Regular use of this drug may have several orofacial effects, such as perforation of the nasal septum and palate, gingival lesions and erosion of tooth surfaces. In addition, recent use of cocaine increases the risk of a medical emergency during dental treatment, especially when epinephrine-containing local anaesthetics or retraction cords are used. Therefore, dental treatment should be postponed for 6 to 24 hours after the use of cocaine.
Most cocaine users complain about sinus related problems. For many, even after termination, they have a life time of sinus and nasal conditions.
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www.nature.com/.../thumbs/sj.bdj.2008.244-f1.jpg
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