Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil.
Clin Oral Investig. 2024 Jun 1;28(6):348. doi: 10.1007/s00784-024-05738-8.
This study aims to map evidence on the relationship between hard drug use and dental wear. The scoping review is guided by the question: What is the relationship between hard drug consumption and dental wear?
Adhering to PRISMA-ScR guidelines, searches were conducted across PubMed, Embase, and four databases in March 2024. Inclusion criteria included studies investigating the association between hard drug use and dental wear, regardless of publication date or language. Data were presented through narrative exposition, tables, and a conceptual framework.
Twenty-eight studies (four case-control, three cross-sectional, five case reports, and sixteen literature reviews) were included. Among case-control studies, 75% observed an association between drug use and dental erosion; however, no cross-sectional studies demonstrated this association. Despite questionable quality, reviews established connections between drug use and dental erosion. Studies aimed to elucidate potential causes for dental erosion.
Analysis suggests a potential link between hard drug use and dental wear, though indirect. Factors like bruxism and reduced salivary pH may contribute to dental wear among drug users. Further investigation through primary studies exploring this relationship is necessary.
Dentists should focus not only on clinical characteristics of dental wear but also on mediating factors such as bruxism and decreased salivary pH associated with drug use. This holistic approach allows for a deeper understanding of dental wear mechanisms, enabling targeted preventive and therapeutic interventions.
本研究旨在绘制硬毒品使用与牙齿磨损之间关系的证据图谱。本范围综述的问题是：硬毒品消费与牙齿磨损之间存在什么关系？
根据 PRISMA-ScR 指南，于 2024 年 3 月在 PubMed、Embase 和四个数据库中进行了检索。纳入标准包括调查硬毒品使用与牙齿磨损之间关联的研究，无论发表日期或语言如何。通过叙述性阐述、表格和概念框架呈现数据。
共纳入 28 项研究（4 项病例对照研究、3 项横断面研究、5 项病例报告和 16 项文献综述）。在病例对照研究中，75%的研究观察到药物使用与牙齿侵蚀之间存在关联；然而，没有横断面研究显示出这种关联。尽管质量存在疑问，但综述确立了药物使用与牙齿侵蚀之间的联系。研究旨在阐明导致牙齿侵蚀的潜在原因。
分析表明，硬毒品使用与牙齿磨损之间可能存在关联，尽管这种关联是间接的。磨牙症和唾液 pH 值降低等因素可能导致吸毒者出现牙齿磨损。通过探索这种关系的原始研究进行进一步调查是必要的。
牙医不仅应关注牙齿磨损的临床特征，还应关注与药物使用相关的磨牙症和唾液 pH 值降低等中介因素。这种全面的方法可以更深入地了解牙齿磨损的机制，从而能够进行有针对性的预防和治疗干预。
