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Ecstasy (MDMA) and oral health.

H S Brand, S N Dun, A V Nieuw Amerongen

British Dental Journal January 26, 2008 DOI: 10.1038/bdj.2008.4 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Topics MDMA
Key findings The review reports that ecstasy use is associated with life-threatening complications such as hyperthermia, hyponatraemia, and liver failure, as well as psychiatric symptoms and oral effects including xerostomia, bruxism, dental erosion, and mucosal changes. Recent use may interfere with dental treatment, and saliva is discussed as a potential non-invasive detection method.

Abstract

3,4-methylenedioxymethamphetamine (MDMA), more commonly known as 'ecstasy' or XTC, is frequently used by young adults in the major cities. Therefore, it is likely that dentists might be confronted with individuals who use ecstasy. This review describes systemic and oral effects of ecstasy. Life-threatening complications include hyperthermia, hyponatraemia and liver failure. In addition, psychotic episodes, depression, panic disorders and impulsive behaviour have been reported. Oral effects include xerostomia, bruxism, and an increased risk of developing dental erosion. Mucosal changes have also been reported. Recent use of ecstasy may interfere with dental treatment. Finally, the potential use of saliva for non-invasive detection of ecstasy is discussed.

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