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International journal of odontostomatology

On-line version ISSN 0718-381X


MUNOZ LOPEZ, Daniela; BUGUENO VALDEBENITO, Isaac Maximiliano; ROMO ORMAZABAL, Fernando  and  GARRIDO-URRUTIA, Constanza. Secondary Bruxism after Recreational Ecstasy Consumption: A Review. Int. J. Odontostomat. [online]. 2015, vol.9, n.2, pp.213-218. ISSN 0718-381X.

Methylenedioxymethamphetamine (MDMA) or Ecstasy is a synthetic drug accidentally isolated in 1914, finding in it no specific medical use. The WHO considers it as a psychotropic drug and it is illegal in several countries, including Chile. According to the Global Synthetic Drugs Assessment, the use of ecstasy has increased steadily in Latin-America between the years 2008 and 2012, and studies in Chile show ecstasy as a "new drug", with an increased consumption in the 19-25 year-old age group. The concept of bruxism in dentistry has changed over time, moving to a multifactorial etiology where central factors, such as pathophysiology have a major role. Several authors report bruxism as a side effect of ecstasy consumption, at a rate of between 50 and 89%. This can be explained by the fact that MDMA acts centrally inducing imbalance at the level of serotonergic and/or dopaminergic pathways, as it occurs in bruxism. Since the United Nations Office on Drugs and Crime warns of a significant and progressive increase in the consumption of recreational ecstasy in young Chilean adult population, it is important to know there are oral implications in order to have better dental management, and further studies are necessary in order to determine an actual association between ecstasy consumption and secondary bruxism.

Keywords : MDMA; Ecstasy; bruxism; secondary bruxism.

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