Prevalence of oral diseases and oral-health-related quality of life in people with severe mental illness undertaking community-based psychiatric care

Patel, Rachna; Gamboa, A

doi:10.1038/sj.bdj.2012.989

Cited by 42 publications

(49 citation statements)

References 16 publications

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“…In terms of cavity indexes, 56.92% of the sample showed cavities, and 43.08% did not have any lesions of this kind. Similar indexes were obtained by Patel et al (12), after the evaluation of 112 patients with mental disease, and determined that 53% of them had cavities in at least one of the teeth. Likewise, Kossioni et al (13), after studying a sample of 11 hospitalized psychiatric patients, determined that 50.7% of them showed at least one cavity.…”

Section: Discussionsupporting

confidence: 75%

Prevalence of bucco-dental pathologies in patients with psychiatric disorders

Morales-Chávez¹,

Rueda-Delgado²,

Peña-Orozco³

2014

J Clin Exp Dent

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Introduction: Oral diseases in psychiatric patients are usually a result of bad oral hygiene and psychopharmaceutical side-effects. Objective: The aim of this study was to detect the most prevalent oral lesions in patients hospitalized in a psychiatric institution in Caracas, Venezuela with the confirmed diagnosis of psychiatric illness. Material and Methods: A transversal study consisted of 65 hospitalized patients with psychiatric disorders out of whom 50 were males and 15 females. Patients were aged from 19 to 80 years, mean age 50.2 years. Data on oral lesions were obtained within history and clinical examination of the oral cavity. Other medical data were collected from medical documentation. Statistical analysis was performed by SPSS version 17.0. Results: 56.92% of patients had caries in at least one tooth, 29.23% presented gingivitis and 56.92% periodontal disease. In relation to Temporomandibular joint, 36.92% presented articular sounds and 10.76% muscular pain. Between the most prevalent parafunctional habits were found cigarette habit, bruxism, onychophagia and cheek bite. Conclusion: Results imply that psychiatric patients are more frequently involved with oral lesions than healthy persons. It is necessary to organize specific preventive and educational oral health programmes with these patients, in a multidisciplinary group. Key words:Phychiatric patients, schizophrenia, medication, periodontal diseases.

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Section: Discussionsupporting

confidence: 75%

Prevalence of bucco-dental pathologies in patients with psychiatric disorders

Morales-Chávez¹,

Rueda-Delgado²,

Peña-Orozco³

2014

J Clin Exp Dent

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“…Findings from our study suggest limitations in both private and public systems to support dental professionals to meet the dental needs of people with MHD. Research shows that dentists, the majority of whom enter private practice in Australia, graduate with the highest level of debt and often assume financial risk for start‐up costs, capital development and service provision . As such, dentists are acutely sensitive to the financial imperatives underlying their approach to providing care and the incentives within the remuneration system that represents their principal source of income.…”

Section: Discussionmentioning

confidence: 99%

Providing oral care for adults with mental health disorders: Dental professionals’ perceptions and experiences in Perth, Western Australia

Scrine

Durey

Slack‐Smith

2018

Comm Dent Oral Epid

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Objective To explore dental professionals’ perceptions and experiences of providing oral health care for adults with mild to moderate mental health disorders (MHD) in Perth, Western Australia. Methods A grounded theory approach guided this research which comprised semi‐structured interviews with oral health professionals working in private and/or public dental facilities attended by adults with MHD. An iterative analysis of transcripts identified emerging issues that were organized into categories under which key themes were noted, coded, compared, discussed, reviewed and revised independently by two researchers to ensure rigour. Results Sixteen interviews were conducted with six general dentists, three dental specialists, four oral health therapists (OHT) and three dental assistants. Barriers to providing oral health care for adults with MHD included limitations of the current model of care, often focused on treating advanced disease; limited inter‐professional collaboration; an over‐burdened public dental system and the financial constraints of private practice. Personal barriers included perceptions that people with MHD had limited capacity for self‐care and preventing oral disease. Factors that would enable oral health care included training and professional development for dental professionals to work effectively with people with MHD and a more flexible, inter‐professional approach that involved prevention and inviting family to consultations about oral health in primary health care settings. Conclusions Our study reveals structural barriers where services often appear to be inadequately prepared to meet the oral health needs of people with MHD. This suggests the need for strategies to review current models of care and encourage and support dental professionals to provide oral health care that is inclusive, inter‐professional, focused on prevention and sensitive to the social context and lived experience of people with MHD.

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“…However, in Taiwan, dental care for all residents is covered by the NHI, so cost may not be the principal barrier to receiving dental care of Taiwanese patients with severe mental illness. Other factors, including the subjects’ lack of awareness of the importance of dental care, their low levels of perceived need, anxiety about visiting the dentist, difficulty in assessing the dental care needs of institutionalized patients [15], the reluctance of dentists to provide dental care, and possibly negative dental staff attitudes toward the subjects, may account for the under-utilization of the already-insured dental care services [29]. …”

Section: Discussionmentioning

confidence: 99%

Utilization of dental care among patients with severe mental illness: a study of a National Health Insurance database

2016

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BackgroundThe oral health of patients with severe mental illness is poor, in general, and this may be attributed, in part, to inadequate dental care. This study investigated dental care utilization among patients with severe mental illness using a national representative sample.MethodsThis study used Taiwan’s National Health Insurance Research Dataset for 2009. Patients with the diagnosis of severe mental illness (ICD-9-CM: 290–298) were recruited as the study sample, and others comprised the control. Any visit to a dentist was defined as positive in terms of dental care utilization. Regression analyses were applied to determine the odds of dental care utilization for each diagnostic entity of severe mental illness, compared with the general population and controlling for potential covariates.ResultsOnly 40 % of 19,609 patients with severe mental illness visited the dentist within 12 months. This was significantly lower than the dental visit rate of 48.3 % for the control population (odds ratio [OR] = .72, 95 % confidence interval [CI] = .69–.74; P <0.0001). The odds of dental care utilization differed among the severe mental illness diagnostic categories; e.g., the odds were lowest among those with alcohol psychoses (OR = .54, CI = .43–.68), senile dementia (OR = .55, CI = .52–.59) and other organic psychoses (OR = .58, CI = .52–.65), and highest among those with mood disorder (OR = .89, CI = .85–.94), with schizophrenic patients occupying a mid-level position (OR = .63, CI = .59–.67).ConclusionsPatients with severe mental illness received less dental care than the general population. Health care providers and caregivers of patients with severe mental illness should encourage them to visit the dentist regularly, in order to improve the oral health of these vulnerable patient groups.

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Prevalence of oral diseases and oral-health-related quality of life in people with severe mental illness undertaking community-based psychiatric care

Cited by 42 publications

References 16 publications

Prevalence of bucco-dental pathologies in patients with psychiatric disorders

Prevalence of bucco-dental pathologies in patients with psychiatric disorders

Providing oral care for adults with mental health disorders: Dental professionals’ perceptions and experiences in Perth, Western Australia

Utilization of dental care among patients with severe mental illness: a study of a National Health Insurance database

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