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To determine the perception of adolescents and young adults regarding drug abuse as a result of drug dependence. The theoretical sample by saturation included adolescents and young adults treated at Portal Amarillo. Inclusion criteria: a aged between 15 and 24, b in treatment for drug use. Exclusion criteria: a non-lucid patients, b non-collaborating patients. Participants viewed oral health as having clean, white and aligned teeth; and caries, bleeding gums and communicable diseases as disease; chewing, aesthetics and taste were seen as altered functions. Before drug dependence, their oral hygiene was regular, after meals, and following the instructions received. With addiction, hygiene became irregular, only if they remembered to do it and without instruction reinforcement. Before drug consumption, participants were students or held a job; they had a good family life, with a partner, or in search of one. After consumption, they report self-marginalization, loss of contact with partners and children, isolation from the family, and social discrimination. Consumption makes it difficult for them to seek dental care, except in emergency situations. Young people in treatment for drug dependence are aware that addiction damages oral health, deteriorating aesthetics, affecting oral functions, self-esteem, and quality of life. The use of psychoactive substances PAS , commonly known as psychoactive drugs, can alter consciousness, mood, or the individual's thinking processes. Whether legal or illegal, natural or synthetic, all substance use carries risks that vary according to age, sex, forms, frequency of use, personal contexts, and circumstances. There are different consumption patterns, including experimental, occasional, and regular; there are even abuse and dependence cases. Any type of consumption can be problematic. Finally, a percentage of the population loses control, becomes compulsive, and unable to abandon drugs despite being aware of the consequences. The global outlook for drug use is unclear because many people, who consume either occasionally or regularly, tend to use more than one substance simultaneously or alternately. The Seventh National Survey on Drug Consumption among High School Students conducted in Uruguay in highlights: a the high consumption of alcohol and energy drinks with a high caffeine content, followed by tobacco and marijuana, and to a lesser extent tranquilizers without medical prescription, cocaine, hallucinogens, and amphetamine-type stimulants. The risk perception indicators included in this survey, according to student statements, identify the perception of high risk as a protection factor. In general, it was found that the substances associated with lower risk were alcohol, tobacco, and marijuana, both in occasional and frequent consumption. The mean age of consumption onset varies with sex, substance, and residence Montevideo and outside the capital. Table 1 Table 1: Mean consumption starting age by substance according to sex and area of residence. High school students. The Sixth National Household Survey on Drug Consumption showed that males had a higher prevalence of consumption than women at all age ranges. However, the gap is smaller in the younger population, except for the use of tranquilizers, hypnotics, and antidepressants with or without medical prescription. The Government of Uruguay passed a law in to regulate the growth, production, sale, and recreational consumption of cannabis. Since then, the government has enacted other decrees and ordinances concerning the application of regulations on specific elements such as the medicinal use of cannabis, marketing, and sale for recreational use in pharmacies, and the inclusion of recreational consumers in a register. People who use substances are mostly young, ranging between 16 and 25 years old, with the onset and public manifestation of that behavior increasingly early, and even before the age of Problematic consumption presents risk factors and protective factors. Risk factors include the normalization of consumption among youngsters, the limited control of the educational system that leads to dropping out of formal education, the lack of personal projects aggravated by social marginalization. Young people could respond to changes in drug availability or social perceptions of consumption to a greater extent than adults. In addition, the early onset of consumption increases the risk of negative social and health consequences along with an increased risk of committing felonies or crimes under the influence of drugs or of getting money to buy them. The consumption of PAS affects all areas of health: social, biological, psychological, cognitive, emotional, and cultural. It has also been observed that illegal drug use has a negative impact on hygiene habits and the prevalence of decay, gingivitis, and periodontitis compared to the general population. The protective factors for the regular use and dependence on drugs include the subject's qualities attributes, self-esteem, life projection , which play a significant role; the family, its constitution and the role of its members; and the stability of social ties educational-work, cultural, family, partner. Health is considered a dynamic event known as health-disease-care-process HDCP. The HDCP representations in young people include the oral component as part of general health, not only for physical pain but also for its aesthetic importance. For example, tooth decay can cause poor chewing, decreased appetite, sleep problems, and reduced school and work performance. Oral health is multifaceted and includes, among other aspects, the ability to speak, smile, smell, taste, touch, chew, swallow, and show a series of emotions through facial expressions. A study conducted in Cartagena de Indias, Colombia, showed a negative impact on the quality of life related to oral health in young adults due to losing teeth, by having less than 19 teeth, root debris, tartar accumulation, and absence of health care services. This study's general objective was to determine the oral health status perception of adolescents and young adults in drug dependence treatment. A qualitative research model was used. The techniques used were personal interviews