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Research


was 26.64. Female participants had equivalent mean scores (26.79) to male participants (26.58).


Conclusions and recommendations • The findings of the survey showed that the oral health condi- tions of the Lanarkshire sample were poor, pointing to a clear need for NHS Lanarkshire to provide a comprehensive dental service for homeless people, comprising emergency dental service, ad hoc treatments and routine dental care. • Emergency dental services: many homeless people find it difficult to access and afford dental care, necessitating the need to provide emergency services for those unable to take advantage of routine dental care. • Ad hoc or one-off ‘occasional’ single-item treatments that can be accessed without the need to attend for a full course of treatment: those who occasion- ally long-term prioritise may be more likely to attend a one-off


appointment for single item treatment, suggesting the need for ‘occasional treat- ments’ for homeless people, where a course of treat- ment or further attendance requirements are not imposed on the patient. • Routine dental care/full course of treatment: home- less people who are able to maintain a phase of long- term prioritising have a much greater likelihood of successfully completing a full course of dental treat- ment and/or adopting a preventive oral hygiene routine. • There is a need to identify those homeless people wishing to access emergency dental services, those who require one-off treatments, and those wishing access to routine care. • It is also recommended that NHS Lanarkshire should take a multi-agency approach to enhance oral health promotion for homeless people.


ABOUT THE AUTHORS


Albert Yeung is a


consultant in dental public health at NHS Lanarkshire. albert.yeung@lanarkshire. scot.nhs.uk Emma Coles is a research fellow at the Dental Health Services Research Unit, University of Dundee. e.coles@dundee.ac.uk Anne Moore is the deputy director of salaried primary care dental services at NHS Lanarkshire. anne.moore@lanarkshire. scot.nhs.uk Celia Watt is a senior health promotion officer (oral health) at NHS Lanarkshire. celia.watt@lanarkshire. scot.nhs.uk Ruth Freeman is the director of Oral Health and Health Research Programme and professor of dental public health research at the Dental Health Services Research Unit, University of Dundee. r.e.freeman@ dundee.ac.uk


Scottish Dental magazine 51


COVER PHOTOGRAPH © GAVIN EVANS


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