DentalCare Logo

Methamphetamine: Implications for the Dental Team

Course Number: 332

References / Additional References

  1. American Dental Association. Oral Health Topics. Methamphetamine use and oral health (meth mouth). 2014. Accessed Dec 15, 2022.

  2. American Dental Association. Oral Health. Methamphetamine. May 2021. Accessed December 15, 2022.

  3. Artigiani EEH, McCandlish D, Wish ED. Methamphetamine: A Regional Drug Crisis. College Park, MD: National Drug Early Warning System; 2018.

  4. Beistle KS. Recognizing and treating “meth mouth.” J Pract Hyg 2006; March: 27-28.

  5. Brecht ML, Herbeck D. Time to relapse following treatment for methamphetamine use: a long-term perspective on patterns and predictors. Drug Alcohol Depend. 2014 Jun 1;139:18-25.

  6. Brunsman B. Education program targets meth. Associated Press. The Cincinnati Enquirer. August 6, 2010.

  7. Bureau of Substance Abuse Services. Massachusetts Department of Public Health. SBIRT: A Step-by-Step Guide. June 2012. Accessed December 15, 2022.

  8. CBS News. Teen died after drinking liquid methamphetamine. Jan 15, 2014.  Accessed Dec 15, 2022.

  9. Center for Substance Abuse Treatment. Treatment for stimulant use disorders. HHS Publication no. SMA 99-3296. 1999.

  10. Chang L, Ernst T, Speck O, et al. Additive effects of HIV and chronic methamphetamine use on brain metabolite abnormalities. Am J Psychiatry. 2005 Feb; 162(2):361-9. doi: 10.1176/appi.ajp.162.2.361.

  11. Clague J, Belin TR, Shetty V. Mechanisms underlying methamphetamine-related dental disease. J Am Dent Assoc. 2017 Jun;148(6):377-386

  12. Courtney KE, Ray LA. Methamphetamine: An update on epidemiology, pharmacology, clinical phenomenology, and treatment literature. Drug Alcohol Depend. 2014 Oct 1;143:11-21. doi: 10.1016/j.drugalcdep.2014.08.003. Epub 2014 Aug 17.

  13. Curtis EK. Meth mouth: a review of methamphetamine abuse and its oral manifestations. Gen Dent. 2006 Mar-Apr;54(2):125-9; quiz 130

  14. Di Cugno F, Perec CJ, Tocci AA. Salivary secretion and dental caries experience in drug addicts. Arch Oral Biol. 1981;26(5):363-7.

  15. Discovery Place. Stages of addiction. 2015.

  16. Freeman PR, Talbert J, Troske, S. Impact of state laws regulating pseudoephedrine on methamphetamine trafficking and abuse. A white paper of the National Association of State Controlled Substance Authorities. 2016 Apr. Accessed Dec 15, 2022.

  17. Gonzales R, Ang A, Marinelli-Casey P, et al. Health-related quality of life trajectories of methamphetamine-dependent individuals as a function of treatment completion and continued care over a 1-year period. J Subst Abuse Treat. 2009 Dec;37(4):353-61. doi: 10.1016/j.jsat.2009.04.001. Epub 2009 Jun 23.

  18. Hazelden Publishing. The Matrix Model. Accessed Dec 15, 2022.

  19. Health Research Funding. 33 Impressive Meth Addiction Recovery Statistics. Accessed December 15, 2022.

  20. Heng CK, Badner VM, Schiop LA. Meth mouth. N Y State Dent J 2008;74(5):50-1.

  21. Holley M. How Reversible is Methamphetamine-related Brain Damage? ND Law Review. 2006; 82:1135-1149.

  22. Hood, R. Meth guns: New technology for correctional settings. CorrectionsOne.com. October 11, 2011. 

  23. Irvine GD, Chin L. The environmental impact and adverse health effects of the clandestine manufacture of methamphetamine. NIDA Res Monogr. 1991;115:33-46.

  24. Johnson M. What is methamphetamine and methamphetamine lab dangers? Northeast Community Challenge Community Education. May 2006.

