Stomatológ 2023, 33(2):27-31 | DOI: 10.69658/sto.2023.013

Analysis of Extractions of Teeth in People Experiencing Homelessness in Bratislava

Peter Stanko^1,*, Bohuslav Novák¹, Alessandro Emanuele Sangalli¹, Halyna Pruts¹, Anna Korpášová¹, Nikos Leptos¹, Michaela Kostičová²

¹ Klinika stomatológie a maxilofaciálnej chirurgie, LF UK a OÚSA, Bratislava

² Ústav sociálneho lekárstva a lekárskej etiky, LF UK, Bratislava

Homeless people suffer from many general disorders, but also from dental problems. People experiencing homelessness in Bratislave appeare around three thousands recently. During project "Mobile Ambulance Station" running within years 2012 - 2018 there were treated altogether 319 patients (men n=241, 75,5 %; women n=78, 24,5 %), mean age 43.3 yrs. More than 80 % of the procedures included extractions of teeth (n=363, the most extracted right lower second molar). Dental caries and its sequels prevailed within indications, in summary 84 % (58 % mechanical irritation by dental root, 20 % pulpitis, 6 % acute apical periodontitis). The second followed marginal periodontitis in a terminal stage in 15 %. Rare causes of the extractions were injuries (n=3) and reccurent pericoronitis (n=1). In anamnesis the main comorbidities appeared viral infections and cardiovascular disorders. During the more than 5 years lasting period the patients underwent treatment for acute dental problems in 74.3 % of cases. Conservative and prosthetic treatment was realized on out-patient basis at the Department of Stomatology and Maxillofacial Surgery, Faculty of Medicine Comenius University in Bratislava and St. Elisabeth Hospital by dental students under supervision of Assistent Professors. Some risk patients were treated at the department on in-patient basis.

Keywords: homeless people, extractions of teeth, indications, risk patients, comorbidities

Published: December 15, 2023  Show citation