The oral health of people with chronic schizophrenia: A neglected public health burden

Wey, Mang Chek; Loh, Siew Yim; Doss, Jennifer Geraldine; Bakar, Abdul Kadir Abu; Kisely, Steve

doi:10.1177/0004867415615947

Cited by 56 publications

(81 citation statements)

References 38 publications

(58 reference statements)

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“…The authors concluded that dental disease deserves the same attention as other comorbidities for people with schizophrenia (Wey et al . ). These findings suggest that oral health needs to be part of optimising physical health care for patients with chronic mental illness.…”

Section: Discussionmentioning

confidence: 97%

Enhancing oral health for better mental health: Exploring the views of mental health professionals

Scrine

Durey

Slack‐Smith

2017

Int J Mental Health Nurs

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The association between oral health, self‐esteem and quality of life is well established yet there is limited research on the impact of addressing the poor oral health of people living with mental health disorders. Greater consideration is warranted on how enhancing oral health in the course of mental healthcare might reduce the burden of a person's ill health. The role of mental health professionals is important in this regard yet uncertainty persists about the role these providers can and should play in promoting oral health care for people with mental health disorders. This qualitative study explored the issue of oral health and mental health with community based mental health professionals in Perth, Western Australia. It examined their views on the oral health status and experiences of their clients, and the different and alternative ways to improve access to care, knowledge and preventative regimens. Findings indicated participants’ ambivalence, reluctance and lack of training in raising oral health issues, despite its acknowledged importance, indicating a siloed approach to care. Findings offer an opportunity to reflect on whether a more integrated approach to oral health care for people with mental health disorders would improve health outcomes.

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Section: Discussionmentioning

confidence: 97%

Enhancing oral health for better mental health: Exploring the views of mental health professionals

Scrine

Durey

Slack‐Smith

2017

Int J Mental Health Nurs

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“…Schizophrenia is a chronic and disabling mental disorder affecting 1–2% of the population worldwide, characterized by heterogeneous clinical features (Lu et al., 2012; Wey, Loh, Doss, Abu Bakar, & Kisely, 2016). Although the underlying etiology of schizophrenia is still poorly understood, lines of evidence suggest that dysfunction in 5‐hydroxytryptamine (serotonin) processes involves in the pathophysiology of schizophrenia (Ellenbroek & Prinssen, 2015; Wooley & Shaw, 1954).…”

Section: Introductionmentioning

confidence: 99%

Successful treatment with risperidone increases 5‐HT 3A receptor gene expression in patients with paranoid schizophrenia – data from a prospective study

et al. 2017

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IntroductionThe relationship between peripheral 5‐HT3A receptor mRNA level and risperidone efficiency in paranoid schizophrenia patients is still unknown.MethodsA total 52 first‐episode and drug‐naive paranoid schizophrenia patients who were treated with risperidone and 53 matched healthy controls were enrolled. Patients were naturalistically followed up for 8 weeks. Positive and Negative Syndrome Scale (PANSS) was applied to assess symptom severity of the patients at baseline and at the end of 8th week.ResultsThere was no difference in 5‐HT3A receptor mRNA level between paranoid schizophrenia patients and healthy controls at baseline (p = .24). Among 47 patients who completed 8‐week naturalistic follow‐up, 37 were responders to risperidone treatment. 5‐HT3A receptor mRNA level of paranoid schizophrenia patients did not change in overall patients after 8‐week treatment with risperidone (p = .29). However, 5‐HT3A receptor mRNA level in responders increased significantly (p = .04), but not in nonresponders (p = .81).ConclusionsSuccessful treatment with risperidone increases 5‐HT3A receptor gene expression in patients with paranoid schizophrenia, indicating that 5‐HT3A receptor may be involved in the mechanism of risperidone effect.

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“…Some treatments can cause gingival pain (ziprazidone) (44) and problems with the temporomand ibular joint (trismus) (45). Generally, schizophrenic patients with atypical antipsychotics have better dental health than patients treated with typical antipsychotics or a combination of both (37).…”

Section: The Factors That Influence the Dental Treatment Of Patients mentioning

confidence: 99%

“…In response to the increase in chronic diseases, the very high rate of treatment non-observance and the need for more patient autonomy, the partner patient concept is gradually emerging as a healthcare approach (35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54). The experiential knowledge of patients in psychiatry was used to establish the charter of citizenship, which opens up prospects in terms of healthcare system reorganization (55,56).…”

Section: The Partner Patient Conceptmentioning

confidence: 99%

Oral Health Is a Challenging Problem for Patients with Schizophrenia: A Narrative Review

Denis

Pelletier

Chauvet-Gélinier

et al. 2018

Iran J Psychiatry Behav Sci

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Context: Poor oral health is part of co-morbidities and exposes patients suffering from schizophrenia to excess mortality. The purpose of this review is to make an up-to-date assessment on the oral health of these patients and make suggestions for improvement.Evidence Acquisition: Based on a bibliographic search of Pub Med, we identified, using keywords, all the clinical studies up to 2015 conducted on the oral health of patients with schizophrenia.Results: From 81 articles chosen, we retained 23 clinical studies that met our inclusion criteria. These studies find higher dental and periodontal indexes in patients with schizophrenia than in the general population. Access to healthcare is a problem for these patients. The level of research is insufficiently considered compared to other chronic pathologies. Many factors contribute to poor oral health in these patients such as their mental illness, side effects of psychotropic drugs, and any psychosocial factors they might encounter. Conclusions:For these fragile patients with specific needs, simple measures can be implemented to improve their oral health. Better taken into account, the oral health of these patients should contribute to the overall improvement of quality of life and to the general health of these subjects.

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The oral health of people with chronic schizophrenia: A neglected public health burden

Cited by 56 publications

References 38 publications

Enhancing oral health for better mental health: Exploring the views of mental health professionals

Enhancing oral health for better mental health: Exploring the views of mental health professionals

Successful treatment with risperidone increases 5‐HT 3A receptor gene expression in patients with paranoid schizophrenia – data from a prospective study

Oral Health Is a Challenging Problem for Patients with Schizophrenia: A Narrative Review

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