Abordagem integrada da saúde bucal de droga-dependentes em processo de recuperação

Abstract

Considering the current context of increasing and early utilization of licit or illicit drugs (habit-forming substances), the aim of this study was to evaluate the oral health conditions of 102 males from the Esquadrão da Vida rehabilitation center, in Bauru, São Paulo, Brazil. The evaluation was carried out by means of the assessment of caries experience (DMFT), dental plaque (PHP), gingival index and salivary flow. This study also aimed at instituting an educational-preventive program and evaluating its efficacy. The subjects' mean age was 29.17 years (sd = 11.40; n = 95). From all subjects (n = 102), 72.54% had the habit of eating between meals, and 69.60% did not utilize dental floss. The observed DMFT was 14.88 (sd = 6.38; n = 86). The initial PHP was 2.34 (sd = 0.69; n = 14) and, after 3 months, it was reduced to 1.91 (sd = 0.74; n = 14). The initial salivary flow was 1.31 ml/min (sd = 0.7; n = 97). Due to the fluctuation of this group, only 13 of the original subjects were reevaluated after 3 months, when a salivary flow of 1.13 ml/min (sd = 0.49) was registered. The initial gingival index and PHP presented r = 0.30 (p = 0.002 - statistically significant). The objective need for treatment and the subjective importance given to oral health were negatively correlated (r = -0.26; p = 0.019 - statistically significant), which indicates that the value attributed to oral health influences health care and affects the oral health-sickness process.

Perfil sociodemográfico e condição bucal de usuários de drogas em dois municípios do Estado do Paraná, Brasil

“…Para as variáveis sociodemográficas, o "indivíduo" foi considerado para fins estatísticos, enquanto que, para as variáveis periodontais, o "sítio" foi considerado. 3,17 . O presente estudo apresentou a mesma média de idade (29 anos), porém mais da metade dos dependentes estava empregada e afastada para tratamento.…”

“…Desta forma, os usuários apresentam a saúde bucal comprometida pelo aparente descaso com os cuidados pessoais e, assim, se tornam mais vulneráveis ao aparecimento de agravos 7,10,17 .…”

“…Em uma determinada análise, os drogaditos relataram frequência de escovação de três vezes ao dia e verificou-se que a higiene bucal dos internos era, em geral, deficiente ou precária 17 . No presente estudo, quanto menos frequente a escovação, maior o CPOD.…”

Emergence of cannabis as the second most commonly used psychoactive substance among students

“…The present study showed that the main purpose of students who use PAS is relaxation, celebration, and depression control. In a similar study with medical students of Faculdade de Salvador, BA, Brazil, the motivation for use was pleasure and no course-related stress 8 . However, in a study performed with post-graduation students, work overload and easy access to drugs enabled their use 10 .…”

“…Despite the increasing number of drug users, this class of special patients is still little explored, this could affect the way how health professionals are handling those patients 8 .…”