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VOLUME 12 , ISSUE 2 ( March-April, 2021 ) > List of Articles


Oral Health and Quality of Life of Addicts in Brazilian Population

Michelle A Brown, Andrea S de Castro, Sther GF Orestes, Luiza FA Koch, Marilisa CL Gabardo, Antonio AS de Lima, Maria Ângela N Machado

Keywords : Drug addicts, Oral health, Quality of life

Citation Information : Brown MA, de Castro AS, Orestes SG, Koch LF, Gabardo MC, de Lima AA, Machado MÂ. Oral Health and Quality of Life of Addicts in Brazilian Population. World J Dent 2021; 12 (2):115-120.

DOI: 10.5005/jp-journals-10015-1783

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Aim and objective: This study aimed to investigate the impact of oral health on the quality of life of drug addicts in rehabilitation. Materials and methods: A total of 398 male individuals admitted to two drug rehabilitation centers between 2013 and 2016 responded to a structured questionnaire including sociodemographic, oral health habits, and drug usage variables. Respondents were also examined for dental caries. Oral health-related quality of life was measured using the Oral Health Impact Profile, in short-form, the OHIP-14. Descriptive statistical analysis, Mann–Whitney test, univariate and multiple Poisson regression with robust variance were performed using Stata/SE 14.1. Results: The mean severity score was 22.8 (SD = 13.2). The prevalence of worse impact (higher OHIP-14 scores) was 84.9%. In the univariate analysis, <8 years of schooling, no brushing teeth, self-perceived metallic taste, self-perceived tooth mobility, use of lysergic acid diethylamide (LSD) and oxy, missing teeth, and DMFT score >10 were associated with a negative outcome (p < 0.05). After adjustment, remained independently associated low schooling (p = 0.021) and self-perceived metallic taste (p < 0.001). Conclusion: Drug users perceived negatively the impacts of oral health-related quality of life. Clinical significance: Drug addicts have poor oral health and quality of life. Thus, public health strategies for the rehabilitation of these individuals should account for the biopsychosocial aspects.