and focus groups of young people who were in-patients at the Portal Amarillo Center during the three months of fieldwork. A total of 18 interviews were carried out, and three discussion groups were formed, with 32 participants. The interview was scripted based on a pilot experience in a previous stage with people treated at the Portal Amarillo Center. In this last experience, the research team members were also calibrated in their interviewer or observer roles. All the activities were recorded without disclosing the names of the participants. Their attitude and interest in the interview were also registered. When the subjects' interest turned into boredom, fatigue, or silence, it was necessary to resort to a complementary strategy, using another tool, since the interviews lasted between 15 and 20 minutes. In this sense, they were asked to draw their mouths in a state of health and illness, under the sole supervision of educators. The research team members described and classified the drawings. For the analysis of the recorded information, the data obtained was transcribed, organized, and ordered. Categories and subcategories were created from the recorded texts to analyze the statements. Individual perception of oral health status was studied before and after the drug dependence period according to each subject's memory and representations. The categories that emerged after examining the recordings' text were hygiene and relationship with the environment. Subcategories are derived from these and are listed in Chart 1. Chart 1 Categories and subcategories. Participants were informed of the aims of the research and asked to sign the consent. They were assured of the absolute privacy and anonymity of the data collected. The following findings were obtained from the qualitative data collected and analyzed and the information collected from the medical records of the 32 patients. The mean age of the subjects was 20 years old with a predominance of young men in rehabilitation at the Portal Amarillo Center, in agreement with epidemiological data found in the same care center that can probably be extrapolated to other populations of similar characteristics. The interviews conducted individually were shorter than originally planned. The answers were brief, with manifestations of boredom and difficulty in formulating the sentences. In the focus groups consisting of 4 to 5 individuals each, all participants contributed and respected each other's intervention. Some subjects' participation was longer and others were shorter, giving rise to convergent responses and comments to those expressed in the individual interviews. Considering the 'knowledge' category, the following results on health, disease, and oral functions were found Chart 2. Under the 'hygiene' category, the results on performance, frequency, and education received are listed in Chart 3. The following results were found for the category 'relationship with the environment' regarding influence in work and study, relationship with partner, family, and social relationships before and after consumption. Chart 4. The participants' knowledge of oral health-disease was related to whiteness, correct alignment, and cleaning of teeth. The best-known oral diseases were dental caries, bleeding gums, and communicable infectious diseases such as HIV and syphilis. According to their stories, the most affected oral functions were chewing, aesthetics, and taste from the usual consumption PAS. Regarding oral hygiene, it was noted that before drug dependence, they performed it regularly after the main meals and received oral and dental hygiene instructions at home, in school or medical or dental practices. After drug dependence, hygiene became irregular, only done when remembered, and their knowledge regarding the subject was not reinforced. Regarding the relationship with the environment before the onset of problematic consumption, subjects were in school or had a job; they had a partner or were searching for one. After substance abuse, they manifested self-marginalization events due to fear of rejection, low self-esteem, break-ups with their partner, or no contact with their children, if they had them, to avoid situations of violence. They also opted for isolation from their family to protect their loved ones, living in the streets or shelters, in addition to giving up medical or dental care when feeling marginalized or discriminated against, having suicide attempts and legal problems that could lead to police custody. Regarding access to dental care, differences are recognized before and after PAS addiction. Chart 5. Chart 5: Access to dental care. Before drug consumption, access to dental care was done regularly and based on preventive criteria, possibly curative, preferably in public health care services or at the School of Dentistry. Once they became dependent on PAS, health care became sporadic and only in emergency cases, with sedative or surgical therapies, often traumatic for the patient. They report a desire to improve their oral health status, although costs and lack of resources are obstacles. There follow the results of the drawings made under the supervision of educators and without research team members. For the analysis, we considered the work of Paul Ekman and Freitas-Magalhaes as a reference to interpret the smile as body language that shows 'the inner soul'. The third group also drew in black and white using some shade of red and green. Smiles with eyes, noses, hearts, elephants, legs, flowers, and tears on the face when the mouth is damaged can be observed. The drawings of mouths with alterations show missing teeth, caries represented by dark spots, yellow tooth pigmentations, chapped lips Figs 1 , 2 , 3. The analysis performed based on the grounded theory, through constant comparison, allowed researchers to reach similar results to other studies carried out in which individuals undergoing drug dependence perceive a deterioration of their oral health due to substance abuse. On the other hand, it contrasts with studies that analyze young people's perception without drug dependence. Therefore, the results of the target population undergoing drug dependence differ from research carried out in children and adolescents with no consumption reported in the region