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Oral health behavior of in-treatment female drug addicts in Tehran
Mehrdad Ghane, Seyed Jalal Pourhashemi, Ahmad Jafari, Hajar Shekarchizadeh,
Volume 29, Issue 1 (7-2016)
Abstract

Background and Aims: The aim of this study was to assess the oral health behaviors in women with addiction history.

Materials and Methods: A cross-sectional study was carried out in women drug treatment centers under the supervision of Welfare Organization of Tehran province in Iran. Data collection process was conducted in three centers including a questionnaire with an interview format, clinical examination, and Chi-Square test and MANOVA for statistical analysis.

Results: The mean age of 95 women participating in this study was less than forty, whereas the age of starting drugs was twenty two. A majority of the patients were unemployed (71%) and more than that of two-third did not have a diploma education. Almost half of dentate participants had never or rarely brushed their teeth. Most of them had never used dental floss, while more than half had three or more times snacks or sweet drinks and more than three-fourth were daily smokers. The MANOVA analysis showed that the type of clinic to be visited, age, used stimulant, drug dependency length, the last time a dentist being visited and the brushing period had a statistically significant relationship with Decayed Teeth (DT), Missing Teeth (MT) and Filled Teeth (FT) (P<0.05).

Conclusion: Women with the prior drug addiction history had an unpromising oral health status which was obvious in their self-perceived oral health. Taking the appropriate preventive and therapeutic actions aiming for promoting oral health status of them seems to be necessary.


Oral health status and oral health related quality of life among patients with substance use in Isfahan province
Bahareh Tahani, Soroush Mohammadzadeh, Amin Reiszadeh,
Volume 38, Issue 0 (4-2025)
Abstract
Background and aims: Substance abuse is recognized as a serious public health issue. The aim of this study was to comprehensively assess the correlation between the substance use and oral health status  as well as its impact on the quality of life of addicts in a multi-center approach.
Materials and Methods: In this cross- sectional and analytical study in year 2023, individuals with a history of addiction who visited addiction treatment centers in Isfahan province were recruited conveniently and examined through questionnaires (about demographic information, methods of substance use, oral health behaviors, the use of dental services, and perceived oral health) and clinical examinations. The oral health-related quality of life (OHQOL) was assessed using the OHIP-14 questionnaire. Clinical examinations assessed DMFT, gingival index, mucosal lesions, temporomandibular joint disorder, and treatment needs of the individuals. Data were analyzed using ANOVA, t-tests, and linear regression models (α=0.05).
Results: 232 individuals with age of 45 ± 9.9, mostly male (94.8%) and married (68.5%) were recruited. About 50% of individuals never brushed their teeth. A total of 123 individuals (53%) used substances with moderate harm intensity (opium, hashish and cannabis). Pigmentation was the most common oral lesion. The mean DMFT was 19.27 ± 3 and the perceived oral health mean was 4.53 ±2.98 (out of 10). A total of 187 individuals (80.6%) required prosthetic treatment. The mean OHQOL was 15.93 ± 11.6. Functional limitation had the lowest (1.53), and psychological discomfort had the highest score (3.31) among the seven domains of OHQOL. The linear regression model (P<0.001 and R2=24%) found that the use of high-risk psychoactive substances, oral health behaviors, and age contributed to changes in DMFT. The OHIP linear regression model (P<0.001 and R2=36%) revealed that the duration of addiction, perceived oral health, age, self-employment, government jobs, and retirement contributed to changes in OHIP.
Conclusion: Compared to the general population, addicts have poorer oral health behaviors and more oral health problems, which significantly reduce their oral health-related quality of life.

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