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

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

Alcohol and Relevance in Dentistry - Brief Intervention and Advice – Part 2 Sarah Balian Oral and Dental Sciences GDC Learning Outcomes Recognise psychological and sociological factors that contribute to poor oral health, the course of diseases 1.1.11 and the success of treatment 1.2.1 Recognise the importance of and carry out an appropriate systematic intra- and extra-oral clinical examination 1.2.3 Recognise the significance of changes in the patient’s reported oral health status and 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 long-term oral health 1.10.3 and general health Describe the health risks of diet, drugs and substance misuse, and substances such as tobacco and alcohol 1.10.6 on oral and general health and provide appropriate advice, referral and support 3.1 Communicate effectively and sensitively at all times with and about patients, their representatives and the general public difficult circumstances, such as when breaking bad news, and when discussing issues, such as alcohol 3.1c 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 Therapist Tertiary Clinical Dental technician Guidance for Dental Professionals Delivering Better Oral health – November 2021 Chapter 12: Alcohol - GOV.UK (w ww.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 risk Higher Risk Score 0- 4 Score 5 - 10 Score 11 -12 Not exceeding 14 units Advise level of drinking Drinking could be per week increasing risk of ill becoming a problem. health Inform low risk of long Consider referral to or short health harm Not safe to drink more specialist addiction than 14 units per week service or GP. Congratulate Positive feedback If you do drink more Do NOT advise to stop than 14 units – spread drinking as they may over at least 3 days need support to do so safely. Have several drink-free days a week Apps NHS Brief Advice about alcohol & your health  Efficacy Kane E F, Beyer F, Dickinson H O et al. Effectiveness of brief alcohol There is good evidence interventions in primary care that brief advice in primary populations. Cochrane Database care is effective. A Syst Rev 2007; 2: CD004148. Cochrane review found that it consistently led to reductions in alcohol Neff J A, Kelley M L, Walters consumption. S T et al. Effectiveness of a Screening and Brief Additionally, a randomised Intervention protocol for controlled trial in dental heavy drinkers in dental practice found that practice: A cluster- screening and brief randomized trial. J Health intervention for heavy Psychol 2015; 20: 1534– drinkers resulted in 1548. 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-evid ence-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)