of Navarra, Spain, in That research indicated that the subjective perception of oral health was good, attendance to a dental practice in the previous year was high, with more than one daily oral brushing, and belief in the need for some dental treatment, such as orthodontics among adolescents. According to another qualitative study conducted in Australia with patients in drug consumption treatment, knowledge about access to oral health services was limited, and the search for care occurred only in emergency situations, without adequate health promotion, similar to the findings of this study. Young people in drug dependence treatment are aware that addiction damages their oral health, deteriorating aesthetics, and affecting oral functions and self-esteem. The oral health status reduces the quality of life of young drug users, making them more vulnerable and discriminated against by society. The knowledge of oral health that these young people have is limited to caries, gingivitis, and orally transmitted diseases, mainly sexually transmitted infections. Dental care was associated with emergency situations in public services and in the School of Dentistry, without complying with periodic check-ups. It would be advisable to propose strategies for dentists and their teams to pay special attention to the prevention and promotion of health among these subjects as part of the drug dependence treatment. WHO Neurociencia del consumo y dependencia de sustancias psicoactivas. Junta Nacional de Drogas. Montevideo: IMPO; Disponible en: apps. Pereira T. Rev Psiquiatr Urug. Oficina de las Naciones Unidas contra la Droga y el Delito. Salud Colec. Berruecos Villalobos L. Informe Mundial sobre las Drogas Toledo M. Salud Mental Hermilio Valdizan. Global prevalence of injecting drug use and sociodemographic characteristics and prevalence of HIV, HBV and HCV in people who inject drugs: a multistage systematic review. The Lancet Global Healt. Junta Nacional de Drogas Steffano D. Index Enferm , online. American Academy of Pediatric Dentistry. Policy on substance abuse in adolescent patients. Reference manual. Estado de salud bucodental en consumidores de marihuana. Dental disease prevalence among methamphetamine and heroin users in an urban setting: a pilot study. J Am Dent Assoc. Oral health status of a group of illicit drug users in Delhi, India. Community Dental Health. Estudio piloto. Tesis de Doctorado. Salud buco-dental y calidad de vida. Bankok: FDI; Enero, Ekman P, Friesen WV. Manual for the Facial Action Code. Ramachandran Ed. A qualitative study of patients' knowledge and views of about oral health and acceptability of related intervention in an Australian inpatient alcohol and drug treatment facility. Health Soc Care Community. A multicenter study of oral health behavior among adult subject from three South American cities. Oral Res. J Oral Res ; 8 5 : All co-authors declare no conflict of interest with the subject matter. Authorship contribution: 1. Conception and design of study 2. Acquisition of data 3. Data analysis 4. Discussion of results 5. Drafting of the manuscript 6. Approval of the final version of the manuscript ER has contributed in 1, 2, 3, 4, 5, 6. SP has contributed in 1, 2, 3, 4, 5, 6. IS has contributed in 1, 2 y 4. MTA has contributed in 1 y 2. BF has contributed in 1 y 2. KS has contributed in 1 y 2. MCM has contributed in 1,2 y 4. Vanessa Pereira-Prado. Servicios Personalizados Revista. Translations Perception of the oral health status of drug-dependent individuals. Abstract General objective: To determine the perception of adolescents and young adults regarding drug abuse as a result of drug dependence. Materials and methods: a qualitative research model was proposed. Results: Participants viewed oral health as having clean, white and aligned teeth; and caries, bleeding gums and communicable diseases as disease; chewing, aesthetics and taste were seen as altered functions. Conclusions: Young people in treatment for drug dependence are aware that addiction damages oral health, deteriorating aesthetics, affecting oral functions, self-esteem, and quality of life. Table 1 14 Table 1: Mean consumption starting age by substance according to sex and area of residence. Materials and methods A qualitative research model was used. Inclusion criteria a were being aged between 15 and 24, b in treatment for drug abuse. Results The following findings were obtained from the qualitative data collected and analyzed and the information collected from the medical records of the 32 patients. Discussion The analysis performed based on the grounded theory, through constant comparison, allowed researchers to reach similar results to other studies carried out in which individuals undergoing drug dependence perceive a deterioration of their oral health due to substance abuse. Conclusions Young people in drug dependence treatment are aware that addiction damages their oral health, deteriorating aesthetics, and affecting oral functions and self-esteem. As for the affected oral functions, they are mainly related to chewing, taste, and aesthetics. Acknowledgments: This research was authorized by the Board of Portal Amarillo. Received: June 19, ; Accepted: June 19, Las Heras Tel: 30 48 unipubli odon.

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Spiritual Care Spiritual Care Tending to spiritual health helps treatment become more effective, allowing patients to better cope with their emotions and rebuild their spiritual wellbeing. Stress Management Stress Management Patients learn specific stress management techniques, like breathing exercises and how to safely anticipate triggers. Dialectical Behavior Therapy. Group Therapy Group Therapy Two or more people meet with a therapist together. Yoga Yoga Yoga is both a physical and spiritual practice. Trauma Trauma Some traumatic events are so disturbing that they cause long-term mental health problems. Substances We Treat Alcohol. Benzodiazepines Benzodiazepines Benzodiazepines are prescribed to treat anxiety and sleep issues. Chronic Relapse Chronic Relapse Consistent relapse occurs repeatedly, after partial recovery from addiction. Ecstasy Ecstasy Ecstasy is a stimulant that causes intense euphoria and heightened awareness. 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