title: Dental health status in crack/cocaine-addicted men: a cross-sectional study.
abstract: The aim of this study was to evaluate the association between crack/cocaine addiction and dental health in men. Forty crack/cocaine-addicted patients and 120 nonaddicted patients (≥18 years) underwent full-mouth dental examinations. Decayed, missing, and filled teeth (DMFT) were identified using the criteria recommended by the World Health Organization. Crack/cocaine addiction was determined, based on the medical records and interviews of each patient. All drug-addicted patients used both crack and cocaine. The chi-square test and logistic regression analysis were used to assess the association between DMFT and crack/cocaine addiction (p ≤ 0.05). Decayed teeth showed a positive association with crack/cocaine addiction (odds ratio (OR) = 3.65; 95% confidence interval (CI), 1.68-7.92; p = 0.001), whereas filled and missing teeth showed a negative association (filled teeth: OR = 0.37; 95% CI, 0.18-0.76; p = 0.008; missing teeth: OR = 0.33; 95% CI, 0.13-0.81; p = 0.02). The DMFT was only associated with age (OR = 2.12; 95% CI, 1.11-4.08, p = 0.023). In the present population, crack/cocaine addiction was associated with a greater decayed teeth index and a lower filled and missing teeth index. Programs aimed to encourage self-esteem and encourage individuals to seek dental care are required for this population. Further studies using a larger sample size and studies with women are required to confirm the results.
authors.affiliation: Department of Periodontics, School of Dentistry of the Federal University of Bahia, Salvador, Bahia, Brazil. patcury@yahoo.com.
authors.forename: Patricia R
authors.initials: PR
authors.lastname: Cury
authors.affiliation: Department of Oral Pathology, School of Dentistry of the Federal University of Bahia, Salvador, Bahia, Brazil.
authors.forename: Maria G A
authors.initials: MG
authors.lastname: Oliveira
authors.affiliation: Department of Oral Pathology, School of Dentistry of the Federal University of Bahia, Salvador, Bahia, Brazil.
authors.forename: Katia Montanha
authors.initials: KM
authors.lastname: de Andrade
authors.affiliation: Department of Oral Pathology, School of Dentistry of the Federal University of Bahia, Salvador, Bahia, Brazil.
authors.forename: Maíra D S
authors.initials: MD
authors.lastname: de Freitas
authors.affiliation: Department of Oral Pathology, School of Dentistry of the Federal University of Bahia, Salvador, Bahia, Brazil.
authors.forename: Jean N
authors.initials: JN
authors.lastname: Dos Santos
mesh_terms: D000293:Adolescent; D000328:Adult; D019970:Cocaine-Related Disorders / Q000453:epidemiology*; D016578:Crack Cocaine; D003430:Cross-Sectional Studies; D055030:Drug Users / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009909:Oral Health / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D016578:Crack Cocaine
keywords: Cocaine; Crack; Cross-sectional study; DMFT; Decayed teeth; Dental caries; Drug addiction; Illicit drug