The Oral and Dental Significance of Heroin and its Resurgence in New York State.

Heroin is a highly addictive, illegal drug, which is processed from the resin of poppy plants. It was first manufactured in 1898 as a treatment for tuberculosis and morphine addiction. Its use poses both direct and indirect consequences for oral health. An increased incidence of dental caries and periodontal disease is seen in heroin users. This is in addition to a number of systemic manifestations. Currently, New York State is experiencing an epidemic of fatal or near-fatal incidents involving heroin use. This is largely due to the convergence of two deadly influences: the transition by many abusers from prescription opioid pain relievers to heroin; and the lacing of heroin with fentanyl. It is imperative that dentists in this state be aware of this epidemic and the oral/dental significance of heroin use.