Methylphenidate use and restorative treatment needs in young adults with attention deficit hyperactivity disorder

© 2023 The Authors. Special Care in Dentistry published by Special Care Dentistry Association and Wiley Periodicals LLC..

OBJECTIVE: To assess the effect and dose-response of methylphenidate (MP) use on the restorative treatment needs in young adults with attention deficit hyperactivity disorder.

PARTICIPANTS AND METHODS: This retrospective study comprises a cohort of military recruits aged 18-25 who served for 12 to 48 months between 2005 and 2017. The medical records of 213 604 participants were assessed of which: 6875 participants with ADHD who received treatment with MP, 6729 participants with ADHD who had no prescriptions for MP, and 200 000 healthy participants. The outcome was restorative treatment needs, which served as an indicator of caries: having at least one prescription for restorative treatment during the study period.

RESULTS: Frequency of prescription for restorative treatment among the treated, the untreated and the control groups was 24%, 22%, and 17%, respectively (p < .0001). On multivariate analysis, the dose-response association between MP use and the odds of having at least one restorative treatment was confirmed (OR = 1.006 for each additional 1 gr of MP; 95% CI [1.004:1.009]) CONCLUSIONS: Participants with ADHD who receive chronic treatment with MP have higher restorative treatment needs than participants with untreated ADHD and healthy participants. Our results show that chronic MP medication among young adults leads to an elevated need for restorative treatment and implies a significant impact on oral health (OH).

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry - 44(2024), 2 vom: 14. März, Seite 556-562

Sprache:

Englisch

Beteiligte Personen:

Schermann, Haggai [VerfasserIn]
Schiffmann, Nathan [VerfasserIn]
Ankory, Ran [VerfasserIn]
Shlaifer, Amir [VerfasserIn]
Yavnai, Nirit [VerfasserIn]
Yoffe, Victoria [VerfasserIn]
Natapov, Lena [VerfasserIn]

Links:

Volltext

Themen:

207ZZ9QZ49
Attention deficit hyperactivity disorder
Central Nervous System Stimulants
Central nervous system stimulants
Dental caries
Journal Article
Methylphenidate
Oral health
Retrospective study

Anmerkungen:

Date Completed 15.03.2024

Date Revised 15.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/scd.12885

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM357908201