Oral health-related quality of life among a group of patients with substance use disorders in rehabilitation treatment: a cross-sectional study

Abstract

Background Little is known about the effect of illicit drugs on oral health-related quality of life. Our aim was to investigate oral health-related quality among patients with substance use disorders, and its association with dental caries experience and drug use profile. Methods Applying a stratified cluster random sampling method, we conducted a cross-sectional study on 267 in-treatment patients with substance use disorders in Isfahan, Iran in 2016. Self-administered questionnaires requested participants’ demographics and drug use profile. A trained dental student carried out personal interviews utilizing Oral Impact on Daily Performance (OIDP) instrument. Clinical examinations were conducted to record dental caries experience. T test, ANOVA, pearson and spearman correlation coefficient, and linear regression model served for statistical analysis (p < 0.05). Results A great majority of the participants reported past use of opium (85%) followed by heroin (42.7%) and amphetamines (20.2%). The most common routes of drug administration were combined routes (44.6%) followed by smoking (36.7%). The mean score of OIDP was 22.4 ± 8.6. As high as 74.1% of the participants reported at least one OIDP impact. The most prevalent OIDP impact was “difficulty eating” (64.8%). The most prevalent cause of the impacts were “dental decay” and “tooth loss”. No significant association revealed between OIDP and patients’ demographics and drug use profile (p > 0.05). Participants with higher caries experience, reported greater OIDP (p < 0.05). Conclusions There is an oral impact on the daily performance of patients with substance use disorders. Patients with higher caries experience reported greater OIDP. Thus, in addition to normative assessment of oral health, clinicians should consider the patients’ self-reported oral problems, and the social and mental aspects of oral conditions.

Correlation of xerostomia in methadone therapy program patient with oral health related quality of life using oral health impact profile-14: a cross-sectional study

“…In daily activities, the prevalence of OHIP is most disturbed, namely difficulty eating. 27 The results of this study were similar to those of Astrom et al which showed that the OHRQoL of respondents who were undergoing rehabilitation were mostly poor. The most adverse effects experienced were difficulty eating and sleeping or being in a relaxed state.…”

Oral health‐care needs among clients receiving alcohol and other drugs treatment—A scoping review

“…There is also an increased risk in oral health problems among people who have an AOD dependence, which can also affect quality of life [ 12 , 13 , 14 , 15 ]. Amiri and Shekarchizadeh [ 16 ] also found that among people receiving inpatient treatment for AOD dependence, oral health problems had an impact on eating, speaking, sleeping, going out, relaxing, smoking, emotional stability and affected their contact with other people.…”

Providing better access to oral health care for people receiving substance use treatment: A timely discussion

“…There is little argument that poor oral health is a significant problem among clients of AOD services [1]; and that good oral health is an integral part of overall health, quality of life and wellbeing [2]. Studies have shown that people who use drugs are at increased risk of poor oral health [3] that impacts on their quality of life [2,[4][5][6]. As described in the scoping review, studies of people with substance use disorder (SUD) report high rates of caries, periodontal disease, xerostomia (dry mouth), bruxism, prostheses, toothache and tooth loss [7].…”