Abstract
Drug use causes several health hazards to oral health, increasing the prevalence of dental caries and periodontal diseases, representing a serious public health problem. This study aimed to evaluate the prevalence of dental and periodontal caries in institutionalized drug users. It is an epidemiological, cross-sectional, census-based, analytical study with institutionalized drug users, carried out from August 2016 to June 2017. Standardized examiners applied a form to collect sociodemographic data and on drug consumption. Dental caries were evaluated through the DMFT index and periodontal disease through clinical indicators: bleeding at probing, plaque index, gingival index, probing depth and level of clinical insertion. A total of 112 males, mean age 36.7 years (Dp ± 11.5) were evaluated. The most commonly used drug was alcohol (92.0%) for about 19.4 years (Dp ± 11.08), followed by tobacco (70.95%) on average for 18.0 years (Dp ± 11.66), marijuana (65.2%) for 13.7 years (Dp ± 8.22), cocaine (53.3%) for 8.5 years (Dp ± 6.00) and crack (50.0%) for 11.1 year (Dp ± 7.18). It is concluded that the prevalence of caries was 97.3% and of periodontal disease 51.5%. The studied population presented high prevalence of dental caries and periodontal disease and there was a correlation between alcohol and tobacco use time with periodontal disease and with higher DMFT.References
Nestler EJ. Epigenetic Mechanisms of Drug Addiction. Neuropharmacology. 2014; 76(00): 259-268.
United Nations Office on Drug and Crime (2011). World Drug Report 2011. Vienna: United Nations Publication, Sales No. E.11.XI.10.
Almeida RA, Anjos UU, Vianna RPT, Pequeno GA. Perfil dos usuários de substâncias psicoativas de João Pessoa. Saúde debate. 2014 Jul-Set; 38 (102): 526-538.
Pinho PH, Oliveira MA, Almeida MM. A reabilitação psicossocial na atenção aos transtornos associados ao consumo de álcool e outras drogas: uma estratégia possível? Rev Psiquiatr Clín. 2008; 35 suppl 1: 82-88.
Lopes CFB, Angelis BB, Prudente HM, Souza BVG, Cardoso SV, Ribeiro RIMA. Concomitant consumption of marijuana, alcohol and tobacco in oral squamous cell carcinoma development and progression: Recent advances and challenges. Arch Oral Biol. 2012; 57(8): 1026 –1033.
Gupta T, Shah N, Mathur VP, Dhawan A. Oral health status of a group of illicit drug users in Delhi, India. Community Dent Health. 2012;29 suppl 1:49–54.
Péret ACA, Bonato KB. A participação do dentista na equipe multidisciplinar para o tratamento do paciente alcoolista. Arq Bras Odontol. 2008; 4(2): 70-75.
Marques TCN, Sarracini KLM, Cortellazzi KL, Mialhe FL, Meneghin MC, Pereira AC, Ambrosano GMB. The impact of oral health conditions, socioeconomic status and use of specific substances on quality of life of addicted persons. BMC Oral Health. 2015;15:38. DOI:10.1186/s12903-015-0016-8
Brand HS, Dun SN, Nieuw Amerongen, AV. Ecstasy (MDMA) and oral health. Br Dent J. Jan 2008; 204 (2):77-81.
Costa SKP, Godoy GP, Gomes DQ, Pereira JV, Lins RDAU. Fatores sociodemográficos e condições de saúde bucal em droga-dependentes. Pesq Bras Odontoped Clin Integr. 2011; 11(1):99-104.
Louro, PM. et al. Doença Periodontal na gravidez e baixo peso ao nascer. J Pediatr. 2001; 77(1):23-28.
Ragghianti, M S. et al. Influence of age, sex, plaque and smoking on periodontal conditions in a population from Bauru, Brazil. J Appl Oral Sci. 2004 Dec; 12(4): 273-279.
Junqueira S R, Frias AC, Zilbovicius C, Araújo ME. Saúde bucal e uso dos serviços odontológicos em função do Índice de Necessidades em Saúde. São Paulo, 2008. Cien Saude Colet. 2012; 17(4): 1015-1024.
