Arranging dental care for hostel dwellers: a pilot project

Cembrowicz, Stefan; Farrell, S

doi:10.1038/sj.bdj.4807908

Cited by 2 publications

(3 citation statements)

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“…Fewer than 50 percent of homeless people in the present study had medical conditions that had an impact on their dental care, and most care was readily provided in the primary‐care setting as has also been reported elsewhere (24). While the data are not strictly comparable with national UK data, most homeless people presenting to the dental clinic had higher levels of normative dental need compared with their equivalent age group in the housed population (25).…”

Section: Discussionmentioning

confidence: 51%

Patterns of dental service use among homeless people using a targeted service

Daly¹,

Newton²,

Batchelor

2010

Journal of Public Health Dentistry

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Objective: The objective of this study was to describe the patterns of dental service use among homeless people using a targeted dental service from 1992 to 2001. Method: A case-note review of a selection of patients (n = 204) was undertaken using a pre-designed data abstraction form. Results: For those presenting at their first contact, 40 percent (n = 68) expressed need in relation to oral pain and disease/tissue damage, and 28 percent (n = 33) in relation to dental checking and oral prophylaxis. Most homeless people had normative need for dental treatment (93 percent: n = 153). The dental service was delivered using a mix of outreach and fixed site clinics, with 75 percent (n = 153) of all first contacts made at outreach clinics. The targeted service was moderately successful at getting people to attend the fixed site service for continuing care, with 51 percent (n = 87) attending for subsequent visits. Location of first contact with the targeted dental service did not predict subsequent attendance. Those who did attend for further care tended to have normative needs for periodontal disease and dental decay and have their presenting complaint met. Only 23 percent (n = 46) of people completed a treatment plan, over a mean of 8.2 (standard deviation Ϯ 9.4) visits. No factors appeared to predict completion of treatment. Conclusions: While the small sample limits the findings in this study, it is hypothesized that the presence of the dental service promoted uptake of dental care. Flexible attendance tended to result in multiple visits and delayed outcomes, which themselves could have acted as barriers to care.

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Section: Discussionmentioning

confidence: 51%

Patterns of dental service use among homeless people using a targeted service

Daly¹,

Newton²,

Batchelor

2010

Journal of Public Health Dentistry

View full text Add to dashboard Cite

show abstract

“…17 Two hundred and seventy-two (78%) patients smoked, with 86% (n = 234) of these people saying they also consumed alcohol daily and 29% (n = 79) used drugs regularly. Of the nonsmokers (n = 77), 3% consumed alcohol daily and 5% of the population were past substance misusers who had now ceased drug use.…”

Section: Discussionmentioning

confidence: 99%

“…Of the nonsmokers (n = 77), 3% consumed alcohol daily and 5% of the population were past substance misusers who had now ceased drug use. The recent systematic review by Hanioka et al 17 indicated that the odds of losing teeth are two to four times higher in smokers than non-smokers. Alcohol consumption has been linked to periodontitis 19 and tooth wear 20 and both smoking and alcohol are closely linked to the incidence of oral cancer.…”

Section: Discussionmentioning

confidence: 99%