A study of the association between psychiatric symptoms and oral health outcomes in a population-based birth cohort at 30-year-old follow-up

Kisely, Steve; Najman, Jake M.

doi:10.1016/j.jpsychores.2022.110784

Cited by 8 publications

(4 citation statements)

References 34 publications

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“…These oral health symptoms, if not addressed appropriately, can lead to an increase in debilitating dental diseases, and eventual tooth loss ( 3 , 40 ). For instance, one study revealed that over a third (−35%) of adults with mental illness require dental extractions due to delayed dental care brought on by unaddressed dental caries or infection ( 42 ). As more extractions are needed, individuals may eventually experience full edentulism (missing all natural teeth) and may subsequently need to consider dentures.…”

Section: Discussionmentioning

confidence: 99%

“…As mentioned, individuals who struggle with mental illness often have poor oral hygiene which can be exacerbated by social risks factors such as smoking. Smoking has a significant negative effect on oral health and can lead to periodontal disease, infection, and higher rates of dental extractions ( 3 , 42 , 46 ). Given the strong correlation between smoking and oral and mental health, medical and dental providers should seek ways to coordinate care for mutual patients who suffer from mental illnesses and engage in risky behaviors, such as smoking.…”

Section: Discussionmentioning

confidence: 99%

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The relationship between self-reported poor mental health and complete tooth loss among the US adult population in 2019

Powell,

Taylor

2024

Front. Oral. Health

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ObjectiveVery little is known about the association between poor mental health and poor oral health outcomes in the United Sates. This study investigated the prevalence of complete tooth loss among those with and without perceived poor mental health in a nationally representative sample of noninstitutionalized U.S. adults.MethodsUsing a cross-sectional study design, we analyzed the 2019 Medical Expenditures Panel Survey to determine the unweighted and weighted prevalence of complete tooth loss among adults. Chi-squared and multivariate logit regression with marginal effects were used to measure the association between complete tooth loss and perceived poor mental health, controlling for respondent characteristics.ResultsThe prevalence of adults (ages 18 and older) experiencing complete tooth loss was 6% (95% CI: 5.6–6.4). Individuals who have perceived poor mental health were 1.90 percentage points (pps) more likely to report missing all their natural teeth (P = 0.006: 95% CI: 0.5–3.3). Other relevant predictors of complete tooth loss included current smoking status (5.9 pps; 95% CI: 4.5 to 7.2) and secondary education (−6.4 pps (95% CI: −7.0 to −4.8).ConclusionsOverall, self-reported poor mental health was found to be associated with a greater likelihood of reporting complete tooth loss. Findings from this study underscore the need for greater integration of care delivery between behavioral health specialists and dental providers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The relationship between self-reported poor mental health and complete tooth loss among the US adult population in 2019

Powell,

Taylor

2024

Front. Oral. Health

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“…The odds of dental anxiety were four times higher in females, aligning with the prevalent belief that women tend to express feelings of fear more openly. Additionally, genetic factors and female reproductive hormones are suggested to play crucial roles in the manifestation of various disorders, including dental anxiety, in females (Kisely et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Dental Extraction Anxiety and Depression Between Young and Older Adults

GHAURI,

HUSSAIN,

IQBAL

et al. 2024

Biol Clin Sci Res J

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Dental anxiety and depression represent significant psychological factors that can influence an individual's willingness to seek and undergo dental treatments, including routine procedures such as dental extractions. The main objective of the study is to find the comparison of dental extraction anxiety and depression in young adults as compared to older adults. This cross-sectional study was conducted in Karachi from January 2023 to November 2023. Data was collected from 320 participants in two age groups: young and older adults. Young adults age 8-35 years and older adults 60 years and above. Demographic information, including age, gender, education level, and dental history, was gathered alongside clinical details such as the type and complexity of dental extractions. Validated scales, notably the Modified Dental Anxiety Scale (MDAS) for dental anxiety and the Patient Health Questionnaire-9 (PHQ-9) for depression were employed for assessment. Data were collected from 320 participants. Approximately 36% of the population is estimated to be affected by dental anxiety, with 10 to 20% experiencing extreme levels. The mean Modified Dental Anxiety Scale (MDAS) scores differed significantly between age groups, with young adults having a mean score of 16.2 (SD=4.5) compared to older adults with a mean score of 14.5 (SD=3.8) (p<0.05). Similarly, the mean Patient Health Questionnaire-9 (PHQ-9) scores varied significantly between age groups, showing that young adults had a higher mean score of 8.3 (SD=3.2) compared to older adults with a mean score of 6.7 (SD=2.8) (p<0.01). It is concluded that gender and educational influences further emphasize the need for personalized approaches in dental care. Tooth extraction anxiety and depression are common in older adults. These insights highlight the potential for integrating mental health considerations into routine dental practices, fostering more patient-centered and age-specific interventions to enhance oral health and well-being.

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“…Secondly, some chronic diseases may indirectly affect oral health, as they can lead to reduced motivation regarding oral hygiene and care. For example, psychiatric [ 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 ] and neurological diseases [ 48 , 49 , 50 , 51 , 52 , 53 ], as well as Alzheimer’s disease [ 54 , 55 ], rheumatic [ 56 ], oncological [ 57 ], and cardiovascular diseases [ 58 , 59 , 60 , 61 , 62 , 63 ], can all have an impact.…”

Section: Diseases and Oral Healthmentioning

confidence: 99%

An Overview of Systemic Health Factors Related to Rapid Oral Health Deterioration among Older People

Putten

Baat²

2023

JCM

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The oral health of older individuals can be negatively impacted by various systemic health factors, leading to rapid oral health deterioration. This paper aims to present an overview of the published evidence on systemic health factors that contribute to rapid oral health deterioration in older individuals, and to explore the implications of these factors for both general healthcare and oral healthcare provision. Older people are at risk of experiencing adverse reactions to medications due to multimorbidity, polypharmacy, and changes in pharmacokinetics and pharmacodynamics. Hyposalivation, a significant side effect of some medications, can be induced by both the type and number of medications used. Frailty, disability, sarcopenia, care dependency, and limited access to professional oral healthcare can also compromise the oral health of older people. To prevent rapid oral health deterioration, a comprehensive approach is required that involves effective communication between oral healthcare providers, other healthcare providers, and informal caregivers. Oral healthcare providers have a responsibility to advocate for the importance of maintaining adequate oral health and to raise awareness of the serious consequences of weakened oral health. By doing so, we can prevent weakened oral health from becoming a geriatric syndrome.

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A study of the association between psychiatric symptoms and oral health outcomes in a population-based birth cohort at 30-year-old follow-up

Cited by 8 publications

References 34 publications

The relationship between self-reported poor mental health and complete tooth loss among the US adult population in 2019

The relationship between self-reported poor mental health and complete tooth loss among the US adult population in 2019

Comparison of Dental Extraction Anxiety and Depression Between Young and Older Adults

An Overview of Systemic Health Factors Related to Rapid Oral Health Deterioration among Older People

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