A lot of it is indirect, such as spending your money on drugs instead of food. Like, “if I buy just enough food to not die, then I can afford more meth” type of thinking. Also not brushing your teeth or eating well because you’re high. Just hygiene in general suffers when your priorities are consumed by the drug habit.
Then some more direct effects of the drugs themselves like the dry mouth that has been mentioned leading to receding gums and tooth damage.
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