  25. Juozapavicius J. Meth method harder to catch. Associated Press. The Cincinnati Enquirer. August 25, 2012.

  26. Kellman L. Meth crackdown part of Patriot Act. The Associated Press. USA Today. March 7, 2006. Accessed Dec 15, 2022.

  27. Kelly BC, LeClair A, Parsons JT. Methamphetamine use in club subcultures. Subst Use Misuse. 2013 Dec;48(14):1541-52. doi: 10.3109/10826084.2013.808217. Epub 2013 Jul 12.

  28. Kelsch N. Meth mouth and dental considerations, Journal of the California Dental Hygienists' Association. 2006. Jan; 22(2):18-26.

  29. Kelsch N. Methamphetamine abuse-oral implications and care. RDH. 2010 Feb; 30(2):72-78.  Accessed Dec 15, 2022.

  30. Kelsch N. Why meth? Not in my town. RDH. 2009 Jan: 62-68, 81.  Accessed November 5, 2019.

  31. Majewski RF. Adolescent caries: a discussion on diet and other factors, including soft drink consumption. J Mich Dent Assoc. 2001 Feb;83(2):32-4.

  32. Makani R, Pradhan B, Shah U, et al. Role of Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Addiction and Related Disorders: A Systematic Review. Curr Drug Abuse Rev 2017;10:31-43

  33. Measure urges tracking of cold-medicine sales. Associated Press. The Cincinnati Enquirer. March 17, 2012.

  34. Missouri State Highway Patrol. 2018 Meth lab incidents. 2019

  35. Murphy DC, Wilmers S. Patients who are substance abusers. N Y State Dent J. 2002 May;68(5):24-7.

  36. Nassar P, Ouanounou A. Cocaine and Methamphetamine: Pharmacology and Dental Implications. Can J Dent Hyg. 2020;54(2):75-82.

  37. National Drug Intelligence Center. Oklahoma drug threat assessment. 2002 Oct. Accessed Dec 15, 2022.

  38. National Drug Intelligence Center. Yaba fast facts: questions and answers. Accessed Dec 15, 2022.

  39. National Geographic. World's most dangerous drug. DVD 2006.

  40. National Institute on Drug Abuse. Methamphetamine. 2009. Revised May 2019. Dec 15, 2022.

  41. National Institute on Drug Abuse. New tools and strategies to bolster behavioral therapy. 2010. Accessed Dec 15, 2022.

  42. National Institute on Drug Abuse. Principles of Drug Addiction Treatment: A Research-Based Guide (3rd Edition). January 2018. Accessed December 15, 2022.

  43. New York State Department of Health. Overdose Deaths Involving Methamphetamine With and Without Fentanyl in New York State, Outside of New York City, 2016-2020. January 2022. Accessed December 15, 2022.

  44. Office of National Drug Control Policy. Methamphetamine trends in the United States. 2010. Accessed Dec 15, 2022.

  45. PBS.org. Meth and crime: a sheriff's insight. May 23, 2008. Accessed Dec 15, 2022.

  46. Peterson D. Drug use and oral clues. Dec 15, 2022.

  47. Petit A, Karila L, Chalmin F, et al. Methamphetamine addiction: a review of the literature. J Addict Res Ther S1:006. doi:10.4172/2155-6105.S1-006. Accessed Dec 15, 2022.

  48. Prah PM. Methamphetamine: Are tougher anti-meth laws needed? CQ Researcher. 2005;15(25):589-61. Accessed Dec 15, 2022.

  49. Quaranta A, D'Isidoro O, Piattelli A, et al. Illegal drugs and periodontal conditions. Periodontol 2000. 2022 Oct;90(1):62-87

  50. Ravenel MC, Salinas CF, Marlow NM, et al. Methamphetamine abuse and oral health: a pilot study of "meth mouth." Quintessence Int. 2012 Mar;43(3):229-37.

  51. Rawson RA, Huber A, Brethen P, et al. Status of methamphetamine users 2–5 years after outpatient treatment. J Addict Dis. 2002;21(1):107-119.

