ABSTRACT
In the UK almost one million individuals use cocaine on a regular basis, implying that dentists are likely to encounter individuals that use cocaine. Regular use of this drug may have several orofacial effects, such as perforation of the nasal septum and palate, gingival lesions and erosion of tooth surfaces. In addition, recent use of cocaine increases the risk of a medical emergency during dental treatment, especially when epinephrine-containing local anaesthetics or retraction cords are used. Therefore, dental treatment should be postponed for 6 to 24 hours after the use of cocaine.
Subject(s)
Cocaine-Related Disorders/complications , Cocaine/adverse effects , Dental Care for Chronically Ill , Oral Fistula/chemically induced , Oral Ulcer/chemically induced , Palate, Hard/drug effects , Abnormalities, Drug-Induced/etiology , Anesthetics, Local , Animals , Central Nervous System Diseases/chemically induced , Contraindications , Dental Care , Female , Humans , Hypertension/chemically induced , Infant, Newborn , Male , Nasal Septum/drug effects , Nose Deformities, Acquired/chemically induced , Pregnancy , Pregnancy Complications/chemically induced , VasoconstrictionABSTRACT
Millions of individuals in Europe and the United States use cocaine regularly. Use of cocaine may have several orofacial effects such as perforation of nasal septum and palate, gingival lesions and erosion of tooth surfaces. Recent use of cocaine may also increase medical risks during dental treatment, especially when local anaesthetics with epinephrine or epinephrine-impregnated retraction cords are used. Therefore, it is recommended to postpone dental treatment at least 6 to 24 hours after the use of cocaine.
Subject(s)
Cocaine-Related Disorders/complications , Cocaine/adverse effects , Dental Care/methods , Dopamine Uptake Inhibitors/adverse effects , Adult , Female , Gingiva/drug effects , Humans , Male , Nasal Septum/drug effects , Palate/drug effects , Sex FactorsABSTRACT
In The Netherlands, an increasing number of people use cocaine frequently, which may induce orofacial complications such as perforation of the nasal septum and palate, gingival lesions and dental erosion. In addition, recent use of cocaine increases the risk of cardiovascular complications during dental treatment, especially when local anaesthetics or adrenaline-impregnated retraction cords are used. Therefore, dental treatment should be postponed at least 6 to 24 hours after the use of cocaine.
