Alcohol Misuse: Oral Health Guidance
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Questions and Answers

What is one potential physiological feature of alcohol dependence?

  • Improved sleep quality
  • Tolerance to the effects of alcohol (correct)
  • Increased appetite
  • Decreased heart rate

How long must features of alcohol dependence usually be evident to be diagnosed?

  • At least 12 months (correct)
  • At least 6 months
  • At least 3 months
  • At least 1 month

What is the minimum duration of daily alcohol use that may lead to a diagnosis of dependence?

  • At least one month (correct)
  • At least one week
  • At least three months
  • At least one year

What is the term used for providing patients with feedback on their alcohol health risk and advice on reducing consumption?

<p>Identification and Brief Advice (IBA) (B)</p> Signup and view all the answers

What is a potential oral health benefit of reducing alcohol consumption?

<p>Reduced risk of oral cancer (C)</p> Signup and view all the answers

What other health condition can potentially benefit from reducing alcohol intake, besides oral cancer?

<p>Periodontal disease (A)</p> Signup and view all the answers

Which of the following is a sign of alcohol withdrawal?

<p>Withdrawal symptoms (D)</p> Signup and view all the answers

What is the purpose of using pharmacologically similar substances in relation to alcohol dependence?

<p>To prevent or alleviate withdrawal symptoms (A)</p> Signup and view all the answers

What is the safest approach to minimize health risks from alcohol consumption?

<p>Not drinking more than 14 units a week on a regular basis. (C)</p> Signup and view all the answers

If someone regularly consumes up to 14 units of alcohol per week, what is the best way to spread out their drinking?

<p>Spread the drinking evenly over 3 or more days. (D)</p> Signup and view all the answers

What is a helpful strategy for individuals aiming to reduce their alcohol consumption?

<p>Have several drink-free days a week. (B)</p> Signup and view all the answers

What action should be considered for an individual scoring 11 or 12, indicating a potential problem with alcohol?

<p>Explore the option of referral to a specialist alcohol addiction service or a GP. (B)</p> Signup and view all the answers

Why should dependent drinkers not be abruptly advised to stop drinking without support?

<p>Withdrawal can be dangerous without medical supervision. (C)</p> Signup and view all the answers

Which group is identified as having a higher rate of alcohol use and may require additional support?

<p>Homeless people. (D)</p> Signup and view all the answers

What percentage of smokers are estimated to drink above low-risk alcohol guidelines?

<p>25% (C)</p> Signup and view all the answers

What do nicotine and alcohol have in common regarding their effects on the brain?

<p>Nicotine changes how the brain responds to alcohol. (A)</p> Signup and view all the answers

Which governmental departments jointly issued the guidance?

<p>Department of Health and Social Care, the Welsh Government, the Department of Health Northern Ireland (C)</p> Signup and view all the answers

Which organization provided support in developing 'Delivering Better Oral Health'?

<p>The 4 UK Chief Dental Officers (A)</p> Signup and view all the answers

In England, among people aged 15 to 49 years, what is the leading cause of ill-health, disability, and death?

<p>Alcohol (C)</p> Signup and view all the answers

Alcohol misuse across the UK is estimated to cost how much per year?

<p>£21 to £52 billion (D)</p> Signup and view all the answers

Approximately how many admissions to hospitals each year are for alcohol-related conditions?

<p>Over 1 million (A)</p> Signup and view all the answers

Which region globally has the highest per capita consumption of alcohol?

<p>Europe (D)</p> Signup and view all the answers

Harmful use of alcohol contributes to the burden of which kind of diseases?

<p>Communicable and non-communicable diseases (A)</p> Signup and view all the answers

According to the UK Chief Medical Officers (CMOs), what is the recommended maximum number of alcohol units adults should regularly drink per week?

<p>14 units (A)</p> Signup and view all the answers

What is the volume of pure alcohol in one unit?

<p>10ml or 8g (B)</p> Signup and view all the answers

Approximately how long does it take the average adult liver to break down one unit of alcohol?

<p>One hour (C)</p> Signup and view all the answers

What does 'ABV' on a wine label indicate?

