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  • A systematic review and meta-analysis of the association between poor oral health and substance abuse

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    Baghaie167066-Accepted.pdf (684.1Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Baghaie, Hooman
    Kisely, Steve
    Forbes, Malcolm
    Sawyer, Emily
    Siskind, Dan J
    Griffith University Author(s)
    Baghaie, Hooman
    Kisely, Steve R.
    Year published
    2017
    Metadata
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    Abstract
    Background and aims: Substance use disorders are associated commonly with comorbid physical illness. There are fewer data on dental disease in these conditions, in spite of high rates of dry mouth (xerostomia), as well as the associated indirect or life-style effects such as poverty and lack of access to care. We compared the oral health of people with substance use disorders (SUDs) with non-using controls. Method: This was a systematic search for studies from the last 35 years of the oral health of people reporting SUDs. We used MEDLINE, PsycInfo, OVID, Google Scholar, EMBASE and article bibliographies. Results were compared ...
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    Background and aims: Substance use disorders are associated commonly with comorbid physical illness. There are fewer data on dental disease in these conditions, in spite of high rates of dry mouth (xerostomia), as well as the associated indirect or life-style effects such as poverty and lack of access to care. We compared the oral health of people with substance use disorders (SUDs) with non-using controls. Method: This was a systematic search for studies from the last 35 years of the oral health of people reporting SUDs. We used MEDLINE, PsycInfo, OVID, Google Scholar, EMBASE and article bibliographies. Results were compared with the general population. Oral health was assessed in terms of dental caries and periodontal disease using the following standardized measures: the mean number of decayed, missing and filled teeth (DMFT) or surfaces (DMFS) and probing pocket depth. Non-carious tooth loss was assessed clinically. Results: We identified 28 studies that had sufficient data for a meta-analysis, comprising 4086 SU patients and 28 031 controls. People with SUD had significantly higher mean scores for DMFT [mean difference = 5.15, 95% confidence interval (CI) = 2.61–7.69 and DMFS (mean difference = 17.83, 95% CI = 6.85–28.8]. They had more decayed teeth but fewer restorations, indicating reduced access to dental care. Patients with SUD also exhibited greater tooth loss, non-carious tooth loss and destructive periodontal disease compared to controls. Conclusion: Patients with substance use disorders have greater and more severe dental caries and periodontal disease than the general population, but are less likely to have received dental care.
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    Journal Title
    Addiction
    Volume
    112
    Issue
    5
    DOI
    https://doi.org/10.1111/add.13754
    Copyright Statement
    © 2017 Society for the Study of Addiction. This is the peer reviewed version of the following article: A systematic review and meta-analysis of the association between poor oral health and substance abuse, Addiction, 2017, 112 (5), pp. 765-779, which has been published in final form at https://doi.org/10.1111/add.13754. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
    Subject
    Biomedical and clinical sciences
    Psychology
    Science & Technology
    Life Sciences & Biomedicine
    Substance Abuse
    Psychiatry
    Addiction
    Publication URI
    http://hdl.handle.net/10072/405560
    Collection
    • Journal articles

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