Oral health status of female hospitalized psychiatric patients in Jazan: A Case-control study
DOI:
https://doi.org/10.14295/bds.2021.v24i1.2148Abstract
Objectives: Poor oral health is an important determinant of general health in patients with mental illnesses. The present study was conducted to evaluate the dental and periodontal status of hospitalized female psychiatric patients in Jazan city, Saudi Arabia. Materials and Methods: This study included 82 subjects: 37 psychiatric female patients, and 45 age- and gender- matched healthy controls. Dental caries experience (decayed, missing, and filled teeth index ( DMFT ) and periodontal health status were recorded. SPSS version 21 was used for data analysis, and p-value < 0.05 was considered statistically significant. Results: The mean ages were comparable among the two groups. Psychiatric patients showed poor oral hygiene practices, with only 56.6% reported regularly brushing their teeth as compared with 82.2% of controls (P < 0.05). Control subjects had significantly higher DMFT mean scores than psychiatric female patients. However, psychiatric patients had significantly higher mean scores of missing teeth (M component) and lower restored teeth (F component) as compared with controls. Moreover, the mean attachment loss scores were significantly higher in the psychiatric group (0.76±1.58) compared with controls (0.23; 0.44 p < 0.01). Conclusions: Psychiatric patients showed poor oral hygiene practices and a high prevalence of untreated dental caries and periodontal diseases. Effective oral health promotion strategies need to be implemented to improve the oral health and oral health practices of this group of people.
Keywords
Psychiatric patients; Dental; Periodontal disease; Oral hygiene.
References
Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. International journal of epidemiology 2014;43:476-493.
Tomar B, Bhatia NK, Kumar P, Bhatia MS, Shah RJ. The psychiatric and dental interrelationship. Delhi Psychiatry J. 2011 Apr;14(1).
Thomson WM, Subramaniam M, Abdin E, Ang KY. The oral health of long-term psychiatric inpatients in Singapore. Psychiatry research. 2018 Aug 1;266:206-11.
Wey MC, Loh S, Doss JG, Abu Bakar AK, Kisely S. The oral health of people with chronic schizophrenia: A neglected public health burden. Australian & New Zealand Journal of Psychiatry. 2016 Jul;50(7):685-94.
Anita M, Sadhana K. Oral Hygiene Practices among Psychiatric Outpatients in Chennai. Indian Journal of Public Health Research & Development. 2019 Nov 1;10(11).
Persson K, Axtelius B, Söderfeldt B, Östman M. Monitoring oral health and dental attendance in an outpatient psychiatric population. Journal of Psychiatric and Mental Health Nursing. 2009 Apr;16(3):263-71.
Kisely S, Baghaie H, Lalloo R, Siskind D, Johnson NW. A systematic review and meta-analysis of the association between poor oral health and severe mental illness. Psychosomatic medicine. 2015 Jan 1;77(1):83-92.
Schüler IM, Bock B, Heinrich-Weltzien R, Bekes K, Rudovsky M, Filz C, Ligges C. Status and perception of oral health in 6–17-year-old psychiatric inpatients—randomized controlled trial. Clinical oral investigations. 2017 Dec 1;21(9):2749-59.
Scrine C, Durey A, Slack‐Smith L. Providing oral care for adults with mental health disorders: Dental professionals’ perceptions and experiences in Perth, Western Australia. Community dentistry and oral epidemiology. 2019 Feb;47(1):78-84.
Al-Mobeeriek A. Oral health status among psychiatric patients in Riyadh, Saudi Arabia. West indian medical journal 2012;61:549-554.
Ainamo J. Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). Int dent J 1982;32:281-291.
Page RC, Eke PI. Case definitions for use in population‐based surveillance of periodontitis. Journal of periodontology 2007;78:1387-1399.
Al-Maweri S, AlAkhali M. Oral hygiene and periodontal health status among khat chewers. A case-control study. Journal of clinical and experimental dentistry. 2017 May;9(5):e629.
Al‐Akhali M, Al‐Moraissi E. Khat chewing habit produces a significant adverse effect on periodontal, oral health: A systematic review and meta‐analysis. Journal of periodontal research 2017;52:937-945.
Al-Maweri SA, Alaizari NA, Al-Sufyani GA. Oral mucosal lesions and their association with tobacco use and qat chewing among Yemeni dental patients. Journal of clinical and experimental dentistry. 2014 Dec;6(5):e460.
Patil S, Jafer M, Anil S. Smokeless Tobacco-Patterns of Consumption, Oral Potentially Malignant Disorders, and Other Oral Health Issues. Journal of International Oral Health. 2016 Apr 1;8(4):I.
Al‐Maweri SA, Al‐Jamaei A, Saini R, Laronde DM, Sharhan A. White oral mucosal lesions among the Yemeni population and their relation to local oral habits. Journal of investigative and clinical dentistry. 2018 May;9(2):e12305.
Baghaie H, Kisely S, Forbes M, Sawyer E, Siskind DJ. A systematic review and meta‐analysis of the association between poor oral health and substance abuse. Addiction. 2017 May;112(5):765-79.
