Policy on Substance Abuse in Adolescent Patients

Question 1

Define: Binge or heavy episodic drinking

Answer 1

consuming more than 5 alcoholic drinks per drinking occasion

Question 2

Define: Substance abuse

Answer 2

maladaptive pattern of substance use manifested by recurrent and significant adverse consequences related to the repeated use of substances

Question 3

Define: Substance use disorder (SUD)

Answer 3

a cluster or cognitive, behavioral, and physiological symptoms indicating that the individual continues using the substance despite significant substance-related problems

Question 4

Define: Withdrawal syndrome

Answer 4

the development of a substance-specific maladaptive behavioral change, usually with uncomfortable physiological and cognitive consequences, that is the result of a cessation of, or reduction in, heavy and prolonged substance use

Question 5

T/F: Adolescent substance abuse frequently co-occurs with mental disorders

Answer 5

True

Question 6

Why should dentists use local anesthetics with vasoconstrictors judiciously in adolescent patients who abuse stimulant medications such as methylphenidate, amphetamine, and dextroamphetamine?

Answer 6

Drug interactions between vasoconstrictors and stimulants can cause tachycardia, hypertension or hypotension, palpitations, hyperthermia, cardiac dysrhythmias, myocardial infarction, and cerebrovascular accidents