AP: Losing Teeth Latest Meth Use Side Effect

From: sufaud (sufaud_at_hotmail.com)
Date: 02/06/05


Date: Sun, 06 Feb 2005 07:02:03 +0000

Losing Teeth Latest Meth Use Side Effect
By MATT SEDENSKY

www.phillyburbs.com
February 5, 2005 2:03 PM
The Associated Press

MARYVILLE, Mo. - Jeffery Lotshaw flossed regularly. He brushed faithfully,
sometimes four or five times in a day.

All that care makes his condition seem incomprehensible - at the age of just
33, Lotshaw's grin is toothless. His teeth all broke apart, tarnished with
yellow and black.

"Before I started doing meth, I didn't have a cavity in my head," said
Lotshaw, imprisoned on drug charges at Missouri's Maryville Treatment
Center.

The growing use of highly addictive methamphetamine throughout the country
is creating a prominent scar on an increasing number of users - rotting,
brittle teeth that seem to crumble from their mouths.

Methamphetamine can be made with a horrid mix of substances, including
over-the-counter cold medicine, fertilizer, battery acid and hydrogen
peroxide.

Together, the chemicals reduce a user's saliva, which neutralizes acids and
physically clears food from the teeth, said Dr. Eric Curtis, an
Arizona-based spokesman for the Academy of General Dentistry.

"When the saliva isn't flowing, the bacteria build up a lot faster," said
Dr. Darrell Morton, an Atlanta dentist.

Meth users also may neglect their teeth, or moisten their dry mouths with
high-sugar drinks, and anxiety caused by the drug prompts them to grind
their teeth, which speeds decay.

The problem is particularly noticeable among inmates, whose oral problems
have some prison systems struggling to provide dental care.

"They're rotting teeth, missing teeth, rotting way into the gums," said
Kathy Bachmeier, the head of medical services for North Dakota's prisons.
"It's ugly."

There are no statistics on "meth mouth" - as the condition has come to be
known - because addicts are sometimes reluctant to admit their drug use and
because it is difficult to distinguish between damage done by bad dental
hygiene and that caused by narcotics. But there are signs it is on the rise
around the country.

The head of the company in charge of dental care for Missouri inmates says
he is seeing teeth rotted by meth use nearly every day. In North Dakota, the
number of days a dentist was serving inmates jumped from 50 in 2000 to 78 in
2004. And the tab for inmates' dental care in Minnesota rose from $1.2
million five years ago to about $2 million last year.
Click here!

"There are more and more urgent care needs, which pushes back routine care
like cleanings," said Nanette Schroeder, director of health services for
Minnesota's Corrections Department. "They're seeing just worse mouths,
generally. This is really an emerging problem."

Missouri pays a company $7.50 per day per prisoner for health care,
regardless of what's needed, so no major cost increase has been incurred.

"My dentists always opt for the best treatment we could offer our patients,
as we would in private practice," said Dr. Ernest Jackson, whose Jefferson
City-based company is in charge of dental care for Missouri prisons.

But that philosophy isn't necessarily at play everywhere.

Schroeder said there's a constant juggling act between constitutional
obligations to inmates, costs and the risk of lawsuits.

"Do we always think that it's fair to provide some services to our offender
population that people on the outside might not get? Of course not,"
Schroeder said. "On the other hand, we have to balance that with the risk."

Bryan Rogers, another inmate at the Maryville facility, which is exclusively
for convicts with drug problems, said he noticed other users' teeth were
rotting but made sure he brushed regularly.

"I was always thinking that's not going to happen to me because I keep
brushing," he said.

Rogers, 30, has had three teeth pulled since arriving at the prison in
August, and he's awaiting a dental plate. Lotshaw's last 11 teeth have been
removed since arriving, also in August, and he's waiting for dentures.

Lotshaw has been drug-free for more than five months, but there's no denying
what is to blame for his empty mouth.

"It reminds me a lot of my addiction," he said.

http://www.phillyburbs.com/pb-dyn/news/94-02052005-445087.html
http://www.kctv5.com/Global/story.asp?S=2893776



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