Rampant caries from oral transmucosal fentanyl citrate lozenge abuse

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Rampant caries from oral transmucosal fentanyl citrate lozenge abuse Louis Mandel, DDS, Michele J. Carunchio, BS The Journal of the American Dental Association Volume 142, Issue 4, Pages 406-409 (April 2011) DOI: 10.14219/jada.archive.2011.0195 Copyright © 2011 American Dental Association Terms and Conditions

Figure 1 Intraoral view from 2009 of multiple retained roots. The Journal of the American Dental Association 2011 142, 406-409DOI: (10.14219/jada.archive.2011.0195) Copyright © 2011 American Dental Association Terms and Conditions

Figure 2 Panoramic radiograph obtained in 2009 showing complete coronal carious destruction with retention of roots of 31 teeth; the maxillary left lateral incisor was missing. The Journal of the American Dental Association 2011 142, 406-409DOI: (10.14219/jada.archive.2011.0195) Copyright © 2011 American Dental Association Terms and Conditions

Figure 3 Intraoral radiographs obtained in 2006. Radiograph courtesy of Dr. Luciano Ghisalberti. The Journal of the American Dental Association 2011 142, 406-409DOI: (10.14219/jada.archive.2011.0195) Copyright © 2011 American Dental Association Terms and Conditions