Pathology · single question

Same patient. Clinically, which finding is most characteristic of this condition?

  1. Severe gingival recession
  2. Blackened teeth
  3. Increased calculus formation
  4. Enamel hypoplasia
Show answer and explanation

Correct answer: B. Blackened teeth

  • A. Recession occurs in periodontal disease but isn't the signature of 'meth mouth.'
  • B. Correct. 'Meth mouth' is characterized by rampant caries with blackened, broken-down/rotting teeth, driven by xerostomia, bruxism, high-sugar intake, and poor hygiene.
  • C. Heavy calculus is a hygiene finding but not the defining hallmark of methamphetamine use.
  • D. Enamel hypoplasia is a developmental defect, not the acquired destruction seen with meth use.

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