Tahsin Anwar

Mental health as a barrier to care

My patient was escorted to our urgent care clinic wearing an ankle monitor. Her chief complaint was that she felt pain around every tooth. When I took a closer look, the source of her pain became apparent. She had a mouth full of non-functional root tips. Almost every root tip showed signs of infection. My patient was from a local drug rehabilitation center, and she was 10 months sober from a heroin addiction. As a result, she wasn’t allowed any prescription narcotics or nitrous oxide, as instructed by her program due to fear of relapse.