BOP Oral Health Services Current Therapies Current Challenges UCSF Dental School DPH Seminar Series November 12, 2007 CDR (Select) Phillip D. Woods BOP National Periodontal Consultant Diplomate, American Academy of Periodontology Chief Dentist, MCC San Diego
Modified by American Academy of Periodontology as PSR System
CPITN Codes, Diagnostic Features & Tx CPITN Score Dx Feature Recommended Tx 0 Healthy tissue None 1 Bleeding upon probing Education 2 Calculus or overhangs and no PD > 3mm Education, Prophy 3 At least one PD 4-5mm Education, Prophy, ScRP 4 At least one PD of 6mm or > Education, Prophy, ScRP, Surgery prn X Fewer than 2 teeth function in sextant Exclude from needs assessment
Difficult Extractions Often, the gingiva will grow over the remaining stumps of roots and extractions become extremely difficult, as teeth have been reduced to extremely soft mush by crystal meth use.
Many crystal meth users are unable to hold jobs as they have no short term memory , making it hard for them to learn new procedures, they are unreliable , jittery , and paranoid . Additionally, severe decay in their teeth, especially their front teeth where the smoke from crank touches the mouth first, is readily apparent when they speak; a ' flashing red light ' of sorts, to any prospective employers.
“ Meth Mouth ” is becoming more and more prevalent in current and former users of this extremely addictive drug. Teeth decay rapidly, causing the destruction known as “ Meth Mouth .” It is the culmination of years of crystal methamphetamine use.