Organização Mundial da Saúde - OMS. Levantamento Epidemiológico Básico de Saúde Bucal. Manual de Instruções. 4. ed. Genebra: Organização Mundial de Saúde, 1997.
Lindhe J, Lang NP, KarringT. Tratado de periodontia clínica e implantologia oral. 5. ed. Rio de Janeiro: Guanabara Koogan, 2010.
Silness J, Löe H. Periodontal disease in pregnancyII.Correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 1964; 22:121-135.
Löe H, Silness J. Periodontal disease in pregnancy I. Prevalence and severity.Acta Odontol Scand. 1963; 21:533-551.
American Academy of Periodontology. Parameters of care.Journal of Periodontology. 2000 May; 71 (5): 847-883.
Mateos-Moreno MV, del-Río-Highsmith J, Riobóo-García R, Solá- Ruiz MF, Celemín- Viñuela A. Dental profile of a community of recovering drug addicts: Biomedical aspects. Retrospective cohort study. Med Oral Patol Oral Cir Bucal. 2013 Jul; 18(4): 671-679.
Falcão CAM, Santos RO, Pereira RMS, Silva TSO, Ferreira RS, Silva FWC, Sousa MP, Ferraz MAAL. Saúde bucal em dependentes químicos. Rev Interd Ciên Saúde. 2015 ago-out; 3(2): 112-121.
Shekarchizadeh H, Khami MR, Mohebbi SZ, Virtanen JI. Oral health behavior of drug addicts in withdrawal treatment. BMC Oral Health. 2013; 13(11): 1-7.
Saini GK, Gupta ND, Prabhat KC. Drug addiction and periodontal diseases. J Indian Soc Periodontol. 2013; 17: 587-591.
Albini MB, Couto ACF, Invernici MM, Martins MC, Lima AAS, Gabardo MCL, et al. Perfil sociodemográfico e condição bucal de usuários de drogas em dois municípios do Estado do Paraná, Brasil. Rev Odontol UNESP. 2015 July-August; 44(4): 244-249.
Darke S, Hall W. Levels and correlates of polydrug use heroin users and regular amphetamine users. Drug Alcohol Depend. 1995; 39:231-235.
Oliveira MFN, Ferreira WB, Assis WC, IFNO, Teixeira WD, Casotti CA. Condição periodontal de usuários de drogas institucionalizados. Odontol Clín-Cient. 2017 Abr./Jun; 16(2): 113-119.
Brown C, Krishnan S, Hursh K, Yu M, Johnson P, Page K, et al. Dental disease prevalence among methamphetamine and heroin users in an urban setting: a pilot study. J Am Dent Assoc. 2012 Set;143(9):992-1001. DOI: http://dx.doi.org/10.14219/jada.archive
Bergamaschi CC, Monta MF, Cogo K., Franco GCN, Groppo FC, Volpato MC. Interações medicamentosas: analgésicos, anti-inflamatóriose antibióticos (Parte II). Rev Cir Traumatol Buco-Maxilo-fac. 2007; 7(2): 9-18.
Benedetto A, Gigante I, Colucci, S, Grano M. Periodontal Disease: Linking the Primary Inflammation to Bone Loss. Clin Dev Immunol. 2013.
Matos, GRM, Godoy MF. Influência do tabagismo no tratamento e prognóstico da doença periodontal. Arq Ciênc Saúde. 2011;18(1): 55-58.
Dasanayake AP, Warnakulasuriya S, Harris CK, Cooper DJ, Peters TJ, Gelbier S. Tooth decay in alcohol abusers compared to alcohol and drug abusers. Int J Dent. 2010.
Baghaie H, Kisely S, Forbes M, Sawyer E, Dan J. Siskind DJ. A systematic review and meta-analysis of the association between poor oral health and substance abuse. Addiction. 2017 May;112(5):765-779. DOI: 10.1111/add.137.