Oral and dental health of users of psychoactive substances  at the Andranomena centre in Toliara

Randriamalala Njarasoa Charlette; Andriamanjato Hasina Menja; Andrianjafinoro Tsiriniaina Hasinjanahar; Rakotonirina Faliniaina Paul; Ramaroson Juvence

Randriamalala Njarasoa Charlette University of Mahajanga Madagascar
Andriamanjato Hasina Menja University Hospital, Tuléar, Madagascar
Andrianjafinoro Tsiriniaina Hasinjanahar University of Mahajanga Madagascar
Rakotonirina Faliniaina Paul University of Mahajanga Madagascar
Ramaroson Juvence University of Mahajanga Madagascar

Keywords: users of psychoactive substances, oral condition, CAO index, periodontal condition

Abstract

The use of psychoactive substances can have a negative impact on general health, social life and oral health. The consequences from an oral health point of view are manifold and will depend on the products consumed, the mode of consumption, the duration of the addiction and the quantity ingested.

The aim of this study was to evaluate the oral and dental condition of drug addicts at the Foyer d'amitié Andranomena Toliara support centre for the mentally ill.

Our sample consisted of 40 male patients, with an average age of 26.8 years. Cannabis use alone was reported by 37.5% of patients, and co-addiction with alcohol was recorded in 27.5% of cases and 22.5% for tobacco.

The DCAO index was 17.4 for 11.2 decayed teeth, 5.4 missing teeth and 0.8 filled teeth.

For periodontal status, we used the Community Periodontal Index in Treatment Needs (CPITN). According to the CPITN scale, 85% of patients were in code 2, requiring scaling and oral hygiene education.

Patients who use psychoactive substances are at high risk of dental caries and periodontal disease. Oral and dental care is necessary to improve patients' quality of life.

Author Biographies

Randriamalala Njarasoa Charlette, University of Mahajanga Madagascar

Formerintern in Odontostomatology, Institute of Tropical Odonto-Stomatology of Madagascar,

Andriamanjato Hasina Menja, University Hospital, Tuléar, Madagascar

former intern in psychiatric,

Andrianjafinoro Tsiriniaina Hasinjanahar, University of Mahajanga Madagascar

Formerintern in Odontostomatology, Institute of Tropical Odonto-Stomatology of Madagascar,

Rakotonirina Faliniaina Paul, University of Mahajanga Madagascar

Formerintern in Odontostomatology, Institute of Tropical Odonto-Stomatology of Madagascar,

Ramaroson Juvence, University of Mahajanga Madagascar

Full Professor in Odontostomatology, Institute of Tropical Odontostomatology of Madagascar,

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