Oral Health Status of Psychiatric In-patients in Serbia and Implications for Their Dental Care

Jovanović, Svetlana; Milovanović, Srđan D.; Gajic, Ivanka; Mandić, Jelena; Latas, Milan; Janković, Ljiljana

doi:10.3325/cmj.2010.51.443

Cited by 40 publications

(87 citation statements)

References 16 publications

(18 reference statements)

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“…This may bring up inadequate access of the patients under the study to dentistry services. In our study, the mean of DMFT index increased with increasing age, which was compatible with the findings of the earlier studies (2,15). There were no statistically significant differences among the mean of D, M, F quantities, DMFT index, and gender of the patients under study, whereas a significant difference existed between gender and DMFT index in the study of Kebede et al (2) and the male gender was introduced as a risk factor of dental caries.…”

Section: Discussionsupporting

confidence: 82%

“…In our study, the mean of DMFT index increased with mental illness duration. Kumar et al (3) and Jovanovic et al (15) also reported a relationship between the index and illness duration. This can be justified by the fact that individuals with severe mental diseases may be reluctant to dental treatments due to fear of pain, dental phobia or high dental costs (4).…”

Section: Discussionmentioning

confidence: 97%

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Dental Health Status in Hospitalized Psychiatric Patients in Sistan and Baluchestan Province, Iran

et al. 2014

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Background: Psychiatric disorders to various reasons such side effects of psychiatric drugs, poor oral hygiene and poor diet and are known as risk factors for development oral health problems. Objectives: This study was conducted to determine the dental status in hospitalized psychiatric patients in Sistan and Baluchestan province, Iran. Patients and Methods:This cross-sectional study was conducted on 120 patients in the only psychiatric hospital in this province. Dental status was assessed through measuring the mean of the number of decayed, missing and filled teeth (DMFT index). The collected data was analyzed using t-test, analysis of variance and Tukey test. Results: The mean DMFT score among the patients was 13.75 ± 7.8. There were statistically significant associations between age, duration of mental illness, duration of medication usage, education level, and tooth brushing frequency and DMFT index (P < 0.05). Differences of DMFT Indexes with sex and type of psychiatric disorders were not statistically significant. Conclusions:The results of this study indicated that effective dental care is needed for improvement of the dental health status of hospitalized patients with psychiatric disorders.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 97%

Dental Health Status in Hospitalized Psychiatric Patients in Sistan and Baluchestan Province, Iran

et al. 2014

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“…Restricting studies to those of inpatients (n = 9) made no difference to the results for DMFS (mean difference = 20.4, 95% CI = 14.9Y25.9) or DMFT (mean difference = 5.6, 95% CI = 2.5Y8.8) (15,21,30,33,37,42,43,45,48). Only including those studies that used psychiatric diagnostic criteria (Table 1) also had no effect on the DMFS scores and little on the DMFT index (mean difference = 6.6, 95% CI = 4.5Y8.7).…”

Section: Dental Cariesmentioning

confidence: 93%

“…Of these psychiatric cases, 2833 (56.7%) were male and 2193 (43.3%) were female. Six studies had data on control groups collected by the authors themselves with similar characteristics to the psychiatric cases other than the presence of psychological morbidity (Table 1) (21,41,42,44,48,50). There were 764 cases and 817 controls in these studies (total n = 1581).…”

Section: Study Inclusion and Characteristicsmentioning

confidence: 97%

A Systematic Review and Meta-Analysis of the Association Between Poor Oral Health and Severe Mental Illness

Kisely

Baghaie

Lalloo

et al. 2015

Psychosomatic Medicine

170

200

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“…Another factor that contributes to increased incidence of dental caries in patients with schizophrenia is higher sugar intake. Snacking frequency is associated with a higher prevalence of dental caries and plaque index, and this frequency is higher in this kind of patients than in general population [6, 17, 28]. …”

Section: Introductionmentioning

confidence: 99%

Dental caries status of patients with schizophrenia in Seville, Spain: a case–control study

et al. 2017

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BackgroundThe aim of this study was to assess the dental status (DMFT) in patients with schizophrenia compared with a control group.MaterialIn this case–control study, 50 patients with schizophrenia attended in the Psychiatric Unit at the Virgen Macarena University Hospital of Seville were compared with 50 people (without systemic diseases and not taking psychotropic drugs) in a control group attended in the School of Dentistry of Seville. Decayed, missing and filled teeth (DMFT) were assessed according to the World Health Organization WHO criteria.ResultsPatients with schizophrenia showed a decayed teeth (DT) score of 7.26 ± 5.69 compared with 6.50 ± 4.37 for patients the control group. These differences were significant and suggest that dental caries are most prevalent in patients with schizophrenia. People who smoked showed significantly higher DT scores in both groups. Among patients with schizophrenia, smokers scored 9.34 ± 5.42 compared with 4.38 ± 4.82 for non-smokers. Among the healthy controls, smokers scored 6.88 ± 4.85 compared with 6.12 ± 3.85 for non-smokers (p < 0.05). Patients with schizophrenia showed a missing teeth (MT) score of 9.10 ± 8.56 compared with 5.38 ± 5.14 in control patients. MT scores increased significantly with age and with smoking in both groups of patients (p < 0.05). Patients with schizophrenia showed a filled teeth (FT) score of 1.38 ± 2.70 compared with 2.34 ± 3.48 in control patients. FT differences in gender and smoking habits between patients with schizophrenia and healthy control subjects were statistically significant (p < 0.05). This data, along with the DT scores, suggests that patients with schizophrenia have extensive untreated dental disease.ConclusionsPatients with schizophrenia constitute a high risk population for dental health. This group showed a greater prevalence of decayed and missing teeth and more extensive treatment needs.

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Oral Health Status of Psychiatric In-patients in Serbia and Implications for Their Dental Care

Cited by 40 publications

References 16 publications

Dental Health Status in Hospitalized Psychiatric Patients in Sistan and Baluchestan Province, Iran

Dental Health Status in Hospitalized Psychiatric Patients in Sistan and Baluchestan Province, Iran

A Systematic Review and Meta-Analysis of the Association Between Poor Oral Health and Severe Mental Illness

Dental caries status of patients with schizophrenia in Seville, Spain: a case–control study

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