Alcohol and Relevance in Dentistry - Brief Intervention and Advice - Part 2 PDF

Alcohol and Relevance in Dentistry - Brief Intervention and Advice – Part 2Balian Sarah Oral and Dental Sciences GDC Learning Outcomes Recognise psychological and sociological factors that contribute to poor oral health, the 1.1.11 course of diseases and the success of treatme...

Alcohol and Relevance in Dentistry - Brief Intervention and Advice – Part 2Balian Sarah Oral and Dental Sciences GDC Learning Outcomes Recognise psychological and sociological factors that contribute to poor oral health, the 1.1.11 course of diseases and the success of treatment Recognise the importance of and carry out an appropriate systematic intra- and extra- 1.2.1 oral clinical examination Recognise the significance of changes in the patient’s reported oral health status and 1.2.3 take appropriate action 1.7.7 Refer to other members of the dental team or other health professionals 1.7.8 Recognise the need for and make arrangements for appropriate follow-up care Underpin all patient care with a preventive approach that contributes to the patient’s 1.10.3 long-term oral health and general health Describe the health risks of diet, drugs and substance misuse, and substances such as 1.10.6 tobacco and alcohol on oral and general health and provide appropriate advice, referral and support Communicate effectively and sensitively at all times with and about patients, their 3.1 representatives and the general public difficult circumstances, such as when breaking bad news, and when discussing issues, 3.1c such as alcohol consumption, smoking or Intended Learning Outcomes Outline the relevance of alcohol consumption and its health impact in relation to the UK population. Develop and demonstrate the role of dental care professionals in delivering key general health messages. Screen patients with recommended screening toolkits Evaluate data and deliver appropriate advice to patients and signpost where needed. Discuss the impact of alcohol on oral and general health.  Assessment Formative Summative Unseen cases Unseen cases Class discussion Case presentations Clinical activity  Any setting Specialist Dentist Primary Dental Therapist Dental Hygienist Secondary Dental Nurse Orthodontic Tertiary Therapist Clinical Dental technician Guidance for Dental Professionals Delivering Better Oral health – November 2021 Chapter 12: Alcohol - GOV. UK (www.gov.uk) Medico-legally Oral cancer (theddu.com) Knowing units AUDIT C – Alcohol Use Disorders Identification Test for Consumption Limits of Alcohol Historically different levels Both are now advised not to regularly drink more than 14 units per week There is no safe level of alcohol consumption Spread over 3 days or more No alcohol in pregnancy Knowing Units Know your units – how are they calculated? Identification & Brief Advice (IBA)  Lower risk Increased Higher Risk Score 0- 4 risk Score 11 -12 Not exceeding 14 Score Advise 5 of level - 10 Drinking could be units per week drinking increasing becoming a risk of ill health problem. Inform low risk of long or short health Not safe to drink Consider referral to harm more than 14 units specialist addiction per week service or GP. Congratulate Positive feedback If you do drink Do NOT advise to more than 14 units stop drinking as – spread over at they may need least 3 days support to do so safely. Have several drink- Apps NHS Brief Advice about alcohol & your health  Kane E F, Beyer F, Efficacy Dickinson H O et al. There is good evidence Effectiveness of brief that brief advice in primary alcohol interventions in care is effective. A primary care populations. Cochrane review found Cochrane Database Syst that it consistently led to Rev 2007; 2: CD004148. reductions in alcohol consumption. Neff J A, Kelley M L, Walters Additionally, a randomised S T et al. Effectiveness of a controlled trial in dental Screening and Brief practice found that Intervention protocol for screening and brief heavy drinkers in dental intervention for heavy practice: A cluster- drinkers resulted in randomized trial. J Health Signposting for professional help https://www.e-lfh.org.uk/programmes/alcohol/ Drink less - Better Health - NHS (www.nhs.uk) https://www.nhs.uk/live-well/alcohol-support/ https://www.alcoholics-anonymous.org.uk/ Find Alcohol addiction services - NHS (www.nhs.uk Required reading and resources https://www.gov.uk/government/publications/delivering-better-oral- health-an-evidence-based-toolkit-for-prevention/chapter-12-alcohol UK government. Alcohol use disorders identification test consumption (AUDIT C). London: UK Gov; 2019. 2e917707-7c70-7978-37fb-14d41f2dd14a (800×1067) (khub.net)