Dental disease prevalence among methamphetamine and heroin users in an urban setting

Brown, Carolyn J.; Krishnan, Sumathi; Hursh, Kevin; Yu, Michelle; Johnson, Paul; Page, Kimberly; Shiboski, Caroline H.

doi:10.14219/jada.archive.2012.0326

Cited by 38 publications

(70 citation statements)

References 24 publications

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“…Although focusing on MA users, our findings confirm other research studies documenting worse oral-health status among substance-using populations. 36,37,38 …”

Section: Discussionmentioning

confidence: 99%

Dental disease patterns in methamphetamine users

Shetty¹,

Harrell²,

Murphy³

et al. 2015

The Journal of the American Dental Association

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Background The authors used a large community sample of methamphetamine users to verify the patterns and severity of dental disease and establish a hierarchy of caries susceptibility by tooth type and tooth surface. Methods Using a stratified sampling approach, 571 MA users received comprehensive oral examinations and psychosocial assessments. Three calibrated dentists characterized the dental and periodontal disease using National Health and Nutrition Examination Survey (NHANES) protocols. Data were also collected on substance-use history and other attributes linked to dental disease Results On all dental outcome measures, MA users evidenced very high dental and periodontal disease, with older (> 30 years) and moderate/heavy MA users disproportionately affected. Women had higher rates of tooth loss and caries as well as a greater prevalence of anterior caries. Current smokers were more likely to manifest 5 or more anterior surfaces with untreated caries and 3 or more teeth involved with root caries. Nearly 7% were edentulous and a significant percentage (40%) indicated embarrassment with their dental appearance. Conclusions MA users have very high rates of dental and periodontal disease, and manifest a dose-response relationship with greater levels of MA use associated with higher rates of dental disease. Women and current cigarette smokers are disproportionally impacted. The intraoral patterns and hierarchy of caries susceptibility in MA users are distinctive. Practical Implications The prevalence and patterns of dental and periodontal disease could be used to alert dentists to possible covert MA use as well as to plan treatment. Concerns about dental appearance have potential as triggers for behavioral interventions.

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“…Although focusing on MA users, our findings confirm other research studies documenting worse oral-health status among substance-using populations. 36,37,38 …”

Section: Discussionmentioning

confidence: 99%

Dental disease patterns in methamphetamine users

Shetty¹,

Harrell²,

Murphy³

et al. 2015

The Journal of the American Dental Association

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“…Certas drogas aumentam o apetite para açúcares 7,8 , e como demonstrado no presente estudo, o consumo de sacarose é relevante, uma vez que este padrão alimentar pode predispor ao desenvolvimento da doença cárie 21,23 , indicado pelo alto valor do índice CPOD evidenciado.…”

Section: Materials E Métodounclassified

“…A ação local das drogas na cavidade bucal apresenta efeitos deletérios, resultando em níveis aumentados, além da cárie, de perdas dentárias 1,23 . O alto índice de cárie apresentado pela amostra mostrou um possível reflexo do uso continuado e prolongado destas drogas em sua condição bucal 21,22 .…”

Section: Materials E Métodounclassified

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

Albini

Couto

Invernici

et al. 2015

Rev. odontol. UNESP

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ResumoIntrodução: A pesquisa das condições bucais de usuários de drogas é importante para ser conhecida esta população, cujo crescimento é ascendente no Brasil, a fim de que metas preventivas e atendimento adequado sejam traçados. Objetivo: Identificar o perfil sociodemográfico e a condição bucal desta população, em dois municípios paranaenses. Material e método: Foram coletados, por meio de questionário e de exame físico, dados de 100 indivíduos. Foram obtidos os seguintes valores: índice CPOD, profundidade de sondagem (PS), nível de inserção clínica (NIC), índice gengival (IG), índice de placa (IP) e sangramento à sondagem (SS). Após análise descritiva inicial, empregaram-se os testes t de Student e ANOVA one-way. Resultado: A média da idade foi 29,12 anos. As maiores frequências foram: gênero masculino (95,5%), solteiros (69,0%), baixa escolaridade (41%) e maior consumo de drogas lícitas -tabaco (90,9%) e álcool (84,5%) -, seguidas de crack (80,9%) e maconha (77,3%). A média do CPOD foi 15,21 (DP=5,84) e quanto maior o tempo de dependência, maior este índice (p<0,05). A média da PS foi 3,55 e do NIC, 3,59. O SS ocorreu em 82,7% dos casos e a inflamação moderada, em 79,5%. Placa detectável e moderado acúmulo de placa foram identificados em 39,5% e 35,3%, respectivamente. Conclusão: Predominaram indivíduos do gênero masculino, jovens, solteiros, com baixa escolaridade e consumidores de drogas lícitas e ilícitas, com condição bucal ruim. Sugere-se mais atenção dos profissionais da área odontológica e dos elaboradores de políticas públicas, com vistas a esta população.Descritores: Saúde bucal; usuários de drogas; epidemiologia. AbstractIntroduction: Epidemiological survey of the oral conditions of drug users is an important strategy to know this population, whose growth is increasing in Brazil, so that preventive goals and adequate treatment can be proposed. Aim: The aim of this study was to identify the sociodemographic profile and oral health condition of drug users in rehab of two municipalities of the State of Paraná. Material and method: One hundred individuals participated in the study, which data were collected by questionnaire and physical exam. The following values were obtained: DMFT index (decay-missing-filled index), probing depth (PD), clinical attachment level (CAL), gingival index (GI), plaque index (PI), and bleeding on probing (BOP). Data analyses were performed by Student t test and one-way ANOVA. Result: The mean age of participants was 29.12 years. The major frequencies were: male (95.5%), single (69.0%), lower schooling (41%) and higher consumption of licit drugs tobacco (90.9%) and alcohol (84.5%), followed by crack (80.9%), and marijuana (77.3%). The mean DMFT index was 15.21 (SD=5.84), and the longer the dependence time, the greater this index (p<0.05). Mean PD was 3.55 and mean CAL was 3.59. BOP occurred in 82.7% and 79.5% showed moderate inflammation. Detectable plaque and moderate plaque accumulation were observed in 39.5% and 35.3%, respectively. Conclusion: Prevalence was observed in ...

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“…Methamphetamine users have reported increased consumption of sugary drinks, which has been known to cause to increased rates in dental carries with users. 39,43,44 …”

Section: Recommendations For Dental Treatmentmentioning

confidence: 99%