Dor de origem dentária e utilização dos serviços odontológicos pelos usuários de substâncias psicoativas da Região Metropolitana de Vitória-ES

Abstract

The use of psychoactive substances results in mental and behavioral disorders, with negative consequences in oral health and life quality. The aim of this study was to define the dental pain prevalence and the dental services use and their associations in Centros de Atenção Psicossocial Álcool e Drogas (CAPS AD) patients in Vitória Metropolitan Region, ES, Brazil. A transversal study was conducted and its data were collected between June 2015 and February 2016 through scripts like Oral Health Impact Profile (OHIP), Alcohol Smoking and Substance Involvement Screening Test (ASSIST), World Health Organization Quality of Life (WHOQOL), and others about oral health and socialdemographic data. A descriptive analysis of the data was carried out using frequency tables with number and percentage for each item. The demographic factors comparison with drug use and its frequency, and life quality was verified using Fisher's test. The Odds Ratio (OR) was used to verify the association strength. The significance level was 5% and for this analysis, the statistical package IBM SPSS 20 was used. The number of indivuals to participate in this study was 280. They were distributed proportionally among the three CAPS AD. The pain prevalence was 59.3% and individuals who had impact on their life quality due their oral conditions were 2.2 times more likely to report toothache in last 6 months. The use of dental services prevalence was 32.14%, and individuals with high risk for crack dependence were 2.3 times more likely to report non-use of dental services in the last 6 months. Psychoactive substances users presented high prevalence of dental pain and high dental services use; Individuals who were impacted in their life quality due their oral conditions were more likely to have toothache. Those who were at high risk for crack dependence had lower demand for dental services, suggesting that these individuals need more attention to oral problems, especially in basic care.