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DAC 5061: COMMUNITY DENTISTRY VIII. Quality of life measures: Influence of lifestyle on oral health. Ahmad Zulkhairi Bin Resali (1090046) Aishah Binti Shahrir (1090031). Introduction. "...make not your own hands contribute to your destruction..." (Qur'an 2:195)
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DAC 5061: COMMUNITY DENTISTRY VIII Quality of life measures: Influence of lifestyle on oral health Ahmad Zulkhairi Bin Resali(1090046) AishahBintiShahrir(1090031)
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.
① Smoking • Effect of smoking to the oral: • reduction of neutrophil viability • decrease blood flow • impaired wound healing • increase periods of disease progression. • provide a favorable habitat for periodontal pathogens
Smokers have higher risk of: • periodontal attachment or bone loss • deeper periodontal pocket depth • more sites with deeper pockets • more missing molar teeth • greater 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 • Oral piercing • midline of anterior one third of the tongue • 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
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
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.
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