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Dental health status in crack/cocaine-addicted men: a cross-sectional study

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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.

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Correspondence to Patricia R. Cury.

Ethics declarations

This study was conducted in accordance to the Code of Ethics of the World Medical Association (Declaration of Helsinki) and was approved by the Ethics in Research Committee of the School of Dentistry of the Federal University of Bahia (Salvador, Bahia, Brazil). Individuals who agreed to participate signed an informed consent form.

Conflict of interest

The authors declare that they have no conflict of interest.

Sources of funding statement

This study was supported by the Bahia Research Foundation (process no. 8223/2014). Dr. Cury and Dr. dos Santos were supported by a grant from the National Counsel of Technological and Scientific Development (Ministry of Science and Technology, Brasília, Federal District, Brazil).

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Responsible editor: Philippe Garrigues

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Cury, P.R., Oliveira, M.G.A., de Andrade, K.M. et al. Dental health status in crack/cocaine-addicted men: a cross-sectional study. Environ Sci Pollut Res 24, 7585–7590 (2017). https://doi.org/10.1007/s11356-017-8404-z

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