How does cocaine influence your teeth?

Coke on your gums

Some people think you can test cocaine by putting it on your gums, but this is a myth. It can actually be bad for your teeth. Cocaine on your gums constricts blood vessels, so that fewer nutrients end up in that spot, and less waste is removed. As a result, it can happen that the jawbone breaks down faster in those places.

By the way, putting cocaine on your gums is never a good way to test your coke either. The only way to be sure your cocaine doesn’t contain dangerous adulterants is to take it to the drug testing service, where they will test it for you in a lab. Check for a location near you. There are several adulterations that also numb your gums, next to cocaine. So if your gums are numb, that doesn’t mean it’s cocaine at all.


Just like with ecstasy, cocaine can make you grind your teeth quite a bit. In combination with the resistance-lowering effect of cocaine, this can lead to inflammation of your gums and soft tissues of your mouth.

Palate Perforation

In some cases, long-term cocaine use can lead to a perforation (hole) of the palate or nasal septum. Cocaine has a vasoconstrictor effect and dissolves in the nasal mucosa. As with ‘coke on your gums’ above, the reduced blood supply can cause a reaction in the mucous membrane that also affects the underlying cartilage and can cause a hole in your nasal septum or palate.

Oral hygiene

Especially if you use cocaine more often attention to your oral hygiene can sometimes be neglected. However, try to remember to brush your teeth at least twice a day (once in the morning and once in the evening) and clean between the teeth once a day with a toothpick or brush. Do not eat or drink anything after brushing your teeth in the evening before going to sleep. This way you prevent annoying problems with your teeth.