Affiliation:
1. Tel Aviv Sourasky Medical Center affiliated with Tel Aviv University Tel Aviv Israel
2. Goldschleger School of Dental Medicine Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
3. Israel Defense Forces Medical Corps Tel Hashomer Israel
4. Division of Dental Health State of Israel Ministry of Health Jerusalem Israel
Abstract
AbstractObjectiveTo assess the effect and dose‐response of methylphenidate (MP) use on the restorative treatment needs in young adults with attention deficit hyperactivity disorder.Participants and methodsThis retrospective study comprises a cohort of military recruits aged 18–25 who served for 12 to 48 months between 2005 and 2017. The medical records of 213 604 participants were assessed of which: 6875 participants with ADHD who received treatment with MP, 6729 participants with ADHD who had no prescriptions for MP, and 200 000 healthy participants. The outcome was restorative treatment needs, which served as an indicator of caries: having at least one prescription for restorative treatment during the study period.ResultsFrequency of prescription for restorative treatment among the treated, the untreated and the control groups was 24%, 22%, and 17%, respectively (p < .0001). On multivariate analysis, the dose‐response association between MP use and the odds of having at least one restorative treatment was confirmed (OR = 1.006 for each additional 1 gr of MP; 95% CI [1.004:1.009])ConclusionsParticipants with ADHD who receive chronic treatment with MP have higher restorative treatment needs than participants with untreated ADHD and healthy participants. Our results show that chronic MP medication among young adults leads to an elevated need for restorative treatment and implies a significant impact on oral health (OH).