Oral health status and treatment needs in institutionalized psychiatric patients: One year descriptive cross sectional study

Department of Preventive and Community Dentistry, College of Dental Sciences, Davangere, Karnataka, India.
Indian Journal of Dental Research 01/2006; 17(4):171-7. DOI: 10.4103/0970-9290.29868
Source: PubMed

ABSTRACT Psychiatric patients are one of the special groups requiring attention as they are often neglected. Oral health is an major determinant of general health for psychiatric patients and may have a low priority in the context of mental illness. The present study was conducted to assess the oral health status and treatment needs of institutionalized psychiatric patients of Davangere.
220 psychiatric patients admitted in two general hospitals of Davangere during the period of one year were included in the study. The oral health status was evaluated with respect to caries, oral hygiene, and periodontal status.
Of the 180 examined with the response rate of 81.8%. 58.3% were males, mean age was 36.7 years, 57.8% had < 1 year of mental illness with a mean of 2.2 years, and 90% were self-sufficient. The multiple logistic regression analysis showed that the mean DMFT (0.92) increased with age, duration of mental illness, and irregularity of oral hygiene habits (P<0.001). Mean OHI-S score was 3.3 and multiple logistic regression analysis showed that the mean OHI-S score increased with age (P<0.001). The multiple logistic regression analysis showed that the CPI score increased with age, duration of mental illness, and degree of helplessness (P<0.001).
The findings of this study demonstrates low caries prevalence, poor oral hygiene, and extensive unmet needs for dental treatment.

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    • "None of the patients in the psychiatric groups were caries-free in our study, suggesting high treatment needs in the form of restoration or extraction due to extensive caries in both the groups. This finding is supported by Angelillo et al. (1993) who reported no caries-free patients in the study population; but is in contrast to the study by Vigild et al. (1993) and Kumar et al. (2006) in which 11% and 67% of the study population were cariesfree respectively. "
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    • "Periodontal disease Angelillo et al. (1991), Cormac and Jenkins (1999), Dumitrescu et al. (2008), Griffiths et al. (2000), Muhvic-Urek et al. (2007), Kumar et al. (2006), Lewis et al. (2001), Rekha et al. (2002), and Tang et al. (2004) 15.8 Oral infections Herrero et al. (2003), Lucas (1993), and Stevens (2007) 5.2 TMJ disorders Griffiths et al. (2000), Morris et al. (1995), and Rekha et al. (2002) "
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    ABSTRACT: (A) To assess the prevalence of suboptimal oral health in adults with SMI in studies published in 1971-2009; (B) To describe approaches that promote oral health among adults with SMI. A total of 57 randomized, quasi-randomized, cross-section, and cohort studies from samples of 38-4,769 mental health consumers are identified through database, journal, and Internet searches (Cochrane, FASTSTATS, PUBMED, Selected studies are inclusive for the sample, reported statistical power, and external validity. Oral health adverse outcomes (xerostomia, sialorrhoea, dental caries, extracted teeth, malocclusion, periodontal disease, edentulous, oral cancer) are considered as measurable outcomes. This review suggests a substantial prevalence of suboptimal oral health (61%) among individuals with serious mental illnesses. The following outcomes are mostly met: xerostomia, gross caries, decayed teeth, and periodontal disease. Poor oral hygiene, higher intake of carbonates, poor perception of oral health self-needs, length of psychotropic treatment, and less access to dental care determine suboptimal oral health among this population. Further replication of this research should generate gender-wise ethnic cohorts, including detailed observations of environmental factors, and medical problems that contribute to suboptimal oral health. This review highlights the importance of bridging dental health education to psychiatric rehabilitation programs.
    Community Mental Health Journal 12/2010; 46(6):553-62. DOI:10.1007/s10597-009-9280-x · 1.03 Impact Factor
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