Prescription Opioid Abuse and its Potential Role in Gross Dental Decay

Title:Prescription Opioid Abuse and its Potential Role in Gross Dental Decay

Volume: 12 Issue: 1

Author(s): Andrew D. Fraser, Boshi Zhang, Hassan Khan, Henry Ma and Elliot V. Hersh

Affiliation:

Keywords: Dental caries, dental management, drug abuse, hydrocodone, oxycodone, opioid, prescription.

Abstract: Introduction: Prescription opioid abuse may have adverse dental effects that are irreversible, leaving younger populations with substantially decayed dentitions. This article explores the damaging effects of three years of prescription opioid abuse to a twenty-six-year-old’s dentition and oral health.

Case Presentation: A twenty-six-year-old Caucasian male presented to the University of Pennsylvania School of Dental Medicine with a past medical history of Percocet® abuse. He was consuming approximately twenty tablets per day for three years, and he had neglected to visit a dentist for over five years before arriving to the School of Dental Medicine.

Management and Outcome: Intraoral examination revealed gross generalized decay along with generalized plaque accumulation. He was diagnosed with severe plaque induced gingivitis with localized chronic periodontitis and xerostomia. The dental treatment for this patient included periodontal maintenance and control, caries excavation, root canal therapy, extractions of non-restorable teeth, and continuous dental education.

Discussion: Prescription opioids are addictive, have high abuse potential, and dentists contribute to this problem by overprescribing these drugs.

Cite this article as:

Fraser D. Andrew, Zhang Boshi, Khan Hassan, Ma Henry and Hersh V. Elliot, Prescription Opioid Abuse and its Potential Role in Gross Dental Decay, Current Drug Safety 2017; 12 (1) . https://dx.doi.org/10.2174/1574886311666160803111401

DOI https://dx.doi.org/10.2174/1574886311666160803111401	Print ISSN 1574-8863
Publisher Name Bentham Science Publisher	Online ISSN 2212-3911