<p>Alcohol By Volume (D)</p> Signup and view all the answers

Which of the following contains one unit of alcohol?

<p>Half a pint of 'regular' beer (A)</p> Signup and view all the answers

How many units of alcohol are approximately in a 75cl bottle of 12% wine?

<p>9 (D)</p> Signup and view all the answers

Which of the following contains more than one unit of alcohol?

<p>One pint of ‘strong’ beer (D)</p> Signup and view all the answers

Which of the following contains approximately 2 units of alcohol?

<p>One 440 ml can of ‘regular’ lager (B)</p> Signup and view all the answers

If a drink has an ABV of 12%, what does that mean?

<p>12% of the drink is pure alcohol (A)</p> Signup and view all the answers

What might happen if a patient who is stopping smoking consumes alcohol?

<p>Their willpower to maintain tobacco cessation may be reduced. (B)</p> Signup and view all the answers

Which of the following is a free app mentioned in the text for monitoring alcohol consumption?

<p>Dry January (C)</p> Signup and view all the answers

What is the purpose of the AUDIT-C tool?

<p>To demonstrate practising alcohol identification and brief advice. (D)</p> Signup and view all the answers

What is the focus of the 'Health Matters: tobacco and alcohol CQUIN' publication?

<p>Preventing ill-health from alcohol and tobacco use. (D)</p> Signup and view all the answers

Where can resources like the AUDIT-C scratch card be found?

<p>Health Matters: tobacco and alcohol CQUIN. (B)</p> Signup and view all the answers

What is the recommendation regarding the order of discussing smoking and alcohol with patients?

<p>The approach depends on the health professional and the patient. (B)</p> Signup and view all the answers

Where can one find useful videos demonstrating the practice of AUDIT-C?

<p>E-learning for healthcare: Alcohol Identification and Brief Advice programme. (D)</p> Signup and view all the answers

Which resource offers guidance on both alcohol and drug misuse prevention and treatment?

<p>Alcohol and drug misuse prevention and treatment guidance (C)</p> Signup and view all the answers

What is the relationship between alcohol consumption and the risk of oral cancers?

<p>There is a significantly increased risk of oral cancers among drinkers. (A)</p> Signup and view all the answers

What is the impact of drinking alcohol during an attempt to stop smoking?

<p>It can potentially reduce the chances of effectively quitting. (C)</p> Signup and view all the answers

Which of the following is a health impact associated with alcohol consumption?

<p>Cardiovascular disease (A)</p> Signup and view all the answers

Which factor is more important for oral cancer risk, the frequency or duration of alcohol consumption?

<p>Frequency of consumption (A)</p> Signup and view all the answers

What percentage of adults in England regularly drink at levels that increase their risk of ill health?

<p>Approximately 21% (A)</p> Signup and view all the answers

In England, which gender is more likely to drink at levels of increasing risk?

<p>Men (C)</p> Signup and view all the answers

Which group is more likely to consume over 14 units of alcohol per week?

<p>Adults in the least deprived areas (C)</p> Signup and view all the answers

What is the evidence regarding 'Dry January' or similar initiatives?

<p>They may lead to a subsequent reduction in drinking. (C)</p> Signup and view all the answers

Flashcards

Joint Guidance for Oral Health

Guidance issued by UK health departments for preventing oral diseases.

Alcohol Misuse

A significant public health issue causing health, social, and economic problems in the UK.

Health Costs of Alcohol

UK alcohol misuse costs estimated between £21 and £52 billion annually.

Hospital Admissions

Over 1 million hospital admissions each year are due to alcohol-related conditions.

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Alcohol Consumption in Europe

Europe has the highest per capita alcohol consumption and related harms globally.

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Non-communicable Diseases (NCDs)

Diseases not transmitted between people; worsened by harmful alcohol use.

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Recommended Alcohol Limits

UK CMOs recommend no more than 14 units of alcohol per week for low risk.

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Screening Tools for Alcohol

Resources dental teams can use to support patients who consume alcohol.

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Unit of Alcohol

One unit equals 10ml or 8g of pure alcohol.

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ABV

Alcohol By Volume, percentage of alcohol in a drink.

