Barriers to Dental Care in Drug-Addicted Patients and Methadone Maintenance Beneficiaries

Abstract

Abstract

Introduction:
Substance use, particularly opioid dependence, poses significant public health challenges. Dental care is often neglected among drug users and methadone maintenance therapy (MMT) beneficiaries due to stigma, financial barriers, and psycho-emotional challenges.

Aim of the Study:
This study evaluated the disclosure of health conditions (HCV, HIV, substance use, and MMT) to dentists, barriers to dental care, and oral health among MMT beneficiaries and drug users.

Materials and Methods:
A cross-sectional study of 276 participants in Tbilisi, Georgia, assessed oral health using DMFT, OHI-S, and Periodontal Index. Data on financial and non-financial barriers, hepatitis status, duration of drug use, and MMT enrollment were analyzed.

Results:
Non-disclosure of health conditions was higher among newly enrolled MMT patients (78.98%) than long-term beneficiaries (52.89%, p < 0.05). Financial constraints were the primary barrier, with newly enrolled patients showing worse oral health indices.

Conclusions:
MMT improves quality of life and oral health, with better disclosure rates compared to drug users not enrolled in MMT. Addressing financial and stigma-related barriers is critical for enhancing care access.

Keywords:
Methadone maintenance therapy, opioid dependence, dental care, hepatitis C, stigma.