Gantos Meredith A, Manzotti Anna, Yuan Judy Chia-Chun, Afshari Fatemeh S, Marinis Aristotelis, Syros George, Rynn Michelle Howard, Sukotjo Cortino
Advanced Education in General Dentistry, V.A. Dental Clinic, San Antonio, TX.
J Prosthodont. 2015 Jan;24(1):64-70. doi: 10.1111/jopr.12245.
Overt dental disease is a distinguishing comorbidity associated with methamphetamine abuse, necessitating the need for special management to maximize treatment benefits. As this highly addictive stimulant increases in popularity, it has become imperative that clinicians are equipped to thoughtfully provide comprehensive care for these patients. This article reviews the impact of methamphetamine to systemic and oral health and proposes a comprehensive treatment plan and sequence for the methamphetamine-dependent patient. A multidisciplinary approach is recommended. Destructive oral and psychological changes must be identified and controlled. A thorough risk assessment, caries control, and preventative plan should be established before initiating prosthodontic treatment. Patient motivation, support, and a timely recall schedule are integral for dental longevity.
明显的牙齿疾病是与甲基苯丙胺滥用相关的一种显著合并症，因此需要特殊管理以最大化治疗益处。随着这种高度成瘾性兴奋剂的使用日益普遍，临床医生必须有能力为这些患者精心提供全面护理。本文回顾了甲基苯丙胺对全身和口腔健康的影响，并为甲基苯丙胺依赖患者提出了一个全面的治疗计划和流程。建议采用多学科方法。必须识别并控制破坏性的口腔和心理变化。在开始修复治疗之前，应制定全面的风险评估、龋齿控制和预防计划。患者的积极性、支持以及及时的复诊计划对于牙齿的长期健康至关重要。
