[Influence of smoking intoxicants on dental status. Literature search and own experience]

Amphetamines are phenylpropane derivatives belonging to the group of psychostimulating substances. Within the space of years, on account of their stimulating properties, they were used as treatment substances, e.g. in Attention deficit hyperactivity disorder (ADHD ), in obesity as slimming substances, in preventing of paroxysmal drowsiness, as dilating bronchi substances, used as some dope in sports and willingly abused among drug addicts because of long lasting exciting euphoria after use. Methamphetamine, an amphetamine derivative, has even stronger and longer lasting effect. The study presents characteristics of a popular, among teenagers, addictive substance - amphetamine and its derivative- methamphetamine and its influence on teeth after using it in a smoking form. The condition of oral cavity of a 17-year-old patient, who has been using methamphetamine in a smoking form for about 3 years, was described. In the oral cavity of the patient numerous and extensive caries lesions were noticed, placed mainly in the labial cervical area of teeth as well as, a considerable damage of teeth's crowns and teeth loss. The patient needed complex dental treatment: conservative, endodontic, surgical and prosthetic. The use of intoxicating substances, derivatives of amphetamine in form of regular smoking caused a considerable damage of tooth tissues, leading to their loss.