Conclusion

Methamphetamine use disorder remains a significant public health challenge in the United States and throughout the world. Although patterns of methamphetamine production and distribution have evolved over time, the medical, psychological, and oral health consequences of methamphetamine use continue to present important challenges for healthcare professionals.

Dental professionals are uniquely positioned to recognize the oral manifestations of methamphetamine use disorder, including xerostomia, rapidly progressing dental caries, periodontal disease, bruxism, tooth wear, and oral soft tissue lesions. Early recognition of these findings creates opportunities for patient education, early intervention, and referral for appropriate medical, behavioral health, or addiction treatment services when indicated.^1,28

Successful dental management requires more than recognition of methamphetamine-associated oral disease. Clinicians should evaluate each patient based on their current medical condition, physiologic status, decision-making capacity, oral health needs and ability to participate in care; provide evidence-based preventive, restorative, and periodontal care whenever appropriate; communicate using respectful, nonjudgmental, trauma-informed language; and collaborate with other healthcare professionals to support long-term recovery.^1,13,28

Ultimately, the goal of dental care extends beyond restoring damaged teeth. By combining scientific knowledge with clinical judgment, compassion, and individualized care, the dental team can play a meaningful role in improving both the oral health and overall well-being of individuals affected by methamphetamine use disorder.