Oral health and treatment needs among patients in psychiatric institutions for the elderly

Vigild, Merete; Brinck, J.J.; Christensen, Jørgen Grønnegaard

doi:10.1111/j.1600-0528.1993.tb00745.x

Cited by 48 publications

(74 citation statements)

References 8 publications

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“…The present study also revealed a higher prevalence of periodontal diseases particularly shallow pockets of 67.9% and deep pockets of 32.09% in accordance with other similar studies [2,[5][6][7]10,11]. However, the control group exhibited increased shallow pockets of 71.62% but lower prevalence of deep pockets at 28.37%.…”

Section: Discussionsupporting

confidence: 92%

“…The control group exhibited caries prevalence of 25.93%. This is in accordance with other studies [2,4,[6][7][8][9][10]. It could be attributed to irregular eating habits and improper oral hygiene practices along with xerostomia, among psychiatric patients.…”

Section: Discussionsupporting

confidence: 92%

“…This situation may be attributed to inability of the psychiatric patients to describe the symptoms. This is in contrast to Vigild et al [6], wherein high prevalence of filled teeth has been reported among psychiatric patients and accredited to regular dental treatment of those patients.…”

Section: Discussioncontrasting

confidence: 69%

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Dental Health Requirements for Psychiatric Patients

Gowda¹,

Bhat

Swamy

2007

Medical Journal Armed Forces India

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Background: This study was conducted to assess the dental treatment requirements of psychiatric patients in comparison with the non psychiatric patients admitted in the hospital. Methods: A total of 103 hospitalised psychiatric patients were examined with an equal number of non psychiatric hospitalized patients. Result: 73.22 % of psychiatric patients exhibited higher caries index along with higher decayed missing filled teeth (DMFT) as compared to 68.31% in the control group. The incidence of periodontal diseases were significantly higher among the study group than the controls. There were statistically significant correlation between smoking, family pattern, calculus index and gingival index amongst psychiatric patients. Conclusion: There was a higher incidence of caries index, missing teeth and less filled teeth among psychiatric patients, indicating extensive dental treatment requirement for this group. MJAFI 2007; 63 : 328-330

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

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Dental Health Requirements for Psychiatric Patients

Gowda¹,

Bhat

Swamy

2007

Medical Journal Armed Forces India

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“…The present study showed equal distribution of males and females whereas in study conducted by Vigild M etal (1993) in institutionalized patients in Spain showed male female ratio as 40% and 60 %, [3] similar study conducted by Fairouz Sayegh et al on non-institutionalized patients had similar result as the present study. [11] The study conducted by Viral R. Shah et al again on non-institutionalized patients showed male to be 66.17%.…”

Section: Discussionsupporting

confidence: 87%

Relationship of Psychiatric Disorders with Deleterious Habits, Oral Mucosa Conditions, TMJ Assessment; A Hospital Based Cross - Sectional Study

Pandey¹,

Singh²,

Kapoor³

et al. 2017

AIMDR

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Background: "The greatest burden of oral diseases is on the disadvantaged and socially marginalized populations"The World Oral Health Report(WOHR) . Such diseases also undermine self-image and self-esteem, discourage normal social interaction and lead to chronic stress, depression as well as incur great financial costs. Aim: Relationship of psychiatric disorders with deleterious habits, oral mucosa conditions, TMJ assessment. Methods: A cross sectional study with simple random sampling of 700 psychiatric patients aged between 35-74 years attending the psychiatric out patient department of two government hospitals ie. Patna Medical College and Hospital (PMCH) & Nalanda Medical College and Hospital (NMCH). Results: Among psychiatric patients, majority had not been previously admitted to the hospital, 90 percent were seen to have history of medication and majority had dry mouth problem. Majority had clicking in TMJoint among which majority had shizophrenia. It is actually surprising that patients had no tenderness in TMJoint even though bruxism habit was quite prominent in the subjects. Among them majority were on medication out of which, majority had oral mucosa condition. In mucosal conditions majority had aphthous ulcers which is also related to the presence of 71% of subjects with xerostomia. Associations were statistically significant(p<0.001). Conclusion: An oral health care system must have three concurrent approaches to care: treatment of oral diseases, oral diseases prevention, and oral health promotions In order to gain a deeper understanding of the research area, further investigations of oral health in psychiatric populations both hospitalized and in outpatient care is needed.

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“…Providing oral care for individuals with IDD is challenging because they may have physical impairments and may exhibit uncooperative behaviors (Perlman, 1991). Caregivers often only clean the anterior teeth, ignoring the posterior teeth and causing the posterior oropharyngeal area to be at risk for colonization with bacteria and infection (Glassman & Miller, 2003; Tesini & Fenton, 1994; Vigild, Brinck, & Christensen, 1993). …”

Section: Background1mentioning

confidence: 99%

Improving the oral health of residents with intellectual and developmental disabilities: An oral health strategy and pilot study

Binkley

Johnson

Abadi

et al. 2014

Evaluation and Program Planning

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This article presents an oral health (OH) strategy and pilot study focusing on individuals with intellectual and/or developmental disabilities (IDD) living in group homes. The strategy consists of four components: (1) planned action in the form of the behavioral contract and caregiver OH action planning; (2) capacity building through didactic and observation learning training; (3) environmental adaptations consisting of additional oral heath devices and strategies to create a calm atmosphere; and (4) reinforcement by post-training coaching. A pilot study was conducted consisting of pre- and post-assessment data collected one week before and one week after implementing a one-month OH strategy. The study sample comprised 11 group homes with 21 caregivers and 25 residents with IDD from one service organization in a Midwestern city. A process evaluation found high-quality implementation of the OH strategy as measured by dosage, fidelity, and caregiver reactions to implementing the strategy. Using repeated cross-sectional and repeated measures analyses, we found statistically significant positive changes in OH status and oral hygiene practices of residents. Caregiver self-efficacy as a mechanism of change was not adequately evaluated; however, positive change was found in some but not all types of caregiver OH support that were assessed. Lessons learned from implementing the pilot study intervention and evaluation are discussed, as are the next steps in conducting an efficacy study of the OH strategy.

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Oral health and treatment needs among patients in psychiatric institutions for the elderly

Cited by 48 publications

References 8 publications

Dental Health Requirements for Psychiatric Patients

Dental Health Requirements for Psychiatric Patients

Relationship of Psychiatric Disorders with Deleterious Habits, Oral Mucosa Conditions, TMJ Assessment; A Hospital Based Cross - Sectional Study

Improving the oral health of residents with intellectual and developmental disabilities: An oral health strategy and pilot study

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