Abstract

Addiction to psychoactive substances is a major public health problem with complex consequences at both the systemic and local levels. The oromaxillofacial region is frequently affected, serving as a relevant indicator of the interaction between biological, psychological, and behavioral factors.

This presentation aims to highlight the psychosomatic implications associated with psychoactive substance use on oromaxillofacial structures. Frequently encountered pathological changes are analyzed, such as dental and periodontal lesions, xerostomia, bruxism, recurrent oral infections, and oral mucosal lesions, correlated with the type of substance used and the duration of use.

Furthermore, the psychological mechanisms involved are discussed, including anxiety, depression, and behaviors that neglect oral hygiene, which contribute to the worsening of the clinical picture. An integrative, interdisciplinary approach is essential in the management of these patients, involving collaboration between the dentist, psychiatrist, and other specialists.

In conclusion, early recognition of oromaxillofacial signs associated with addiction can facilitate early diagnosis and intervention, contributing to improved prognosis and quality of life for patients.