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Calculating Units

Units = (volume in ml × ABV) / 1000.

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Regular Beer Unit

A half pint of regular beer is one unit.

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Wine Unit

A 250 ml glass of 12% wine equals three units.

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Strong Beer Unit

One pint of strong beer equals three units.

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Alcopop Unit

One Alcopop is equivalent to 1.5 units.

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Lager Can Unit

A 440 ml can of regular lager equals two units.

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Risks of Alcohol Consumption

Alcohol consumption is linked to various health risks, including several cancers and cardiovascular diseases.

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Safe Level of Alcohol

There is no definitively 'safe' lower limit for alcohol consumption.

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Alcohol and Smoking

Drinking alcohol while trying to quit smoking can decrease the chances of successfully stopping.

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Alcohol Impact During Pregnancy

Drinking alcohol during pregnancy can cause long-term harm to the baby.

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Frequency vs. Duration

The frequency of alcohol consumption is a greater risk factor for cancers compared to the duration of drinking years.

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Men vs. Women Drinking Patterns

In England, significantly more men than women drink at levels increasing health risks.

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Deprivation and Alcohol Consumption

Adults in less deprived areas tend to drink more than those in more deprived areas.

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Dry January Effect

Evidence suggests that having a dry month can lead to a reduction in overall drinking habits.

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Tolerance

The body's adaptation to alcohol requiring more to achieve the same effects.

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Withdrawal Symptoms

Physical and psychological effects experienced when alcohol use is reduced or stopped.

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Dependence Diagnosis

Identification of alcohol dependence typically after 12 months of heavy use.

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Intervention for Alcohol Reduction

Strategies implemented to help individuals decrease alcohol consumption.

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Oral Cancer Prevention

Reducing alcohol intake to lower the risk of oral cancers, especially with tobacco use.

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Alcohol Consumption Guidelines

It is safest not to drink more than 14 units a week.

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Identification and Brief Advice (IBA)

A method used by dentists to assess alcohol risks and provide reduction advice.

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Periodontal Disease and Alcohol

Evidence suggests reducing alcohol may improve outcomes in periodontal disease.

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Spread Drinking Days

If drinking 14 units weekly, spread it over 3 or more days.

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Drink-Free Days

Have several drink-free days a week to cut down on alcohol.

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Referral for Alcohol Issues

Patients with high scores may need referral to specialized services.

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Homelessness and Alcohol

Alcohol use is higher among vulnerable groups like homeless people.

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Tobacco and Alcohol Link

Around one quarter of smokers exceed low-risk alcohol guidelines.

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Feel-Good Chemicals

Alcohol increases feel-good chemicals, altered by nicotine.

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Person-Centered Support

Deliver advice on smoking and alcohol based on individual needs.

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Smoking and Alcohol Discussion

Health professionals may discuss smoking or alcohol first based on preference.

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Effects of Alcohol on Smoking Cessation

Alcohol can reduce willpower, making it harder to quit smoking after drinking.

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Alcohol Monitoring Apps

There are free apps to help patients track their alcohol consumption.

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Drink Free Days App

An app designed to help users monitor days when they don’t consume alcohol.

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Dry January App

An interactive tool encouraging users to abstain from alcohol for January.

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AUDIT-C

A tool used for identifying alcohol use disorders through simple questions.

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Health Matters on Tobacco and Alcohol

A resource that offers infographics and educational material on preventing health issues from these substances.

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Screening in Inpatient Settings

Guidance for assessing alcohol and tobacco use among hospitalized patients.

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Study Notes

Oral Health Guidance and Alcohol

  • This guidance is jointly issued by the Department of Health and Social Care, Welsh Government, Northern Ireland Department of Health, Public Health England, NHS England, and NHS Improvement
  • The guidance's goal is to create a consistent UK-wide approach to preventing oral diseases.

Alcohol Misuse

  • In England, alcohol is the leading cause of ill-health, disability, and death among 15-49 year olds.
  • UK-wide alcohol misuse is a significant public health problem with major health, social, and economic consequences, costing between £21 and £52 billion annually.
  • Over 1 million hospital admissions occur yearly due to alcohol-related conditions in the UK.
  • Alcohol consumption is a significant public health concern across Europe, with the highest per capita consumption and related harms globally.
  • Alcohol-related harm extends to non-communicable diseases, communicable diseases, violence, and injuries.

