Periodontal status of current methamphetamine users.

Periodontal status of current methamphetamine users.
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DOI:
10.1016/j.adaj.2017.10.017
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发表时间:
2018-03
期刊:
Journal of the American Dental Association (1939)
影响因子:
--
通讯作者:
Shetty V
Shetty V
中科院分区:
其他
文献类型:
--
作者:
Spolsky VW;Clague J;Murphy DA;Vitero S;Dye BA;Belin TR;Shetty V

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Methamphetamine use is associated with extensive dental caries. The purpose of this study was to determine the prevalence and severity of periodontal disease in a convenience sample of methamphetamine-users. In this cross-sectional survey, methamphetamine-using individuals were recruited using a combination of snowball sampling and street outreach techniques. Three dentists, trained and calibrated to the oral assessments used in the National Health and Nutrition Survey, measured and recorded the Attachment Loss, Probing Depth and Gingival Recession. Concomitant interviews elicited psychological, substance use, medications, and dietary habits associated with methamphetamine use. Periodontal assessments were completed on 546 adults. Over 69% were cigarette smokers and over 55% were medium-to-high methamphetamine-users. Classifying prevalence by the Centers for Disease Control and Prevention-American Academy of Periodontology definitions, cigarette smokers and medium/high methamphetamine-users had a high prevalence of periodontal disease. The defining features of the participants was being older than 30 years (average 42.2 years) and the presence of severe and moderate periodontitis. This is the first study to systematically examine periodontal disease in a large population of current methamphetamine-users. Methamphetamine-users in our Los Angeles urban setting had an extremely high prevalence and severity of destructive periodontal disease. The frequency of methamphetamine use had a minimal impact on the severity of periodontal disease.
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