Wang Panpan, Chen Xinmei, Zheng Liwei, Guo Lan, Li Xin, Shen Simin
State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.
State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, Sichuan, China.
J Formos Med Assoc. 2014 Nov;113(11):867-71. doi: 10.1016/j.jfma.2012.01.016. Epub 2012 Jun 9.
Methamphetamine-induced caries (MIC) is the rampant caries often found in methamphetamine (MA) users and is often called "meth mouth". It leads to devastating effects on dentition and is the major reason that brings patients to professional help. Dental management of these patients is challenging and the most important factor is cessation of MA use. Dentists must be aware of the signs and medical risks associated with this serious condition. If duly attended to, the dental team can help patients on many levels. Treatment plans can be simplified, so that each visit does not last too long. Finally, more attention should be paid topostoperative care. This case report presents a 40-year-old man with rampant caries caused by MA abuse with poor oral hygiene and smoking habits. He was advised to stop the drug abuse and the affected teeth underwent endodontic, restorative and prosthetic rehabilitation. One year later, the patient had some secondary caries but had stopped all drug abuse.
甲基苯丙胺所致龋齿(MIC)是在甲基苯丙胺(MA)使用者中常发现的猖獗龋齿,常被称为“冰毒牙”。它会对牙列造成毁灭性影响,是促使患者寻求专业帮助的主要原因。对这些患者的牙科治疗具有挑战性,最重要的因素是停止使用MA。牙医必须了解与这种严重状况相关的体征和医疗风险。如果得到适当关注,牙科团队可以在多个层面帮助患者。治疗计划可以简化,以便每次就诊时间不会过长。最后,应更加重视术后护理。本病例报告介绍了一名40岁男性,因滥用MA、口腔卫生差和有吸烟习惯而患有猖獗龋齿。建议他停止药物滥用,并对患牙进行了牙髓、修复和修复性康复治疗。一年后,患者出现了一些继发龋,但已停止所有药物滥用。