Alcohol and Relevance in Dentistry - Impact of Alcohol on Oral & General Health - Part 3 PDF

Alcohol and Oral Health – Part 3 And general health 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....

Alcohol and Oral Health – Part 3 And general health 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 systema:c intra- and extra-oral clinical examina:on 1.2.3 Recognise the signi>cance of changes in the pa:ent’s reported oral health status and take appropriate ac:on 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 pa:ent care with a preven:ve approach that contributes to the pa:ent’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 eJec:vely and sensi:vely at all :mes with and about pa:ents, their representa:ves and the general public diKcult circumstances, such as when breaking bad news, and when discussing issues, such as alcohol 3.1c consump:on, smoking or Intended Learning Outcomes Outline the relevance of alcohol consump:on and its health impact in rela:on to the UK popula:on. Develop and demonstrate the role of dental care professionals in delivering key general health messages. Screen pa:ents with recommended screening toolkits Evaluate data and deliver appropriate advice to pa:ents and signpost where needed. Discuss the impact of alcohol on oral and general health.  Assessment Forma:ve Summa:ve Unseen cases Unseen cases Class discussion Case presenta:ons Clinical ac:vity  Not limited to this list Oral e>ects of Alcohol Cancer Periodontal Disease 1 8 Halitosis 2 7 Tooth Wear Trauma 3 6 Caries 4 5 Staining Self-care  Biggest risk of alcohol Other issues associates with it -smoking and alcohol 40% more likely to suffer from oral cancer Doesn’t always have to be associated with alcohol and smoking Cancer Read this arKcle and place your reasons for alcohol and increased risk of oral cancer on discussion board Why I think alcohol increases risk of oral cancer Alcoholic based mouthwashes also included  Increased level of alcohol xerostomia = increased chance of malodor Halitosis Subjec:ve Increased level of vola:le sulphur compounds in daily drinkers to non daily drinkers Proposal of theories of malodour  Trauma Over a decade ago 22% of all facial traumas was related to alcohol consump:on. Addi:onally, the prevalence of dental trauma is signi>cantly higher in those that binge drink A posi:ve associa:on has also been found between high alcohol consump:on and the life:me risk of dental trauma  Red wine Also absorbed by the pelicle — sits on pelicle and leads to staining Staining Stains composite more than tea and coffee  Periodontal Disease Place your thoughts and Pndings regarding alcohol and periodontal disease Increased bleeding on discussion board. Impact on periodontal pathogens Immunological pro-inVammatory cytokines Lagos J P, Costa F, Corelli S et al. Alcohol consump:on and periodon::s: quan:>ca:on of periodontal pathogens and cytokines. J Periodontol 2015; 86: 1058–1068 Compliance / immunosuppression / diet  Often fizzy mixers that go with alcohol drink Do not drink in one go SarreJ D C, ColeL D P, Peluso A R. The eOects of alcoholic beverages on composite wear. Tooth wear Dent Mater 2000; 16: 62–67. Pa:ents with chronic alcoholism have signi>cantly more wear. Commonly palatal surfaces of upper anteriros. It has also been demonstrated that drinks with a greater than 9% alcohol volume can result in the wear of composites pH of alcoholic and mixer drinks  Caries Mul:-factorial More caries found in alcohol dependent groups compared to social drinkers Consider – salivary Vow? BuJering capacity? Sugar in alcoholic drinks and mixers? Pace of drinking? Cravings? Self-care?  Sugar content of alcoholic and mixer drinks Self care Link about the impact of frequent increased above recommended allowance of alcohol: Place your thoughts and Pndings regarding alcohol and self care on discussion board. Required Reading Please refer to reading material on Moodle Page. AddiKonal reading Harris C K, Warnakulasiriya K A, Johnson N W, Gelbier S, Peters P J. Oral health in alcohol misusers. Community Dent Health 1996; 13: 199–203 Sarref D C, Coleg D P, Peluso A R. The eJects of alcoholic beverages on composite wear. Dent Mater 2000; 16: 62–67 Tezal M, Grossi S, Ho A, Genco R. Alcohol consump:on and periodontal disease. The Third Na:onal Health and Nutri:on Examina:on Survey. J Clin Periodontol 2004; 31: 484–488. Tezal M, Grossi S, Ho A, Genco R. The eJect of alcohol consump:on on periodontal disease. J Periodontol 2001; 72: 183–189. Alcohol and General Health  Alcohol and physical health Linked to more than 60 diseases and condi:ons Can be divided into Short-term and Long-term health risks. Short-term health risks Alcohol poisoning Injuries Violence reproducKve health  Long term health risks Refer to liver disease lecture Cancer – group 1 carcinogen (IARC) – causa:ve factor in cancers oral & other body. Weight gain and links