Kumar Gunjan, Rai Shilpa, Sethi Alok Kumar, Singh Akhilesh Kumar, Tripathi Ranjan Mani, Jnaneswar Avinash
Department of Public Health Dentistry, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India.
Department of Oral and Maxillofacial Surgery, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India.
Natl J Maxillofac Surg. 2021 Jan-Apr;12(1):50-55. doi: 10.4103/njms.NJMS_152_20. Epub 2021 Mar 16.
Oral health of drug abusers has received less attention. Drug users may also have special needs in relation to receiving dental care. Evaluation of the oral health status of drug abusers is important as in India, where the disease burden is enormous, and availability of curative treatment is quite inadequate, preventive approach shall prove to be better than curative treatment.
To determine the oral health status and treatment needs of drug abusers residing in rehabilitation centers in Bhubaneswar.
A cross-sectional study was conducted in the drug de-addiction cum rehabilitation centers in Bhubaneswar city, Odisha. A self-administered questionnaire was used to record oral health practices of the inmates and the type of drugs used by them in the past. Oral health was recorded using modified WHO 2013 pro forma. Mann-Whitney -test and Kruskal-Wallis test were applied to find any significant differences between different variables in groups.
All the participants were male and alcohol was the most commonly used drug, followed by tobacco and ganja. The horizontal brushing technique was the most widely used technique. Mean decayed, missing, and filled teeth (DMFT) score was recorded to be 1.48. Leukoplakia, acute necrotizing ulcerative gingivitis, candidiasis, and ulceration were among the few oral lesions found in the inmates. Around 67.66% of inmates exhibited erosion of the enamel surface, while 6.59% had signs of enamel fracture. Statistically, significant difference was found for the types of drugs used and DMFT score and type of drug used and dental erosion.
Oral health status of drug users is poor and needs immediate attention. Oral health education needs to be imparted among them. The government needs to enforce the establishment of dental clinics in these centers so that the oral health of these people can be taken care of.
药物滥用者的口腔健康受到的关注较少。吸毒者在接受牙科护理方面可能也有特殊需求。评估药物滥用者的口腔健康状况很重要，因为在疾病负担巨大且治疗手段相当不足的印度，预防措施应被证明比治疗更为有效。
确定居住在布巴内斯瓦尔康复中心的药物滥用者的口腔健康状况和治疗需求。
在奥里萨邦布巴内斯瓦尔市的戒毒兼康复中心进行了一项横断面研究。使用一份自填式问卷记录 inmates 的口腔健康习惯以及他们过去使用的药物类型。使用经修改的 2013 年世界卫生组织表格记录口腔健康状况。应用 Mann-Whitney 检验和 Kruskal-Wallis 检验来发现组内不同变量之间的任何显著差异。
所有参与者均为男性，酒精是最常用的药物，其次是烟草和大麻。水平刷牙法是使用最广泛的刷牙方法。记录的平均龋失补牙数（DMFT）得分为 1.48。白斑、急性坏死性溃疡性龈炎、念珠菌病和溃疡是在 inmates 中发现的少数口腔病变。约 67.66%的 inmates 表现出牙釉质表面侵蚀，而 6.59%有牙釉质骨折迹象。在统计学上，发现所使用药物的类型与 DMFT 得分以及所使用药物的类型与牙釉质侵蚀之间存在显著差异。
吸毒者的口腔健康状况较差，需要立即关注。需要对他们进行口腔健康教育。政府需要强制在这些中心设立牙科诊所，以便能够照顾到这些人的口腔健康。