Alcohol and Oral Health

  • This chapter highlights the alcohol problem and summarizes the links between alcohol and oral health.
  • Dental teams can use brief advice and a screening tool to help patients who drink alcohol reduce associated oral health risks.

Alcohol and Health

  • UK Chief Medical Officers (CMOs) advise that to keep risk from alcohol low, adults should not regularly drink more than 14 units a week.
  • There is no safe lower limit for regular alcohol consumption as it adversely affects health in many ways.
  • Drinking alcohol while trying to quit smoking can reduce the chances of successful smoking cessation.
  • Alcohol has various health impacts, including cardiovascular disease, cancers. and harm to a developing baby during pregnancy.
  • Frequent high consumption of alcohol over a few years is a greater oral cancer risk than lower consumption over many years,although duration is still important.

Alcohol Consumption

  • In England, 21% of adults consume alcohol in a manner increasing their health risks, and 24% in Scotland.
  • In 2018, men in England were twice as likely to consume alcohol at high risk levels than women.
  • Younger adults drink less compared to older demographics, but their heaviest drinking days tend to be higher in amount.
  • Evidence suggests a temporary reduction in drinking occurs after a dry month like "Dry January".
  • Individuals drinking above the low-risk limit, but not dependent, experience a wide range of alcohol-related pathologies.

Units of Alcohol

  • One unit of alcohol is equivalent to 10ml or 8g of pure alcohol.
  • Alcohol by volume (ABV) is used to calculate alcohol content in drinks.
  • Figures are provided to visually represent the number of units in different drinks.

Guidelines on Alcohol

  • UK CMOs advise that keeping health risks low, it is safest for all adults not to drink more than 14 units per week.
  • Pregnant women should avoid alcohol.

Increasing Risk Drinking

  • People who drink above 14 units per week are at higher risk of ill-health.
  • Women regularly drinking more than 35 units per week and men regularly drinking more than 50 units per week are considered as high-risk drinkers.
  • Binge drinking is consuming more than 6 units of alcohol in a single session or more than 8 units for men.
  • Risk of harm from this behaviour may already be present, even if not immediately evident.
  • The risk for both genders increases with consumption amount.

Alcohol Dependency

  • It is a disorder of alcohol use regulation.
  • Characterized by a strong internal drive to use alcohol, prioritization over other activities, and persistence of use despite negative consequences.
  • Includes tolerance to alcohol, withdrawal symptoms upon cessation or reduction in use, and repeated alcohol or similar substance use to prevent or relieve withdrawal symptoms.
  • Diagnosable after 12 months of continuous or almost daily alcohol use.

Interventions and Support

  • Brief interventions for alcohol, especially when combined with tobacco prevention, are helpful in preventing oral cancer and providing patient support.
  • Motivational interviewing, CBT, in combination with brief interventions, are effective tools in addressing alcohol dependence.
  • Identifying patients, feeding back risk information, and providing advice or cutting down tools can help in risk reduction.
  • Dental teams have a role to play in identifying individuals at risk of harm from heavy drinking, and offer brief advice.

Screening Tool

  • AUDIT-C (Alcohol Use Disorders Identification Test—Consumption) is a useful screening tool.
  • AUDIT-C can be applied to identify high-risk patients.
  • Providing advice based on their level of risk is possible using advice tools.

Vulnerable People

  • Homeless individuals and others in specific situations are particularly vulnerable regarding alcohol problems.
  • Risk factors like these circumstances increase the risk involved in alcohol consumption.

Combined Behaviors (Tobacco and Alcohol)

  • Tobacco and alcohol use are linked behavioral patterns.

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Related Documents

Chapter 12 - Alcohol - GOV.UK PDF

Description

Guidance on preventing oral diseases, jointly issued by health organizations. Alcohol misuse in the UK leads to significant health, social, and economic consequences, including hospital admissions and increased risk of diseases and injuries. Alcohol consumption is a major public health concern across Europe.

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