A Systematic Review and Meta-Analysis of the Association Between Periodontal Disease and Severe Mental Illness

Abstract

Background: Periodontal disease represents a global public health concern, with a disproportionate burden being borne by vulnerable populations. One such group is people with severe mental illness (SMI), and this study examined whether periodontal health is poorer in people with SMI than the general population. Methods: We conducted a systematic search for studies published before March 2021 on the periodontal health of people with SMI using the following databases: PubMed, PsycINFO, EMBASE, China National Knowledge Infrastructure, and Chongqing VIP. Outcomes were periodontitis, periodontal disease, and shallow and deep periodontal pockets. Results were compared with the general population. Results: Seventeen studies had sufficient data for a random-effects meta-analysis, consisting of 4404 psychiatric patients and 95,411 controls. SMI was associated with an increased prevalence of periodontitis (odds ratio = 1.97, 95% confidence interval [CI] = 1.15-3.35) compared with the general population. People with SMI had 4.28 the odds of having periodontal disease compared with controls (95% CI = 2.54-7.21). They also had 3.65 the odds of shallow pockets (95% CI = 1.80-7.42) and 2.76 the odds of deep pockets (95% CI = 1.10-6.93). Conclusions: Our findings highlight the increased prevalence and severity of periodontal disease in people with SMI. Oral health is often considered the gateway to overall health and should be a public health priority for this population.

Mental Disorders and Oral Diseases: Future Research Directions

“…Evidence on the higher prevalence of oral diseases in people with mental disorders has been recently synthesized in an umbrella review and a subsequent meta-analysis (Cai et al 2022; Choi et al 2022). Compared with the general population, people with depression and anxiety have significantly higher experiences of decayed teeth, periodontal disease, and tooth loss (DMFT mean difference [MD]: 0.76; odds ratio [OR]: 1.54, 1.32, respectively).…”

Health topics emerged from brief‐motivational interviewing: A randomized clinical trial

“…6 Tellez and colleagues stated clinical outcomes do not measure the individual's self-efficacy for behaviour change. 12 In addition to self-efficacy and oral hygiene behaviours influencing indicators of periodontal disease, there is also an impact on the individuals' systemic health, 13 mental/emotional health, [14][15][16] and lifestyle behaviours 17 that contribute to the inflammatory process of periodontitis.…”

Interface odontologia e psiquiatria

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e leitores do periódico "Debates em Psiquiatria"A complexidade na integralidade e interprofissionalidade nos serviços em saúde muitas vezes demonstra um hiato entre as áreas. A saúde bucal e a saúde mental estão relacionadas [1].Até pouco tempo atrás, imaginar que alterações bucais pudessem levar a alterações comportamentais seria algo utópico. Atualmente, uma gama de estudos tem procurado demonstrar qual o impacto da condição da saúde bucal, mais precisamente da condição periodontal [2] (tecidos de sustentação que estão ao redor dos dentes, como a gengiva e osso) no Cartas

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“…A complexidade na integralidade e interprofissionalidade nos serviços em saúde muitas vezes demonstra um hiato entre as áreas. A saúde bucal e a saúde mental estão relacionadas [1].…”

“…A complexidade e combinação de fatores comportamentais e biopsicossociais com as condições sociais, econômicas e culturais podem atuar sobre os determinantes sociais de saúde e afetar diretamente o processo de saúde-doença bucal [1,2]. Os TM podem contribuir para mudanças/alterações comportamentais que prejudicam a correta higienização dentária favorecendo o acúmulo de biofilme bacteriano sobre os dentes e perpetuando a agressão microbiológica sobre os tecidos bucais.…”