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Smile4life
Quality Education for a Healthier Scotland
Smile4life
Unit 3
Giving Health Advice
Quality Education for a Healthier Scotland
Smile4life:
Unit 3 - Learning Outcome
• To be competent in giving basic health
advice on diet, smoking, alcohol
consumption, drugs and methadone use.
Quality Education for a Healthier Scotland
Why is Oral Health so
Important?
Quality Education for a Healthier Scotland
Homeless Oral Health
Survey in Scotland, 20082009
Health boards involved
Quality Education for a Healthier Scotland
Homeless Oral Health
Survey in Scotland, 2008-2009
• The majority of the sample (85%) reported being
smokers
• 63% stated they were taking prescribed medication
• 31% of the participants stated that they drank alcohol at
least once per day.
• 68% stated that they had used drugs with 236 (29%)
stating they were current drug users.
Quality Education for a Healthier Scotland
Total Sugars
Intrinsic sugars
Extrinsic sugars
Found naturally in whole
fruit, less likely to cause tooth
decay.
Released when fruit is juiced
or blended. Added to many
foods
Non Milk Extrinsic sugars.
Quality Education for a Healthier Scotland
1. Diet
Key message
Food containing sugar are harmful to the
teeth and the intake of these foods should
be reduced.
Quality Education for a Healthier Scotland
Hidden Sugars
Glucose
Sucrose
Lactose
Words that end in
ose are other
words for sugar
Maltose
Fructose
Quality Education for a Healthier Scotland
Tooth Decay
Plaque + Sugar = Tooth Decay
Quality Education for a Healthier Scotland
If possible, sugary foods and drinks should
be kept to mealtimes.
Avoid sugary snacks and drinks between
meals or at bedtime.
Between meals, healthy, sugar-free snacks
are best.
Quality Education for a Healthier Scotland
The Eatwell Plate
Quality Education for a Healthier Scotland
2. Smoking
Key Messages
Smoking damages the mouth, teeth and gums –
it can cause tooth loss, and in more severe
cases, mouth and throat cancer.
Quality Education for a Healthier Scotland
How does smoking affect my
teeth and mouth ?
Sticky tar deposits or brown
staining on the teeth
‘Smokers Palate’ red
inflammation on the roof
of the mouth
Increased severity of the
gum disease
Delayed healing of the gums
Quality Education for a Healthier Scotland
How does smoking affect
my teeth and mouth ?
Bad Breath or Halitosis
Black Hairy Tongue
Oral Lesions and
Oral Cancer
Quality Education for a Healthier Scotland
3. Alcohol
Key messages
Alcoholic drinks can cause dental erosion.
Frequent consumption of alcohol can increase
the risk of mouth and throat cancer.
Drinking and smoking to excess raises the risk
of mouth cancer by up to 30 times.
Quality Education for a Healthier Scotland
Oral Cancer
Risk Factors
• Smoker
• Drink Alcohol
• Take drugs orally
Quality Education for a Healthier Scotland
Oral Cancer
If in doubt check it out
Check – lips, cheeks, under tongue,
roof of mouth.
Red / white patches that have been in
your mouth for more than 3 weeks.
Often pain free
Quality Education for a Healthier Scotland
How do drugs affect
the mouth?
Drug users generally have poorer oral health than
non users
Chaotic lifestyles/ different priorities
Poor diet/ sugar cravings
Dry mouth
Drugs can mask the pain so early decay is not
identified.
Quality Education for a Healthier Scotland
What damage do drugs have
on teeth?
Cannabis ( Marijuana, Hash)
Cannabis affects almost all systems of the body
particularly the cardiovascular, respiratory and
immune systems
Users are also prone to oral infections
Quality Education for a Healthier Scotland
What damage do drugs
have on teeth?
Cocaine (Coke, Blow, Snow, Charlie)
Users sometimes rub cocaine over their gums.
This numbs the gums, accelerating gum recession.
Cocaine mixed with saliva creates an
extremely acidic solution.
The acid erodes tooth enamel.
Quality Education for a Healthier Scotland
What damage do drugs
have on teeth?
Ecstasy ( E, ekies Love Drug)
Side effects of this drug include
grinding, jaw clenching and dry
mouth.
If these are chewed they are very acidic,
which dissolves the enamel.
Quality Education for a Healthier Scotland
What damage do drugs
have on teeth?
Dental erosion due to acid.
Quality Education for a Healthier Scotland
Methadone
Key Messages
Methadone hydrochloride is an acid that attacks
tooth enamel.
Saliva is mouths natural defence against plaque
acid attack and helps to reduce tooth decay.
Methadone reduces saliva flow, causing a dry
mouth.
Quality Education for a Healthier Scotland
Methadone
Key messages
Always rinse the mouth with water after taking
methadone.
Chewing sugar- free gum after methadone
stimulates saliva flow and helps reduce plaque
acid in the mouth.
Quality Education for a Healthier Scotland
What damage do drugs
have on teeth?
Methadone
Methadone hydrochloride is an acid
that attacks tooth enamel.
Methadone reduces saliva flow, causing a dry mouth.
Saliva is the mouth’s natural defence against plaque acid
attack and helps reduce tooth decay.
Quality Education for a Healthier Scotland
Reducing the Risk to Oral
Health
Diet
Dry Mouth
Sugar content
Acidity
Acidity
Quality Education for a Healthier Scotland
Smile4life:
Unit 3 - Learning Outcome
• To be competent in giving basic health
advice on diet, smoking, alcohol
consumption, drugs and methadone use.
Quality Education for a Healthier Scotland
Questions ?
Quality Education for a Healthier Scotland
Further reading:
Smile4Life
http://dentistry.dundee.ac.uk/scottish-oral-health-improvementhomelessness-programme-smile4life
Cancer Research UK
http://www.cancerresearchuk.org/
Food Standards Agency
http://www.foodstandards.gov.scot/
Quality Education for a Healthier Scotland