Terpstra, F.P. (2011) Mondzorg voor dak- en thuislozen: Tale quale : Een onderzoek naar de besluitvorming over de zorgrichting in de mondzorgvoor dak- en thuislozen; het afwegen van de mondgezondheid en sociaal/maatschappelijke aspecten. thesis, Dentistry.
Full text available on request.Abstract
Background Since 1998 the UMCG CTM offers dental aid to addicts within a special project called: 'Oak- en Thuislozen'. There is little literature available about this population and their special needs. However, it is well known that there are more problems than just oral problems alone. This population has more psychosocial problems because of their drugs needs. Furthermore, this group demonstrates a higher percentage of dental anxiety and has an increased sugar intake and increased sugar craving. They also have an increased risk on dental caries and periodontal problems through their drug use induced by immunosupression and dry mouth. This study is investigating if there is a link between the social factors, oral factors and the chosen treatment plan. The process of choosing the treatment plan is not transparent at the moment. Particularly in cases where there is doubt about the possible treatment plans, the choosing process is unclear. This study wants to clarify the criteria used when choosing a treatment plan. The research question for this study is: Which criteria are influencing the chosen treatment plan for patients in the Oak- en Thuislozenproject of the UMCG Centrum voor Tandheelkunde en Mondzorgkunde? Methods Data is collected on patients who have been treated within the project and have finished the whole treatment plan for at least half a year and are known within social services. The measured factors are: Housing; Work; State of addiction; Overall received care; Relationship; Judicial history ; Sugar intake; Hygiene; Dental anxiety; Esthetics; Importance of the oral health; Eichner classification; Plaque; Periodontal status; Dental caries; Function-Esthetics; Function-Use; Treatment. The data is analyzed with Excel® and SPSS®. A Chikwadraattest was preformed, by a Fisher's Exact Test (p<0,05). Results From 120 collected patients 24were included in this study. The following factors demonstrated an significant influence(p<0,05) on the chosen treatment plan: periodontal diseases (p=,035); the caries activity(p=,011) and functionality( use)( p=,011 ). Conclusion These data are consistent with current published dental reports, but should be interpreted with care because of the few people included in this study. This study could not find any social factors that where influencing the treatment plan. This study indicated that the treatment plan was based on the oral health status. Reference has been made to the need for long lasting, well designed dental investigations in this area.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Begeleider and Schaub, Prof. Dr. R.M.H and Hoogleraar Tandheelkundige Zorgverlening UMCG |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:53 |
| Last Modified: | 25 Jun 2020 10:53 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1433 |
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