFP+PA showed significantly higher microhardness values at 130 μm and 150 μm from the surface (p<0.05).Conclusion Combined use of PA and CPP-ACFP has a synergistic effect on root caries remineralization by enhancing mineral gain and increasing hardness of artificial root caries.This article is protected by copyright. All rights reserved.
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