Comparison of Oral Hygiene, Caries and Gingival Pigmentation Indices between Drug Abusers and Smokers
Document Type : مقالههای پژوهشی
Authors
1 Dentist, School of Dentistry ,Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran
2 Assistant Professor, Department of periodontics, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
Abstract
Introduction: The effects of narcotic drugs on the teeth and oral tissues are so extensive that sometimes, the identification of drug addicts is done by examining their oral and dental health status. The present study was conducted with the aim of drug abusers.
Materials and methods: In this historical cohort study, 70 smokers and 70 drug abusers were examined. Three indices of DOPI, DMFT, and OHI-S were measured and recorded in two groups. The data was analyzed using Independent t, Chi-square, One-way covariance, Fisher's exact, and Mann-Whitney statistical tests.
Results: The average score of all three indicators, DOPI, DMFT, and OHI-S was significantly higher in drug abusers than in smokers (p value < 0.001). Risk factors included drug use, less use of toothbrushes and less use of dental floss, fewer visits to the dentist, and fewer health care providers regarding mouth and teeth, as well as more smoking in drug abusers compared to smokers in the study. It was found that these risk factors caused a significant difference between the two groups.
Conclusion: The oral hygiene status of drug abusers was significantly worse than that of smokers. Drug prevention can play an influential role in increasing oral and dental health.
Materials and methods: In this historical cohort study, 70 smokers and 70 drug abusers were examined. Three indices of DOPI, DMFT, and OHI-S were measured and recorded in two groups. The data was analyzed using Independent t, Chi-square, One-way covariance, Fisher's exact, and Mann-Whitney statistical tests.
Results: The average score of all three indicators, DOPI, DMFT, and OHI-S was significantly higher in drug abusers than in smokers (p value < 0.001). Risk factors included drug use, less use of toothbrushes and less use of dental floss, fewer visits to the dentist, and fewer health care providers regarding mouth and teeth, as well as more smoking in drug abusers compared to smokers in the study. It was found that these risk factors caused a significant difference between the two groups.
Conclusion: The oral hygiene status of drug abusers was significantly worse than that of smokers. Drug prevention can play an influential role in increasing oral and dental health.
Keywords
Mohammadi TM, Hasheminejad N, Salari HR, Rostamizadeh MR, Najafipour H. Association between Tooth Loss and Opium Addiction: Results of a Community-Based Study on 5900 Adult Individuals in South East of Iran in 2015. J Int Soc Prev Community Dent 2017; 7(4): 186-90.
2. Akbari M, Faghani M, Kazemian A, Afshari R, Taghian A, Talebi A. Evaluation of oral health status and dental need assessment in narcotic drug abusers [in Persian]. J Mashhad Dent Sch 2015; 39(3): 191-200.
3. Priyadarshini SR, Sahoo PK, Jena D, Panigrahi R, Patnaik S, Mohapatra A. Knowledge, attitude and practice of dental professionals towards substance use. J Int Soc Prev Community Dent 2019; 9(1): 65-71.
4. Akbari M, Afshari R, Sharif M, Hashemy SI, Majidinia S. Evaluation of the effect of diacetyl morphine on salivary factors and their changes after methadone therapy. J Contemp Dent Pract 2014; 15(6): 730-4.
5. Smit DA, Naidoo S. Methamphetamine abuse: Oral symptoms and dental treatment needs. S Afr Dent J. 2016;71(4):150-4.
6. Shirzaei M. Oral changes associated with tobacco and opioids consumption in patients referred to Zahedan Dental School [in Persian]. J Inflamm Dis 2011;15(3): 61-8.
7. Weinberg NZ, Rahdert E, Colliver JD, Glantz MD. Adolescent substance abuse: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 1998; 37(3): 252-61.
8. Sbirkova T, Kisselov S, Cholakova R, Pechalova P, Konstantinova D. Focal oral pigmentation on the gingiva of mandible–a case report. J of IMAB 2018; 24(4): 2193-5.
9. Esen E, Haytac MC, Oz IA, Erdoğan O, Karsli ED. Gingival melanin pigmentation and its treatment with the CO2 laser. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98(5): 522-7.
10. Arikan F, Gürkan A. Cryosurgical treatment of gingival melanin pigmentation with tetrafluoroethane. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103(4): 452-7.
11. Deepak P, Sunil S, Mishra R, Sheshadri. Treatment of gingival pigmentation: a case series. Indian J Dent Res 2005; 16(4): 171-6.
12. Shulman JD, Cappelli DP. Epidemiology of Dental Caries. In: Cappelli DP, Mobley CC, Editors. Prevention in Clinical Oral Health Care. Saint Louis: Mosby; 2008. p. 2-13.
13. Bachtiar EW, Putri AC, Bachtiar BM. Salivary nitric oxide, Simplified Oral Hygiene Index, and salivary flow rate in smokers and non-smokers: a cross-sectional study. F1000Res 2019; 8: 1744.
14. Peeran SW, Ramalingam K, Peeran SA, Altaher OB, Alsaid FM, Mugrabi MH. Gingival pigmentation index proposal of a new index with a brief review of current indices. Eur J Dent 2014; 8(2): 287-90.
15. Gijwani D, Singh S, Mathur A, Aggarwal VP, Sharma A, Goyal N, et al. Effect of opioids on oral health status among institutionalised drug addicts in a district of Rajasthan, India. J Clin Diagn Res 2018; 12(4): LC01-LC4.
16. Nekouei AH, Kakooei S, Najafipour H, Kakoei S. Oral health determinants among opium users in Kerman, Iran. Addict Health 2021; 13(3): 156-64.
17. Sharma S, Mishra SK, Mittal N. Influence of tobacco dependence on caries development in young male adults: A cross-sectional study. J Conserv Dent 2018; 21(6): 597-601.
18. Babaei A, Pakdaman A, Hessari H, Shamshiri AR. Oral health of 6-7 year-old children according to the Caries Assessment Spectrum and Treatment (CAST) index. BMC Oral Health 2019; 19(1): 20.
19. Saied-Moallemi Z, Virtanen JI, Ghofranipour F, Murtomaa H. Influence of mothers' oral health knowledge and attitudes on their children's dental health. Eur Arch Paediatr Dent 2008; 9(2): 79-83.
20. Ahmed A. Dental health status of institutionalized Saudi male chronic drug abusers. Saudi Dent J 2006; 18(1): 25-31.
21. Brondani M, Park PE. Methadone and oral health--a brief review. J Dent Hyg 2011; 85(2): 92-8.
22. Cretzmeyer M, Walker J, Hall JA, Arndt S. Methamphetamine use and dental disease: results of a pilot study. J Dent Child (Chic) 2007; 74(2): 85-92.
23. Titsas A, Ferguson MM. Impact of opioid use on dentistry. Aust Dent J 2002; 47(2): 94-8.
24. Shahna N, Suchetha A, Sapna N, Apoorva S. Gingival pigmentation: A review of literature. Int J Appl Dent Sci 2019; 5(2): 83-91.
25. AlShoubaki RE, AlZahrani AS. Outcomes of gingival depigmentation among smokers and non-smokers: A comparative study. Int J Pharm Res Allied Sci 2018; 7(1): 148-55.
26. Kato T, Mizutani S, Takiuchi H, Sugiyama S, Hanioka T, Naito T. Gingival Pigmentation Affected by Smoking among Different Age Groups: A Quantitative Analysis of Gingival Pigmentation Using Clinical Oral Photographs. Int J Environ Res Public Health 2017; 14(8): 880.
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