Introduction Patients with schizophrenia are likely to constitute a high-risk group of individuals with respect to prevalence of oral diseases and they require special attention. Factors like nature of psychiatric disorders, length of stay and oral-side effects of psychotropic medications have been noted as contributors to poor oral health among institutionalized chronic psychiatric patients. Methods This cross-sectional study comprised 190 inpatients with schizophrenia at the Dr Laza Lazarevic Clinic for Mental Disorders in Belgrade, and 190 mentally healthy patients at the
Introduction/Objective. Factors such as nature of psychiatric disorder, length of hospitalization and oral-side effects of psychotropic medications may considerably contribute to high prevalence of oral diseases among people with schizophrenia, and a consequent need for prosthetic rehabilitation. The aim of this study was to ascertain the oral health level of prosthetic rehabilitated patients with schizophrenia and to consider their needs for future improvement of prosthetic rehabilitation. Methods. The study group comprised 52 patients with schizophrenia, hospitalized at the Clinic for Mental Disorders ?Dr Laza Lazarevic? Belgrade. The control group comprised 52 patients with no psychiatric medical history, treated at the School of Dental Medicine, University in Belgrade. The oral health indices (DMFT index, CPITN and OHI-S), socio-demographic characteristics, smoking habits, oral hygiene habits and previous dental visits were registered in both groups, as well as medical characteristics of the primary disease in the study group patients. Results. Fifty percent of the study group patients had partial mobile dentures, while almost 30% had fixed dentures, in opposite to the control group patients who prevalently had fixed dentures. In both groups of patients, a statistical significance was observed between partial mobile and fixed dentures wearers, in terms of DMFT index, carious teeth, CPI modified and OHI-S. Similarly, a statistically significant difference between groups was observed concerning fixed dentures in terms of carious teeth, filled teeth, CPI modified and OHI-S. Conclusion. Multidisciplinary approach is needed for complete oral and prosthetic rehabilitation of this group of psychiatric patients.
Introduction/Objective. Stress is proposed as one of the risk factors linked to periodontal disease. The COVID-19 pandemic has a significant negative impact in population on mental and somatic health. This study aimed to examine the possible association between COVID-19 resultant stress and periodontal health. Methods. An observational pilot study was conducted from March 2020 to October 2021 and included 202 participants. Participants graded their stress level using the Perceived Stress Scale (PSS). Periodontal Disease Index and Clinical Attachment Level were determined. Participants were cathegorized into following groups: Ia (low stress), IIa (moderate stress), IIIa (high stress) and Ib (healthy parodontium), IIb (mild periodontal disease), IIIb (severe periodontal disease). The cause/effect relationship between stress and health was measured. Results. The results indicated a statistically significant difference between the groups classified according to the stress level concerning values of all the measured parameters. The Poisson regression analysis showed that in both models, crude and adjusted, periodontal health-related covariables were higher in subjects perceiving greater stress (Periodontal Disease Index - PRadjusted=1.042, 95%CI [1.030-1.055] and Clinical Attachment Level - PRadjusted=1.108, 95%CI [1.094-1.122]). Conslusion. During COVID-19 pandemic increased stress has a negative impact on mental health and may result in the deterioration of the entire oral cavity's health, including the periodontium.
Introduction/Objective. Comparing two materials under the same conditions is the best way to define differences between them. PEEK is a polymer that has many possible uses in dentistry as already well-known lithium disilicate ceramics. The aim of this study was to compare peri-implant soft tissue healing and evaluate patient satisfaction with esthetics in different observation periods, as well as the success and survival rate of both types of crowns. Methods. The study was conducted as a clinical, prospective, randomized split-mouth study on 17 patients with bilaterally missing upper teeth of the same type, replaced with dental implants. Study outcomes have been analyzed with subjective (VAS scale) and objective parameters (MBI, MPI and PPD) baseline, six and twelve months after fixing crowns onto the implants. Results. Comparison of the results between PEEK and lithium disilicate crowns showed no statistical differences in terms of MPI, MBI and PPD in the observed periods. Analyzing MPI during observation periods in the PEEK group of crowns, statistical significance was registered between baseline values and after 6 months. Also, statistical significance was noticed in terms of PPD during the observation time both in the study and control group of crowns. Results for VAS for the esthetics showed no statistically significant difference between the groups, while VAS for restoration satisfaction showed a statistically significant difference. Conclusion. This study showed that scores of the applied subjective and objective parameters can be a reliable tool to rate the clinical outcome of implant-retained single crowns over time.
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