A peer-reviewed journal that offers evidence-based clinical information and continuing education for dentists.

When Substance Use Shows Up in the Dental Chair

Understanding the oral manifestations of substance use and the potentially dangerous interactions between drugs and dental medications is essential to protecting patient safety and delivering effective care.

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Which of the following oral conditions is commonly associated with cannabis use?

Overlapping green cannabis leaves IURII BUKHTA / iStock / Getty Images Plus
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Cannabis use is frequently associated with reduced salivary flow, which can contribute to caries, periodontal diseases, and opportunistic oral infections.

Why should epinephrine-containing local anesthetics be used with caution in patients experiencing acute stimulant intoxication?

Gloved hands holding a dental anesthetic cartridge and metal aspirating syringe Sergii Kolesnikov / iStock / Getty Images Plus
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Stimulants such as cocaine and methamphetamine increase sympathetic nervous system activity. Epinephrine-containing local anesthetics may intensify cardiovascular effects, potentially resulting in serious complications.

What is the primary concern when benzodiazepines and opioids are administered together?

Amber lorazepam prescription bottle with white cap and tablets on a gray surface Tomas Nevesely / iStock / Getty Images Plus
Correct! Wrong!

Benzodiazepines and opioids both depress central nervous system activity. Their combined effects can produce profound sedation, respiratory suppression, and potentially fatal overdose, making careful medication review essential before dental treatment.

When Substance Use Shows Up in the Dental Chair
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