School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, University Blvd., Arghavanieh, East Jey St., Isfahan, Iran.
Community Health Research Center, Department of Community Oral Health, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, University Blvd., Arghavanieh, East Jey St, P.O. Box: 81595-158, Isfahan, Iran.
BMC Oral Health. 2021 Aug 19;21(1):409. doi: 10.1186/s12903-021-01764-0.
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.
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).
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).
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.
关于非法药物对口腔健康相关生活质量的影响知之甚少。我们的目的是调查物质使用障碍患者的口腔健康相关生活质量及其与龋齿经历和药物使用情况的关系。
2016 年，我们在伊朗伊斯法罕采用分层聚类随机抽样方法对 267 名接受治疗的物质使用障碍患者进行了横断面研究。自填式问卷要求参与者提供人口统计学和药物使用情况。一名经过培训的牙科学生利用日常口腔活动影响量表（OIDP）进行个人访谈。临床检查记录龋齿经历。T 检验、方差分析、皮尔逊和斯皮尔曼相关系数、线性回归模型用于统计分析（p<0.05）。
绝大多数参与者报告过去使用过鸦片（85%），其次是海洛因（42.7%）和安非他命（20.2%）。最常见的给药途径是联合途径（44.6%），其次是吸烟（36.7%）。OIDP 的平均得分为 22.4±8.6。高达 74.1%的参与者报告至少有一种 OIDP 影响。最常见的 OIDP 影响是“进食困难”（64.8%）。最常见的影响原因是“龋齿”和“牙齿缺失”。OIDP 与患者的人口统计学和药物使用情况之间没有显著关联（p>0.05）。龋齿经历较高的参与者报告了更大的 OIDP（p<0.05）。
物质使用障碍患者的日常活动受到口腔影响。龋齿经历较高的患者报告了更大的 OIDP。因此，除了对口腔健康进行规范评估外，临床医生还应考虑患者自我报告的口腔问题，以及口腔状况的社会和心理方面。
