Cohort study of HIV-positive and -negative methamphetamine users.
Cohort study of HIV-positive and -negative methamphetamine users.
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DOI：
10.1016/j.adaj.2018.02.026
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发表时间：
2018-07
期刊：
影响因子：
--
通讯作者：
Shetty V
中科院分区：
文献类型：
--
作者：
Spolsky VW;Clague J;Shetty V
甲基苯丙胺对龋齿的影响已经得到了很好的证明。然而，人们对它对牙周组织的影响知之甚少。这项研究的目的是确定城市人群中HIV阳性甲基苯丙胺使用者牙周病的患病率和严重程度。这项横断面调查是在洛杉矶县人口最稠密的城区之一进行的，该地区饱受冰毒使用率高的困扰。参与者是通过街头外展、从戒毒治疗中心转介和口碑相传相结合的方式招募的。如果参与者年满18岁，会说英语或西班牙语，在过去30天内使用过甲基苯丙胺，愿意接受牙科检查和心理社会评估，并愿意提供尿样，就有资格参加。由三名经过培训和校准的牙医对541名参与者进行了牙周评估。在艾滋病毒阳性和甲基苯丙胺阴性的人群中，牙周病的患病率和严重程度都非常高。吸烟和年龄被确定为危险因素。HIV阳性和阴性的队列非常相似，这表明他们的生活方式比甲基苯丙胺的使用对他们破坏性牙周病的影响更大。甲基苯丙胺使用者患破坏性牙周病和牙齿严重破碎的风险很高。知道甲基苯丙胺使用者有广泛的牙周和恢复性治疗需求，临床医生应该相应地计划及时的患者管理。
The effects of methamphetamine on dental caries have been well documented. Little, however, is known about its effects on the periodontium. The purpose of this study is to determine the prevalence and severity of periodontal disease in an urban population of HIV-positive methamphetamine users. This cross-sectional survey was conducted in one of the most populous urban areas of Los Angeles County beset with high rates of methamphetamine use. Participants were recruited by a combination of street outreach methods, referral from drug treatment centers and word of mouth. Participants were eligible if they were over 18 years of age, spoke English or Spanish, used methamphetamine in the past 30 days, were willing to undergo a dental examination and psychosocial assessments and were willing to provide a urine sample. Periodontal assessments were completed on 541 participants by three trained and calibrated dentists. The prevalence and severity of periodontal disease was extremely high in this population of HIV-positive and negative methamphetamine users. Cigarette smoking and age were identified as risk factors. The HIV-positive and -negative cohorts were remarkably similar suggesting that their lifestyle contributed more to their destructive periodontal disease than methamphetamine use. Methamphetamine users are at high risk for destructive periodontal disease and badly broken-down teeth. The clinician should plan accordingly for timely patient management knowing that methamphetamine users have extensive periodontal and restorative treatment needs.
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影响因子：
4.3
作者：
Susin, C;Kingman, A;Albandar, JM
通讯作者：
Albandar, JM
DOI：
10.1016/j.adaj.2017.10.017
发表时间：
2018-03
期刊：
Journal of the American Dental Association (1939)
影响因子：
--
作者：
Spolsky VW;Clague J;Murphy DA;Vitero S;Dye BA;Belin TR;Shetty V
通讯作者：
Shetty V
影响因子：
7.6
作者：
HUNT, RJ;FANN, SJ
通讯作者：
FANN, SJ
影响因子：
4.3
作者：
YEUNG, SCH;STEWART, GJ;SINDHUSAKE, D
通讯作者：
SINDHUSAKE, D
DOI：
10.1016/j.adaj.2015.09.012
发表时间：
2015-12
期刊：
Journal of the American Dental Association (1939)
影响因子：
--
作者：
Shetty V;Harrell L;Murphy DA;Vitero S;Gutierrez A;Belin TR;Dye BA;Spolsky VW
通讯作者：
Spolsky VW