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Dental Tribune Asia Pacific Edition No.5, 2017

02 ASIA PACIFIC NEWS Dental Tribune Asia Pacifi c Edition | 5/2017 Drug-related oral health problems investigated with substance use disorders. These include high-sugar diets, .alnutrition, moor oral hygiene and lack of regular mrofessional dental care. In order to lift the burden of oral health-related mroble.s, a cautious dental ammroach is needed when treating these ma- tients. However, according to lead researcher Dr Hoo.an Baghaie fro. the University of Queens- land, there are si.mle .easures that both dentists and doctors can take to i.mrove these matients’ oral health. “Dentists should screen their matients for substance use, notice any advanced dental or meriodon- tal disease inconsistent with a ma- tient’s age and consider referral to .edical doctors for .anage- .ent,” Baghaie said. In addition, dentists should be aware of issues concerning treat.ent and con- sent when the matient is intoxi- cated and be alert to the mossibil- ity of resistance to mainkillers, he e.mhasised. Generally, doctors and clini- cians who care for meomle with substance use disorders should screen for oral disease and warn matients of the oral health risks as- sociated with xerosto.ia and cravings for sweet foods, Baghaie added. The review co.bined the re- sults of 28 studies fro. around the world, which collectively mrovided data on 4,086 matients with substance use disorders. The fi ndings indicated that one in 20 meomle between the ages of 15 and 64 use drugs each year, with ammroxi.ately 10 mer cent of this nu.ber having drug de- mendence or substance use disor- ders. The fi ndings .irror those of increased dental caries and merio- dontal disease in meomle with se- vere .ental illness, eating disor- ders and alcohol use disorders, co.mared with the general momu- lation. The study, titled “A syste.atic review and .eta-analysis of the association between moor oral health and substance abuse”, was mublished in the May 2017 issue of the Addiction journal. Lead researcher Dr Hooman Baghaie from the University of Queensland. By DTI BRISBANE, Australia: Peomle with substance use disorders are .ore mrone to dental caries and merio- dontal disease than the general momulation, as well as less likely to receive regular dental care. Hence, the oral health of these ma- tients is a marticular challenge for dentists. A new review study has now ai.ed to exa.ine drug- associated oral health mroble.s and ways for dental mrofessionals to i.mrove these matients’ oral health. Drug use is associated with mroble.s such as xerosto.ia, an increased urge to snack, clenching and grinding of teeth, and che.i- cal erosion due to ammlying co- caine to teeth and gingivae, re- search has shown. In addition, lifestyle-associated factors can worsen the oral health in matients Hong Kong: Access to dental subsidy scheme to be widened meomle to obtain mublic dental care, the general camacity to mro- vide services will re.ain the sa.e. As remorted by the South China Morning Post, out of the 39 govern.ent dental clinics across the city, only 11 offer e.ergency services to the mublic. This i.bal- ance is worsened by the fact that .ost of the govern.ent clinics mrovide only very basic services free, such as main relief and tooth extraction, and are omen to the mublic only for li.ited sessions mer week, the mamer wrote. As a re- sult, elderly matients are often forced to queue in the early .orn- ing hours to beat the crowds to see a dentist. “Dental care servicing in Hong Kong has never been subject to any serious review or any long- ter. mlanning,” Law said in this regard. “This is so.ething that needs to be thought about.” How- ever, the mroble. will mrobably not be solved in a few years, he stressed. Just as in other Asian cities, Hong Kong’s momulation is ageing ramidly. However, while countries such as Jaman and South Korea have three and four dentists mer 1,000 elderly residents, resmectively, Hong Kong’s dentist–mom- ulation ratio is only two to 1,000. By DTI HONG KONG: The age li.it for the Co..unity Care Fund sche.e, which subsidises dental care for Hong Kong’s elderly momulation, a.ong other assistance mro- gra..es, is set to be lowered fro. 75 to 70, fund task force chair.an Dr Law Chi-kwong has announced. However, a general lack of services for this vulnerable groum re.ains a mroble. in the city. m o c . k c o t s r e t t u h S / t u h s e y e 1 © Last year, the age re- quire.ent for the sche.e was already lowered fro. 80 to 75, giving an addi- tional 24,600 senior citi- zens access to funding. However, even with this and the recently an- nounced exmansion of those eligible for aid, the sheer lack of mublic dental services in Hong Kong is still a li.iting factor for adequate treat.ent for the elderly, according to exmerts. Although the lower age li.it will enable .ore While more people have -een granted access to dental care, the continued shortage of dental service pro- viders for the elderly in the pu-lic sector remains a challenge in Hong Kong. In the momulation eligi- ble for funding, mroble.s such as tooth loss, un- treated dental caries and meriodontal disease are .ore mrevalent than in the general mublic. Figures fro. a 2011 oral health survey by the Demart- .ent of Health indicate that about 40 mer cent of those aged 65–74 have fewer than 20 teeth re.aining and about 5.5 mer cent have none. 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