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AIM: The aim of the study is to assess the demand for urgent dental treatment in patients carrying infectious pathologies and otherwise, particularly those with a history of drug addiction. METHODS: The Narni Hospital Unit of Odontostomatology has set up a dental clinic for patients suffering from infectious diseases. Considering the high number of emergency cases presenting, we developed a prospective research instrument to study the urgent problems of drug-addict patients carriers or otherwise of infectious viruses. Our study examined 4 years of activity, from 1997 to 2000, during which time 456 patients were examined, all former drug addicts. For each of them a basic protocol, including initial examination, investigation of patient history, any laboratory examinations necessary and, finally, conservative, demolition and prosthetic rehabilitative therapies, was carried out. RESULTS: Subjects referring to the dental clinic for urgent problems numbered 120, precisely 26% of the total population. Distinguishing patients on the basis of basic systemic pathology, we observed that 28% of infected patients and 21% of healthy patients requested urgent dental treatment. CONCLUSIONS: Former drug addict patients require an approach protocol, prophylaxis and specific, personalised therapy particularly where he or she is also a carrier of infectious pathologies. On the basis of our own personal experience, we describe how a good stomatological evaluation is necessary in this category of subjects who need dental care ever more frequently.