Prevalence of dental caries in hospitalized patients with schizophrenia

Đorđević, Vladan; Jovanović, Mila; Miličić, Biljana; Stefanović, Vesna; Đukić-Dejanović, Slavica

doi:10.2298/vsp150917111d

Cited by 15 publications

(16 citation statements)

References 17 publications

(32 reference statements)

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“…9–13 Ninety percent of study participants presented with caries and the mean caries score (DMFT=5.2 [4.2]) for the entire study population was high, bringing our findings closer to studies conducted around the world. 14–17, 19–22, 24, 25 The mean caries score was significantly higher among females psychiatric patients compared to males, which may be attributable to negligence of dental care in females compared to males. This is in line with the studies conducted previously that showed high prevalence of caries in females compared to males, 14, 24 though the difference was not statistically significant.…”

Section: Discussionmentioning

confidence: 94%

Association between obesity/overweight and dental caries in psychiatric patients

et al. 2019

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BACKGROUND: Patients with psychiatric illness are more prone to develop obesity and dental caries due to general self-negligence associated with psychiatric illness and side effect of various medications used in psychiatry.OBJECTIVE: Assess the association between dental caries status and obesity among resident patients.DESIGN: Descriptive, cross-sectional.SETTING: Mental health hospital.PATIENTS AND METHODS: A sample of psychiatric in-patients was recruited. Dental caries detection was performed according to the World Health Organization criteria and body mass index (BMI) was measured. Relationships were assessed using multivariable logistic regression.MAIN OUTCOME MEASURES: Relationships between decayed, missing and filled teeth (DMFT) and obesity.SAMPLE SIZE: 223.RESULTS: The sample included 126 males and 97 female with a mean (SD) age of 42.3 (2.2) years. The prevalence of dental caries was 92.6%. The mean (SD) DMFT score was 5.2 (4.2). Twenty-seven percent were schizophrenic, 21.9% had mental retardation and 19.7% had bipolar mood disorder. The mean (SD) BMI was 27.7 (6.3) kg/m2. One hundred twenty-three (55.2%) of in-patients were classified as normal weight, 47 (21.1%) as overweight, and 45 (20.2%) as obese. The logistic regression model showed a strong association between caries and obesity/overweight (adjusted odds ratios=2.7; 95% CI=1.4 – 4.3, P<.001).CONCLUSION: The present study demonstrated a significant association between the frequency of caries and obesity/overweight among resident patients at a psychiatric hospital.LIMITATIONS: Since the data were cross-sectional, causal relationships cannot be established and the observed association could be due to other unexplored factors.CONFLICT OF INTEREST: None.

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Section: Discussionmentioning

confidence: 94%

Association between obesity/overweight and dental caries in psychiatric patients

et al. 2019

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“…Dental caries is a major public health problem globally and it is the most widespread noncommunicable disease 6 . Previous studies have shown that people with several mental disorders have an increased prevalence of dental caries [7][8][9][10] . This can be explained by several reasons: mental disorders lead to lack of motivation, lack of oral hygiene, fear to visit a dentist, difficulty to access health services and adverse effects of antipsychotic medication, mainly xerostomia, could be also present 10 .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of dental health among adolescents with mental disorders

et al. 2020

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Background / Aim. According to the World Health Organization (WHO), there is an increasing prevalence of mental disorders among children and adolescents worldwide. Previous studies have shown that people with mental disorders, regardless age, have an increased prevalence of dental caries due to several reasons. The aim of this study was to determine prevalence of dental caries in adolescents with mental disorders and to consider possible risk factors that might contribute to their current dental health status. Methods. The study was conducted as an observational cross-sectional study. The study group comprised 70 randomly selected hospitalized adolescents with mental disorders. The control group comprised 70 randomly chosen mentally healthy adolescents. They were matched to the study group by gender and age. All the participants were subjected to targeted dental examination according to criteria recommended by the WHO. Collection of data related to mental disorders of the study group was obtained from the patient's medical records. All collected data were organized and analyzed by descriptive statistical parameters and regression models. Results. Majority of the study group patients were diagnosed with schizophrenia, schizotypal and delusional disorders (F20-F29), as well as behavioral and emotional disorders usually occurring in childhood and adolescence (F90-F98). Almost 90% of them were treated with antipsychotics of the second generation-as monotherapy or in combination with first-generation antipsychotics. Adolescents with mental disorders had significantly more carious and extracted teeth and three times less filled teeth than mentally healthy adolescents in the control group. The mean value of the DMF index in the study group patients was also significantly higher than the mean value of DMF index in the control group subjects. Conclusion. It seems that mental disorder among adolescents mainly affects oral health indirectly, decreasing motivation of patients in maintaining oral hygiene.

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“…Oral health is the part of general health that should not be separated from mental health. Several studies in the oral health of psychiatric patients in various countries denote that mental disorders and the use of such drug therapies as antipsychotic drugs can cause the improvement of prevalence and severity of oral diseases [3], [4].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Duration of Antipsychotics Medicine Use Toward The Salivary Flow Rate of Schizophrenics In Special Hospital of South Sulawesi Province

Djamaluddin¹,

Anwar²,

Sadad³

et al. 2019

Proceedings of the Proceedings of the 3rd International Conference on Environmental Risks and Public Health, ICER-PH 2018, 26-2

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Oral health is a part of general health that should not be separated from mental health. Oral health research in psychiatric patients shows that mental disorders and the use of such drug therapy as antipsychotic drugs can escalate the prevalence and severity of oral diseases. The objective of this study to examine the effect of antipsychotic medication by using duration toward the salivary flow rate of schizophrenics in the Special Hospital of South Sulawesi Province. This research is an analytical observation with Cross-Sectional study design. The 74 sample patients was obtained from nonprobability sampling method. The study was conducted at Dadi Special Hospital of South Sulawesi. The obtained data were analyzed by linear regression test and processed using the SPSS application 23.0 version (SPSS Inc., Chicago, IL, USA). The duration of drug use had a significant impact on the salivary flow rate of schizophrenics (p < 0.05). Based on the F test, the value of the F statistic was obtained 8.851 with the number of significanceprobability 0.004, and the coefficient value of determination is 0.109. There is a duration effect of antipsychotic drug use on the decreasing of the salivary flow rate of schizophrenics significantly as the side effect of antipsychotic drug use.

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Prevalence of dental caries in hospitalized patients with schizophrenia

Abstract: Hospitalized patients with schizophrenia had twice as many caries and extracted teeth, and five time less filled teeth than healthy people. The patient’s age and taking antiparkinsonics were established as predictors of the increased DMF index in hospitalized patients with schizophrenia.

Cited by 15 publications

References 17 publications

Association between obesity/overweight and dental caries in psychiatric patients

Association between obesity/overweight and dental caries in psychiatric patients

Evaluation of dental health among adolescents with mental disorders

The Effect of Duration of Antipsychotics Medicine Use Toward The Salivary Flow Rate of Schizophrenics In Special Hospital of South Sulawesi Province

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