Assessment of the dental status of drug-addicted patients with parafunction of the dental-jaw apparatus
DOI:
https://doi.org/10.26641/2307-0404.2021.1.228019Keywords:
parafunctions, drug addiction, bruxism, dentin, enamelAbstract
The number of drug addicts in the world is growing every year. The aim of the study was to assess the dental status of drug-addicted patients with parafunction of the dental-jaw apparatus. We used clinical, analytical, functional and histological research methods. 119 drug-addicted and 110 non-drug-dependent patients aged 18 to 54 were examined. In order to confirm the presence of parafunctions of the dental-jaw apparatus in patients, we conducted an occludogram study, as well as an assessment of the index of parafunctions of the masticatory muscles and the degree of their severity. The structure of tooth tissues was examined by histological method. Examination of drug-addicted patients revealed the presence of numerous carious cavities, secondary adentia, enamel erosion, pathological abrasion, signs of gingivitis and periodontitis, tooth chipping. The prevalence of parafunction of the dental-jaw apparatus, in particular bruxism, in drug-addicted patients is 1.56 times higher than this figure among non-drug addicts. The results of the occludogram and the index of parafunctions of the masticatory muscles differ significantly between the study groups. The mean value of the masticatory muscle parafunction index among drug-addicted patients is 2.06 times significantly higher than the value among non-drug-addicted men and 2.03 times higher among women. Histological examination of the tooth tissues of drug-addicted patients indicates a disorder of the mineralization of both enamel and dentin. Thinning of the peripheral zone of the pulp, which is normally represented by a layer of odontoblasts, which provide regeneration and nutrition of dentin, is more common in persons under 25 years of age. Drug use adversely affects the dental status of patients and the condition of the hard tissues of the tooth.
References
Antomonov MYu. [Mathematical processing and analysis of medical and biological data]. Kyiv: MYTs «Medynform». 2018. p. 579. ISBN 978-966-409-202-6. Russian.
Boichenko OM, Petrushanko TM, Popovych IYu. [Periodontal condition of people taking various drugs]. Svit medytsyny ta biologii. 2019;2(68):16-19. Ukrainian. doi: https://doi.org/10.26724/2079-8334-2019-2-68-16-19
Bugorkova IA. [The prevalence of dental diseases in drug addicted patients for the development of a program to reduce risks]. Ukraina. Zdorovia natsii. 2015;2(34):28-31. Russian.
Zubachyk VM, Fedun IR. [Biochemical parameters of oral fluid in drug-addicted patients with chronic generalized periodontitis]. Klinichna stomatologiia. 2017;2:9-15. Ukrainian. doi: https://doi.org/10.11603/2311-9624.2017.2.7741
Evstratenko VV, Sevbitov AV, Platonova VV, Selifanova EI, Dorofeev AE. [Features of crystallization of mixed saliva in patients using heroin and methadone]. Klinicheskaya laboratornaya diagnostika. 2018;63(4):223-7. Russian.
doi: http://dx.doi.org/10.18821/0869-2084-2018-63-4-223-227
Sokolova II, Savielieva NM. [Features of dental care and professional communication with drug addicts]. Klinichna stomatologiia. 2015;2:77-82.
Flejsher G. [Index estimation of the high-mandibular joint pathology. A guide for doctors]. Litres. 2019. p. 260. Russian.
Antoniazzi RP, Zanatta FB, Rosing CK, Feldens CA. Association among periodontitis and the use of crack cocaine and other illicitdrugs. J Periodontol. 2016;87:1396-405. doi: http://dx.doi.org/10.1902/jop.2016.150732
Baghaie H, Kisely S, Forbes M, Sawyer E, Sis¬kind, DJ. A systematic review and meta-analysis of the association between poor oral health and substance abuse. Addiction. 2017;112:765-79. doi: http://dx.doi.org/10.1111/add.13754
Bush MMA. An oral cavity profile in illicit – Drug abusers? J Indian Soc Periodontol. 2019;23(6):517-24. doi: http://dx.doi.org/10.4103/jisp.jisp_716_18
Bahdila D, Aldosari M, Abdullah A, Nelson JL, Hegazi F, Badamia R. Cocaine, polysubstance abuse, and oral health outcomes, NHANES 2009 to 2014. Journal of Periodontology. 2020;91(8):1039-48. doi: http://dx.doi.org/10.1002/JPER.19-0509
Cury PR, Oliveira MG, de Andrade KM, de Freitas MDS, Santos JND. Dental health status in crack/cocaine-addicted men: a cross-sectional study. Environmental science and pollution research international. 2017;24(8):7585-90. doi: http://dx.doi.org/10.1007/s11356-017-8404-z
Klima M, Altenburger MJ, Kempf J, Auwärter V, Neukamm MA. Determination of medicinal and illicit drugs in post mortem dental hard tissues and comparison with analytical results for body fluids and hair samples. Forensic Science International. 2016;265:166-71. doi: http://dx.doi.org/10.1016/j.forsciint.2016.02.021
Suvarna K, Layton C, Bancroft J. Theory and practice of histological techniques. London: Churchill Livingstone; 2018. p. 672. eBook ISBN: 9780702068874.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Medicni perspektivi (Medical perspectives)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.
