Abstract

ARAGON, M. C.; ARAGON, F.  and  TORRES, L. M.. Association between chronic use of oral fentanyl citrate and teeth decay and loss. Rev. Soc. Esp. Dolor [online]. 2005, vol.12, n.3, pp.154-157. ISSN 1134-8046.

Objectives: The aim of this study was to determine whether the use of oral fentanyl citrate can be related to teeth decay and loss, and if so, whether such effect can be prevented or minimized. A case seen in our unit is reported. Patients and methods: We studied the case of a 53-years old male admitted in our Pain Clinic that was taking oral fentanyl citrate for the management of chronic pain caused by cervical and lumbar postlaminectomy syndrome and in which teeth decay and loss occurred. Seventy seven patients that were also receiving chronic treatment with the same drug were reviewed in order to determine the frequency and magnitude of this potential association. Results: Dental hygiene of patients did not changed throughout the treatment with oral fentanyl citrate. No other patient developed odontal disorders after the beginning of the treatment. This single patient had a poor dental hygiene. Conclusion: Chronic use of oral fentanyl citrate is a factor that may contribute, although in rare cases, to teeth decay and loss. An appropriate dental hygiene can prevent or at least minimize the impact of chronic use of oral fentanyl citrate on dental health.

Keywords : Fentanyl citatre; Dental pieces.

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