quality of life measures: influence of lifestyle on oral health

Quality of life measures: Influence

of lifestyle on oral health

Ahmad Zulkhairi Bin Resali (1090046)

Aishah Binti Shahrir (1090031)

DAC 5061: COMMUNITY DENTISTRY VIII

Introduction

"...make not your own hands contribute to your destruction..." (Qur'an 2:195)

"...nor kill yourselves..." (Qur'an 4:29)

Any behavior which harm the body can be deemed as suicide attempt, and suicide attempt is a sin in Islam

Lifestyle and oral health

Oral health [state of being free from chronic mouth and facial pain, oral and throat cancer, oral sores, birth defects such as cleft lip and palate, periodontal (gum) disease, tooth decay and tooth loss, and other diseases and disorders that affect the oral cavity] (WHO).

Lifestyle defined as the way in which a person of group lives, which includes the social values, attitudes and activities.

Lifestyle factors that may affect oral health

① Smoking

Effect of smoking to the oral:reduction of neutrophil viabilitydecrease blood flowimpaired wound healingincrease periods of disease

progression. provide a favorable habitat for

periodontal pathogens

Smokers have higher risk of:

periodontal attachment or bone loss

deeper periodontal pocket depthmore sites with deeper pocketsmore missing molar teethgreater loss of alveolar bone

height

②Alcohol

Oral cancer dehydrating effect of alcohol

Dental erosion high sugar + acidic content

Delayed healing irritate oral tissue

③Daily diet

Sugar consumption caries

Solid diet fracture

Carbonated drink/juices dental erosion

High frequency of intake

Poor diet + poor OH periodontal disease

④Stress

Canker sores – unknown reason

Bruxism dental attrition

Dry mouth – also by drugs

⑤Other habit

1. Oral piercing midline of anterior one third of the

tongue

2. Tongue splitting a person’s tongue is split into two

pieces, creating a forked appearance

Complication: pain, swelling, infection, bleeding, scar etc

3. Use of recreational drugs

Drug → increasing euphoria, blocking unhappy memories or creating pleasure.

Eg: ecstasy, amphetamines, methamphetamines, marijuana and heroin

Complication to the oral cavity: tooth loss dry mouth increase sugar craving.

Prevention or reducing the risk of oral disease

Annual dental check up at least once every six months

Brush teeth at least twice a day and floss at least once a day

Eat a well balanced diet Avoid activities that may harm the oral tissues

such as smoking, oral piercing and use of recreational drugs

Try to manage stress so that is will not cause any significant damage to the oral health

Self check up

Geriatric Oral Health Assessment Index (GOHAI)

GOHAI

Provides information of people’s self reported oral functional problems

Related to both clinical measures of oral health + subject’s SES

Reliable in all samples regardless of age, race, ethnic, etc

Can be used to measure outcome of dental treatment

Oral Health Impact Profile (OHIP)

OHIP

To provide a social impact measure of oral disorders.

Concerned with impairment and three functional status dimensions (physical, psychological and social).

It excludes the perceptions of satisfaction with oral health, prognosis or self-reported diagnoses.

Issues in Faculty of Dentistry USIM

1. Smoking cessation program Importance of smoking cessation

program: Reduce the incidence of diseases; lung

cancer, oral cancer, CHD, COPD,etc

reduce the severity of the disease; reduce the risk of recurrent heart attack

No implementation of the program in FOD USIM.

2. Diet analysis

Mainly for patients with high caries risk (paediatric patients).

The importance of diet analysis: Caries risk assessment

How about the adult patient? Success of the program? How to overcome?

Conclusion

The oral health is greatly affected by the lifestyle that we lead.

The advancement in technology and knowledge of oral diseases enable people to create an attempt to at least identify thus prevent the disease formation before it even occurs.

References

Slade GD, ed. Measuring Oral Health and Quality of Life. Chapel Hill: University of North Carolina, Dental Ecology 1997.

El Osta et al.: Comparison of the OHIP-14 and GOHAI as measures of oral health among elderly in Lebanon. Health and Quality of Life Outcomes 2012 10:131.

Lifestyle [internet]. College of Dental Surgeons of Saskatchewan. 2014 [cited 2014 Feb 26]. Available from: http://www.saskdentists.com/lifestyle.html

Lifestyle tips for healthy teeth. National Health Service. 2013 [updated 2013 Dec 2, cited 2014 Feb 26]. Available from: http://www.nhs.uk/Livewell/dentalhealth/Pages/Keepteethhealthy.aspx