Dental disease patterns in methamphetamine users: Findings in a large urban sample.
Dental disease patterns in methamphetamine users: Findings in a large urban sample.
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DOI：
10.1016/j.adaj.2015.09.012
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发表时间：
2015-12
期刊：
影响因子：
--
通讯作者：
Spolsky VW
中科院分区：
文献类型：
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作者：
Shetty V;Harrell L;Murphy DA;Vitero S;Gutierrez A;Belin TR;Dye BA;Spolsky VW
作者使用了大量的甲基苯丙胺使用者社区样本来验证牙科疾病的模式和严重程度，并根据牙齿类型和牙齿表面建立了龋齿易感性的等级。采用分层抽样的方法，571 MA用户进行了全面的口腔检查和心理社会评估。三个校准牙医的特点，牙齿和牙周疾病使用国家健康和营养检查调查（NHANES）协议。还收集了与牙科疾病相关的物质使用史和其他属性的数据。在所有牙科结果测量中，MA使用者表现出非常高的牙科和牙周疾病，老年人（> 30岁）和中度/重度MA使用者受到不成比例的影响。女性的牙齿脱落率和龋齿率较高，前牙龋齿的患病率也较高。目前吸烟者更有可能表现出5个或更多的前表面未经治疗的龋齿和3个或更多的牙齿涉及根龋。近7%的人无牙，相当大的比例（40%）表示他们的牙齿外观尴尬。MA使用者有非常高的牙科和牙周疾病的发病率，并表现出剂量-反应关系，更高水平的MA使用与更高的牙科疾病的发病率相关。妇女和目前的吸烟者受到严重影响。MA使用者的口腔内模式和龋齿易感性的层次是独特的。牙科和牙周疾病的患病率和模式可以用来提醒牙医可能的隐性MA使用以及计划治疗。对牙齿外观的担忧可能会引发行为干预。
The authors used a large community sample of methamphetamine users to verify the patterns and severity of dental disease and establish a hierarchy of caries susceptibility by tooth type and tooth surface. Using a stratified sampling approach, 571 MA users received comprehensive oral examinations and psychosocial assessments. Three calibrated dentists characterized the dental and periodontal disease using National Health and Nutrition Examination Survey (NHANES) protocols. Data were also collected on substance-use history and other attributes linked to dental disease On all dental outcome measures, MA users evidenced very high dental and periodontal disease, with older (> 30 years) and moderate/heavy MA users disproportionately affected. Women had higher rates of tooth loss and caries as well as a greater prevalence of anterior caries. Current smokers were more likely to manifest 5 or more anterior surfaces with untreated caries and 3 or more teeth involved with root caries. Nearly 7% were edentulous and a significant percentage (40%) indicated embarrassment with their dental appearance. MA users have very high rates of dental and periodontal disease, and manifest a dose-response relationship with greater levels of MA use associated with higher rates of dental disease. Women and current cigarette smokers are disproportionally impacted. The intraoral patterns and hierarchy of caries susceptibility in MA users are distinctive. The prevalence and patterns of dental and periodontal disease could be used to alert dentists to possible covert MA use as well as to plan treatment. Concerns about dental appearance have potential as triggers for behavioral interventions.