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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