The 10-Minute Evidence-Based Dentistry Column illustrates how to implement the evidence-based dentistry search process to quickly identify and apply the best literature to answer a clinical question. Through critical appraisal, the author of this article answers the clinical question of a connection between stimulant medications, rampant caries, and prevention, with a focus on the impact of ADHD medication on oral health. The term "meth mouth" often associated with dental decay is discussed in the context of xerostomia (dry mouth), a common side effect of stimulant medications. The article uses the PICO (Population, Intervention, Comparison, Outcome) system to formulate a research question regarding the effect of non-stimulant ADHD medications on xerostomia. The literature search highlights the limited options for non-stimulant medications and their side effects, emphasizing the challenge of finding ADHD treatment with fewer oral side effects. The conclusion suggests that managing the symptoms of medication-induced xerostomia, such as patient education, nutritional counseling, and xylitol use, may be more effective in preventing caries than changing the medication.
Thomas, Madison BS; Poznick, Nancy DDS; and Mayberry, Melanie E. DDS, MS-HCM
"10-Minute EBD: Stimulant Medications, Rampant Caries, and Prevention,"
The Journal of the Michigan Dental Association: Vol. 104:
7, Article 8.
Available at: https://commons.ada.org/journalmichigandentalassociation/vol104/iss7/8
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