  1. United Nations Office on Drugs and Crime. World Drug Report 2015. Vienna: United Nations Office on Drugs and Crime,; 2015 [accessed 30 July 2018].
  2. D’Amore MM, Cheng DM, Kressin NR, et al. Oral health of substance-dependent individuals: impact of specific substances. J Subst Abuse Treat 2011;41(2):179–185. DOI: 10.1016/j.jsat.2011.02.005.
  3. Cury PR, Oliveira MG, de Andrade KM, et al. Dental health status in crack/cocaine-addicted men: a cross-sectional study. Environ Sci Pollut Res Int 2017;24(8):7585–7590. DOI: 10.1007/s11356-017-8404-z.
  4. Sordi MB, Massochin RC, Camargo AR, et al. Oral health assessment for users of marijuana and cocaine/crack substances. Braz Oral Res 2017;31(0):e102. DOI: 10.1590/1807-3107bor-2017.vol31.0102.
  5. Shekarchizadeh H, Khami MR, Mohebbi SZ, et al. Oral health behavior of drug addicts in withdrawal treatment. BMC Oral Health 2013;13(1):1. DOI: 10.1186/1472-6831-13-11.
  6. Locker D, Quiñonez C. To what extent do oral disorders compromise the quality of life? Community Dent Oral Epidemiol 2011;39(1):3–11. DOI: 10.1111/j.1600-0528.2010.00597.x.
  7. Reisine ST. Theoretical considerations in formulating sociodental indicators. Soc Sci Med 1981;15(6):745–750. DOI: 10.1016/0271-7123(81)90018-3.
  8. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997;25(4):284–290. DOI: 10.1111/j.1600-0528.1997.tb00941.x.
  9. van Wijk AJ, Molendijk G, Verrips GHW. OHRQoL in a sample of alcohol and drug abusers. Open Dent J 2016;10(1):338–346. DOI: 10.2174/1874210601610010338.
  10. Antoniazzi RP, Zanatta FB, Ardenghi TM, et al. The use of crack and other illicit drugs impacts oral health-related quality of life in Brazilians. Oral Dis 2018;24(3):482–488. DOI: 10.1111/odi.12786.
  11. Steele JG, Sanders AE, Slade GD, et al. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Community Dent Oral Epidemiol 2004;32(2):107–114. DOI: 10.1111/j.0301-5661.2004.00131.x.
  12. John MT, Koepsell TD, Hujoel P, et al. Demographic factors, denture status and oral health‐related quality of life. Community Dent Oral Epidemiol 2004;32(2):125–132. DOI: 10.1111/j.0301-5661.2004.00144.x.
  13. Batista MJ, Lawrence HP, De Sousa MDLR. Impact of tooth loss related to number and position on oral health quality of life among adults. Health Qual Life Outcomes 2014;12(1):1–10. DOI: 10.1186/s12955-014-0165-5.
  14. Palma PV, Caetano PL, Leite ICG. Impact of periodontal diseases on health-related quality of life of users of the Brazilian unified health system. Int J Dent 2013;2013:150357. DOI: 10.1155/2013/150357.
  15. Llanos AH, Silva CGB, Ichimura KT, et al. Impact of aggressive periodontitis and chronic periodontitis on oral health-related quality of life. Braz Oral Res 2018;32(0):e006. DOI: 10.1590/1807-3107bor-2018.vol32.0006.
  16. AlZarea BK. Oral health related quality-of-life outcomes of partially edentulous patients treated with implant-supported single crowns or fixed partial dentures. J Clin Exp Dent 2017;9(5):e666–e671. DOI: 10.4317/jced.53661.
  17. Colussi PR, Hugo FN, Muniz FW, et al. Oral health-related quality of life and associated factors in Brazilian adolescents. Braz Dent J 2017;28(1):113–120. DOI: 10.1590/0103-6440201701098.
  18. Gabardo MCL, Moysés ST, Moysés SJ. Autopercepção de saúde bucal conforme o Perfil de Impacto da Saúde Bucal (OHIP) e fatores associados: revisão sistemática. Rev Pan Salud Pública 2013;33(6):439–445.
  19. Vigu AL, Stanciu D, Lotrean LM, et al. Complex interrelations between self-reported oral health attitudes and behaviors, the oral health status, and oral health-related quality of life. Patient Prefer Adherence 2018;12:539–549. DOI: 10.2147/PPA.S159621.
  20. World Health Organization. Oral Health Surveys, Basic Methods. Geneva: World Health Organization; 2013.
  21. Almeida AA, Loureiro CA, Araujo VE. Um estudo transcultural de valores de saúde bucal utilizando o instrumento OHIP-14 (oral health impact profile) na forma simplificada. Parte I: adaptação cultural e linguística. UFES Rev Odontol 2004;6(1):6–15.
  22. Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the oral health impact profile-short form. Community Dent Oral Epidemiol 2005;33(4):307–314. DOI: 10.1111/j.1600-0528.2005.00225.x.
  23. Slade GD, Spencer AJ, Locker, D, et al. Variations in the social impact of oral conditions among older adults in South Australia, Ontario, and North Carolina. J Dent Res 1996;75(7):1439–1450. DOI: 10.1177/00220345960750070301.
  24. Slade GD, Nuttall N, Sanders AE, et al. Impacts of oral disorders in the United Kingdom and Australia. Brit Dent J 2005;198(8):489–493. DOI: 10.1038/sj.bdj.4812252.
  25. Sanders AE, Slade GD, Lim S, et al. Impact of oral disease on quality of life in the US and Australian populations. Community Dent Oral Epidemiol 2009;37(2):171–181. DOI: 10.1111/j.1600-0528.2008.00457.x.
  26. Cohen-Carneiro F, Rebelo MA, Souza-Santos R, et al. Psychometric properties of the OHIP-14 and prevalence and severity of oral health impacts in a rural riverine population in Amazonas state, Brazil. Cad Saude Publica 2010;26(6):1122–1130. DOI: 10.1590/S0102-311X2010000600006.
  27. Van Wijk AJ, Verrips GH, Kieffer JM, et al. Quality of life related to oral health among addicts. Ned Tijdschr Tandheelkd 2011;118(4):219–221. DOI: 10.5177/ntvt.2011.04.10258.
  28. Marques TC, Sarracini KL, Cortellazzi KL, et al. 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(1):38. DOI: 10.1186/s12903-015-0016-8.
  29. Casanova-Rosado JF, Vallejos-Sánchez AA, Minaya-Sánchez M, et al. Frequency of tooth brushing and associated factors in Mexican schoolchildren six to nine years of age. West Indian Med J 2013;62(1):68–72.
  30. Naik BS, Shetty N, Maben EVS. Drug-induced taste disorders. Eur J Intern Med 2010;21(3):240–243. DOI: 10.1016/j.ejim.2010.01.017.
  31. Bromley S. Smell and taste disorders: a primary care approach. Am Fam Physician 2000;61(2):427–436.
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