What Does Cocaine Do to Your Teeth? How It Impacts Your Teeth And Gums

Sarhan Basem
credit: hovedentalclinic.co.ukhuman teeth after smoking. Brown resinous plaque on teeth close-up. Smoking harm concept

What does cocaine do to your teeth? Cocaine, a potent central nervous system stimulant, exerts its influence by triggering the release of dopamine within the brain while obstructing its reabsorption. This process results in a surge of dopamine, inducing elevated moods, euphoria, and activation of the brain’s reward system. 

This gratifying sensation reinforces the drug’s consumption, contributing to addiction development. While cocaine inflicts harm on various parts of the body, this article delves into how cocaine negatively affects oral health, particularly teeth. Our examination reveals the threats cocaine poses to teeth and their overall well-being.

What Does Cocaine Do to Your Teeth?

Beyond the well-documented psychological and physiological impacts, cocaine’s detrimental effects extend to dental health. Common dental issues stemming from cocaine use encompass enamel erosion, oral palate perforation, gum recession, dry mouth, cavities, and more. Without intervention from inpatient drug rehabilitation, long-term cocaine users face tooth decay, potential organ failure, and overdose. Here, we elaborate on the precise consequences of cocaine on teeth and gums.

Enamel Erosion: A Common Consequence

A prevalent outcome of smoking crack cocaine is enamel erosion. This phenomenon pertains to the deterioration of tooth enamel, primarily caused by repeated exposure to acidic substances. Tooth enamel, the hardest substance in our body and rich in minerals, is the outermost layer of teeth. Cocaine, often encountered in its powdered form as cocaine hydrochloride, possesses high acidity. Upon consumption, whether ingested, swallowed, or smoked, cocaine’s acidity combines with saliva, fostering the gradual erosion of tooth enamel.

Perforation of the Oral Palate

Cocaine’s role as a CNS stimulant engenders vasoconstriction, wherein blood vessels narrow. This constriction limits the oxygen supply to vital organs, potentially leading to cellular necrosis or cell death. Cocaine abuse through nasal inhalation can induce vasoconstriction, puncturing the septum and adjacent tissue. The structural integrity of the nose’s cartilage and tissue may weaken, contributing to the common phenomenon of collapsed or thin noses among chronic cocaine users. Furthermore, nasal passages’ perforation can extend to the oral palate, exacerbating eating, speaking, and swallowing challenges.

Teeth Grinding and Clenching

Unconscious teeth grinding and clenching, termed bruxism, often occurs during sleep, even in non-cocaine users. However, cocaine consumption elevates the likelihood of bruxism, leading to tooth fragility and jaw discomfort. Persistent teeth clenching contributes to wear and tear on the chewing surface, accentuating damage where teeth connect with gums. Over time, this friction may result in tooth fractures or breakages in proximity to the gum line.

Dry Mouth and its Ramifications

Colloquially known as dry mouth, Xerostomia diminishes saliva production and flow, fostering conditions conducive to gum disease, enamel erosion, and tooth decay. Saliva offers a natural defense against acid erosion, aids in dislodging food particles, and replenishes tooth minerals. Absent saliva, plaque, and tartar accumulation near the gum line become likely, causing gum disease and escalating the risk of decay in tooth roots. The progression of gum disease could even extend to adjacent teeth, culminating in tooth instability and loss.

Periodontitis and Its Impact

Cocaine abuse can provoke periodontitis, a gum disease characterized by inflammation in the gum’s periodontal tissue. Direct contact between cocaine and the gums can incite inflammation and contribute to the reabsorption of alveolar bone, which houses tooth sockets. This bone secures teeth in place beneath the gums within the jawbones. The aftermath of cocaine use may encompass receding gums and compromised periodontal tissue, potentially leading to tooth loss.

The Nexus of Drug Use and Oral Hygiene

Drug addiction frequently supersedes considerations of personal hygiene. Substance abuse can exert adverse effects on financial stability, home life, overall health, and oral hygiene. The erosion of self-esteem may further lead to neglect of dental care. Consequently, cocaine’s influence on teeth can stem from drug use and inadequate oral hygiene practices. Prolonged abuse of crack cocaine extends its consequences beyond oral health, affecting mental well-being, heart health, and liver and kidney functions. Seeking professional assistance through cocaine detox and treatment is crucial for those grappling with cocaine addiction.

From Tooth Infection to Systemic Health Impact

Neglected gum disease and untreated tooth infections can have severe repercussions. Untreated oral infections may elevate the risk of heart conditions such as heart attacks, strokes, and sudden heart failure. A seemingly minor tooth infection can progress, disseminating through the body and culminating in sepsis or septic shock. Sepsis induces blood clot formation in blood vessels, causing damage and compromising organ functionality. Escalation to septic shock could result in precipitous drops in blood pressure, triggering systemic shutdown. Symptoms of tooth infection include headaches, fever, nausea, and pain or swelling in the jaw. Infected teeth might exhibit discoloration or cracks.

Final Words: What Does Cocaine Do to Your Teeth?

Addressing cocaine addiction necessitates a multifaceted approach involving behavioral therapy and addiction treatment. Individuals grappling with cocaine abuse should consider seeking assistance from professionals. Hopefully, you are clear about your search query: What does cocaine do to your teeth? Have any questions? If yes, comment below.

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Brussels Morning is a daily online newspaper based in Belgium. BM publishes unique and independent coverage on international and European affairs. With a Europe-wide perspective, BM covers policies and politics of the EU, significant Member State developments, and looks at the international agenda with a European perspective.
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Sarhan Basem is Brussels Morning's Senior Correspondent to the European Parliament. With a Bachelor's degree in English Literature, Sarhan brings a unique blend of linguistic finesse and analytical prowess to his reporting. Specializing in foreign affairs, human rights, civil liberties, and security issues, he delves deep into the intricacies of global politics to provide insightful commentary and in-depth coverage. Beyond the world of journalism, Sarhan is an avid traveler, exploring new cultures and cuisines, and enjoys unwinding with a good book or indulging in outdoor adventures whenever possible.
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