Drugs and Relevance to the Dental Professional GN PDF

Recreational Drugs/Substance misuse and Relevance in Dentistry Sarah Balian Oral and Dental Sciences Applied Clinical Practice DH & DT GDC Learning Outcomes Recognise psychological and sociological factors that contribute to poor oral health, the course of diseases 1.1.11 and...

Recreational Drugs/Substance misuse and Relevance in Dentistry Sarah Balian Oral and Dental Sciences Applied Clinical Practice DH & DT 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 Recognise the importance of and carry out an appropriate systematic intra- and extra-oral clinical 1.2.1 examination Recognise the significance of changes in the patient’s reported oral health status and take appropriate 1.2.3 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 Communicate effectively and sensitively at all times with and about patients, their representatives and the 3.1 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 drug misuse its prevelance in relation to the UK population. Develop and demonstrate the role of dental care professionals in delivering key general health messages. Evaluate data and deliver appropriate advice to patients and signpost where needed. Discuss the impact of common illegal drugs on oral and general health.  Assessment Formative Summative Unseen cases Unseen cases Class discussion Case presentations Clinical activity Recall of Information  Office for National Statistics Around one in five adults aged 16 to 24 years had taken a drug in the last year (21%; approximately 1.3 million people). 3.4% of adults aged 16 to 59 years had taken a Class A drug in the last year. 7.4% of adults aged 16 to 24 years had taken a Class A drug in the last year (approximately 467,000 people). 2.1% of adults aged 16 to 59 years and 4.3% of adults aged 16 to 24 years were classed as “frequent” drug users (had taken a drug more than once a month in the last year Types of substance users Stop and return to normal life Not vocal point in life Constantly drug seeking — cannot live without May bind but unlikely to be daily Social Abuser Addict What kind of drugs are we talking about? Can be prescribed as medication purposes Cannabis Methamphetamine Cocaine Heroine MDMA Ecstasy Nitrous Oxide Drug wheel What we need to consider… Treatment / Asking the drug questions interactions What does the patient want to achieve and what are their fears/expectations and desires Most substance misusers are high risk of caries due to xerostomia Key priorities — may need to write down Identification / Prevention Bare in mind drug interactions when using local E/O & I/O anaesthetic Sensitive communication Non judgemental — think of sensitivities Impact on Oral Health & General Health Resources of information Reading material Honest information about drugs | FRANK (talktofrank.com) http://www.thedrugswheel.com/ Over to you…consider the following for each drug prepare a mind map which covers each drug and the following criteria. Please see the next slide as an example. Alternative name Method of intake Methamphetamine Heroine Oral health Cocaine ‘Feeling’ created impact (link with previous material) MDMA Ecstasy Nitrous oxide General health impact Example for Cannabis