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Oral Surg Oral Med Oral Pathol Oral Radiol. 2018 Feb;125(2):140-146. doi: 10.1016/j.oooo.2017.11.015. Epub 2017 Nov 22.

Khat and synthetic cathinones: Emerging drugs of abuse with dental implications.

Author information

1
Department of Oral Biology/Pharmacology, Dental College of Georgia, Augusta University, Augusta, Georgia, USA. Electronic address: Wabebe@augusta.edu.

Abstract

The rising global availability of the stimulant and euphoric substances, khat and synthetic cathinones, has become a cause for concern in many countries, including the United States. Both substances are illegal in United States, although this has not deterred their use. Besides central nervous system effects, these drugs also cause sympathomimetic and orodental adverse effects, similar to those of amphetamine. Although synthetic cathinones are stronger than khat in most cases, the latter additionally contains tannins, which have astringent effects on tissues components, including those in the oral cavity. Recognizing the use prevalence and reported orodental adverse effects of khat and synthetic cathinones, dental practitioners should be more familiar with these substances to optimally treat and educate their patients abusing them. This paper reviews the pharmacology and adverse effects of khat and synthetic cathinones, along with the extent of their use in United States, with particular emphasis on dental implications.

PMID:
29249517
DOI:
10.1016/j.oooo.2017.11.015
[Indexed for MEDLINE]

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