  52. Rhodus NL, Little JW. Methamphetamine abuse and "meth mouth." Pa Dent J (Harrisb). 2008 Jan-Feb;75(1):19-29.

  53. Rippeth JD, Heaton RK, Carey CL, et al. Methamphetamine dependence increases risk of neuropsychological impairment in HIV infected persons. J Int Neuropsychol Soc. 2004 Jan;10(1):1-14.

  54. Roll JM, Huber A, Sodano R, et al. A comparison of five reinforcement schedules for use in contingency management-based treatment of methamphetamine abuse. Psychological Record, Win 2006:56, 67-81. Accessed Dec 15, 2022.

  55. Roll JM, Petry NM, Stitzer ML, et al. Contingency management for the treatment of methamphetamine use disorders. Am J Psychiatry. 2006 Nov;163(11):1993-9.

  56. Rommel N, Rohleder NH, Koerdt S, et al. Sympathomimetic effects of chronic methamphetamine abuse on oral health: a cross-sectional study. BMC Oral Health. 2016 May 26;16(1):59

  57. Rose M. Methamphetamine abuse and dependence. 2014. Continuing education.

  58. Rose M. NetCE. Methamphetamine Use Disorder. July 1, 2020. Accessed Dec 15, 2022.

  59. Rostami R, Dehghani-Arani F. Neurofeedback Training as a New Method in Treatment of Crystal Methamphetamine Dependent Patients: A Preliminary Study. Appl Psychophysiol Biofeedback 2015;40:151-61.

  60. Roussotte F, Soderberg L, Sowell E. Structural, metabolic and functional brain abnormalities as a result of prenatal exposure to drugs of abuse: evidence from neuroimaging. Neuropsychol Rev. 2010 Dec;20(4):376-97. doi: 10.1007/s11065-010-9150-x. Epub 2010 Oct 28. Accessed November 5, 2019.

  61. Rusyniak DE. Neurologic manifestations of chronic methamphetamine abuse. Psychiatr Clin North Am. 2013 Jun;36(2):261-75. doi: 10.1016/j.psc.2013.02.005. Epub 2013 Apr 11.

  62. Rusyniak DE. Neurologic manifestations of chronic methamphetamine abuse. Neurol Clin. 2011 Aug;29(3):641-55

  63. Salter J. Meth victims burning money. Associated Press. January 25, 2012.

  64. Salter J. Meth still flourishes despite tracking laws. Associated Press. January 10, 2011.

  65. Seckman CH. The oral clues, Iowa program targets dental offices in the fight to identify and prevent drug abuse. RDH 2002;22(11):66,68,99. Accessed Dec 15, 2022.

  66. Shaner JW, Kimmes N, Saini T, et al. "Meth mouth": rampant caries in methamphetamine abusers. AIDS Patient Care STDS. 2006 Mar;20(3):146-50.

  67. Shetty V, Harrell L, Clague J et al. Methamphetamine Users Have Increased Dental Disease: A Propensity Score Analysis. J Dent Res. 2016 Jul;95(7):814-21.

  68. Shetty V, Harrell L, Murphy DA, et al. Dental disease patterns in methamphetamine users: Findings in a large urban sample. J Am Dent Assoc. 2015 Dec;146(12):875-85. doi: 10.1016/j.adaj.2015.09.012.

  69. Shetty V, Mooney LJ, Zigler CM, et al. The relationship between methamphetamine use and increased dental disease. J Am Dent Assoc. 2010 Mar;141(3):307-18.

  70. Spolsky VW, Clague J, Murphy DA, et al. Periodontal status of current methamphetamine users. J Am Dent Assoc. 2018 Mar;149(3):174-183.

  71. Stevenson M. Cartel ramps up meth production. Associated Press. August 28, 2011.

  72. Stop Meth Addiction. Tweaker safety tips. Accessed Dec 15, 2022.

  73. Substance Abuse and Mental Health Administration. The DAWN report: emergency department visits involving methamphetamine: 2007-2011. Rockville MD. June 19, 2014. Accessed Dec 15, 2022.

  74. Substance Abuse and Mental Health Service Administration. Results from the 2008 National Survey on Drug Use and Health: National Findings. NSDUH Series H-36, HHS Publication No. (SMA) 09-4434. Rockville MD. 2009. Accessed Dec 15, 2022.

