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Specific clinical situations 

Specific clinical situations
Chapter:
Specific clinical situations
DOI:
10.1093/med/9780198714750.003.0023
Page of

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date: 23 September 2018

Chapter 23 of Addiction Medicine covers specific clinical situations which are not included elsewhere in the textbook. These include oral complications of substance use, and there is an outline of the risk factors for diseases of the teeth and gums including dental caries and periodontal disease. The effects of specific substances such as alcohol, tobacco, injecting drugs, and psychostimulants on oral and dental disease are covered. Guidelines for referral for urgent dental treatment are provided. The second section covers the sleep-disturbed patient and it canvasses the types of sleep disorder and their management. The third section, somewhat provocatively titled 'The patient who lies', addresses the issue of denial in reporting alcohol and other drug use and provides clues to clinicians for the purpose of alerting them to the range of defence mechanisms adopted, often subconsciously, by patients to conceal their substance.

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