  75. Substance Abuse and Mental Health Services Administration, Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-41, HHS Publication No. (SMA) 11-4658. Rockville, MD. 2011. Dec 15, 2022.

  76. Substance Abuse and Mental Health Services Administration, Results from the 2012 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-47, HHS Publication No. (SMA) 13-4805. Rockville, MD. 2013. Dec 15, 2022.

  77. Substance Abuse and Mental Health Services Administration, Results from the 2014 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-50, HHS Publication No. (SMA) 15-4927. Rockville, MD. 2015. Dec 15, 2022.

  78. Substance Abuse and Mental Health Services Administration, Results from the 2016 National Survey on Drug Use and Health: Summary of National Findings. 2016. Dec 15, 2022.

  79. Substance Abuse and Mental Health Services Administration, Results from the 2017 National Survey on Drug Use and Health: Summary of National Findings. 2017. Dec 15, 2022.

  80. Substance Abuse and Mental Health Services Administration. Treatment Improvement Protocol Series. Overview, Essential Concepts, and Definitions in Detoxification. 2006. Accessed December 15, 2022

  81. The RAND Corporation. The Economic Cost of Methamphetamine Use in the United States, 2005. The RAND Corporation. Santa Monica, CA. 2009. Accessed Dec 15, 2022.

  82. The White House. Bill Signed – S. 854 H.R.3665, the “Methamphetamine Response Act of 2021,” Accessed December 15, 2022

  83. U.S. Department of Justice. Drug Enforcement Administration. 2014 National drug threat assessment summary. DEA-DCT-DIR-002-15. November 2014. Accessed Dec 15, 2022.

  84. U.S. Department of Justice. Drug Enforcement Administration. 2017 National drug threat assessment summary. DEA-DCT-DIR-040-17. October 2017. Accessed Dec 15, 2022.

  85. U.S. Department of Justice. Drug Enforcement Administration. 2018 National drug threat assessment summary. DEA-DCT-DIR-032-18. October 2018. Accessed Dec 15, 2022.

  86. U.S. Department of Justice. Drug Enforcement Administration. 2020 National drug threat assessment summary. DEA-DCT-DIR-008-21. March 2021.

  87. U.S Department of Justice, Office of Community Oriented Policing, 2021 Anti-Meth Program Awards.

  88. U.S. Dept. of Health and Human Services, Children's Bureau. Child Welfare Information Gateway. Parental Substance Use as Child Abuse. Accessed Dec 15, 2022.

  89. United Nations Office on Drugs and Crime. World Drug Report 2018. United Nations Publication, Sales No. E.18.XI.9. Accessed Dec 15, 2022.

  90. Vearrier D, Greenberg MI, Miller SN, et al. Methamphetamine: history, pathophysiology, adverse health effects, current trends, and hazards associated with the clandestine manufacture of methamphetamine. Dis Mon. 2012 Feb;58(2):38-89. doi: 10.1016/j.disamonth.2011.09.004.

  91. Viswanath A, Barreveld AM, Fortino M. Assessment and Management of the High-Risk Dental Patient with Active Substance Use Disorder. Dent Clin North Am. 2020 Jul;64(3):547-558

  92. Walker R, Rosvall T, Field CA, et al. Disseminating contingency management to increase attendance in two community substance abuse treatment centers: lessons learned. J Subst Abuse Treat. 2010 Oct;39(3):202-9. doi: 10.1016/j.jsat.2010.05.010. Epub 2010 Jul 3.

  93. Wheeler M. Researchers ID brain abnormalities in children exposed to methamphetamine in utero. UCLA Newsroom. March 16, 2010.

  94. Williams NJ. The impact of methamphetamine abuse on oral health. University of Tennessee Health Science Center College of Dentistry. Continuing Education 2006.

  95. Wilson FC, Uslan DZ. Delusional parasitosis. Mayo Clin Proc. 2004 Nov;79(11):1470.

  96. Wisconsin Department of Health Services. Assessing and Ordering Meth Lab Cleanup. P-47411. February 2018. Accessed Dec 15,2022.

  97. World Population Review. Meth use by state. 2023.

Additional Resources