Oral health of prosthetic rehabilitated patients with schizophrenia

Introduction/Objective. Factors such as nature of psychiatric disorder, length of hospitalization and oral-side effects of psychotropic medications may considerably contribute to high prevalence of oral diseases among people with schizophrenia, and a consequent need for prosthetic rehabilitation. The aim of this study was to ascertain the oral health level of prosthetic rehabilitated patients with schizophrenia and to consider their needs for future improvement of prosthetic rehabilitation. Methods. The study group comprised 52 patients with schizophrenia, hospitalized at the Clinic for Mental Disorders ?Dr Laza Lazarevic? Belgrade. The control group comprised 52 patients with no psychiatric medical history, treated at the School of Dental Medicine, University in Belgrade. The oral health indices (DMFT index, CPITN and OHI-S), socio-demographic characteristics, smoking habits, oral hygiene habits and previous dental visits were registered in both groups, as well as medical characteristics of the primary disease in the study group patients. Results. Fifty percent of the study group patients had partial mobile dentures, while almost 30% had fixed dentures, in opposite to the control group patients who prevalently had fixed dentures. In both groups of patients, a statistical significance was observed between partial mobile and fixed dentures wearers, in terms of DMFT index, carious teeth, CPI modified and OHI-S. Similarly, a statistically significant difference between groups was observed concerning fixed dentures in terms of carious teeth, filled teeth, CPI modified and OHI-S. Conclusion. Multidisciplinary approach is needed for complete oral and prosthetic rehabilitation of this group of psychiatric patients.

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Evaluation of symptoms and sings of oral soft tissue disorders among inpatients with schizophrenia

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh190311042d ◽

2019 ◽

Vol 147 (5-6) ◽

pp. 276-280

Author(s):

Vladan Djordjevic ◽

Mila Jovanovic ◽

Ena Joksimovic ◽

Amina Asotic ◽

Milena Stasevic ◽

...

Keyword(s):

Oral Health ◽

Soft Tissue ◽

Psychiatric Patients ◽

Demographic Data ◽

Psychotropic Medications ◽

Control Group ◽

Study Group ◽

Oral Diseases ◽

Cross Sectional ◽

Oral Soft Tissue

Introduction. Patients with schizophrenia are likely to constitute a high-risk group of individuals with respect to prevalence of oral diseases and they require special attention. Factors like nature of psychiatric disorders, length of stay and oral-side effects of psychotropic medications have been noted as contributors to poor oral health among institutionalized chronic psychiatric patients. Methods. This cross-sectional study comprised 190 inpatients with schizophrenia at the Dr Laza Lazarevic Clinic for Mental Disorders in Belgrade, and 190 mentally healthy patients at the Clinic for Periodontology and Oral Medicine, School of Dental Medicine, University of Belgrade. A questionnaire was designed for the purpose of this research with the aim of recording information on demographic data (age and sex), unhealthy habits (tobacco smoking, alcohol consumption and drug abuse), and data about the existence of any oral symptom and/or sings related to oral soft tissue pathology. All participants were subjected to targeted clinical examinations. Results. All study group patients were receiving psychotropic medications (mean number 4.18 ? 1.14; from 1 to 7 medications). The study group patients had a total of 272 symptoms and 121 signs of oral disorders; which was almost four times higher for symptoms and even nine times higher for signs of oral disorders than in the control group. Conclusion. Schizophrenia as a mental disorder does not directly affect the condition of oral health of this group of psychiatric patients, but indirectly ? reducing their motivation and awareness of the importance of oral health, which is particularly emphasized in hospital conditions.

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Prevalence of dental caries in hospitalized patients with schizophrenia

Vojnosanitetski pregled ◽

10.2298/vsp150917111d ◽

2016 ◽

Vol 73 (12) ◽

pp. 1102-1108 ◽

Cited By ~ 4

Author(s):

Vladan Djordjevic ◽

Mila Jovanovic ◽

Biljana Milicic ◽

Vesna Stefanovic ◽

Slavica Djukic-Dejanovic

Keyword(s):

Oral Health ◽

Psychiatric Patients ◽

Oral Health Status ◽

Hospitalized Patients ◽

Control Group ◽

Study Group ◽

Oral Medicine ◽

Dmf Index ◽

Significant Difference ◽

Health Studies

Background/Aim. It is considered that over 450 million people worldwide suffer from some form of mental disorder. Previous studies in other countries have shown that schizophrenia is among the most frequent. Oral health is significant for general health and should not be separated from mental health. Studies in other countries have shown an increased incidence of carious and extracted teeth, and less incidence of filled teeth in this group of psychiatric patients. The aim of this study was to establish condition of the existing teeth, to determine the prevalence of caries and to consider possible risk factors that contribute to the current oral health status of hospitalized patients with schizophrenia. Methods. The study comprised 190 patients with schizophrenia, hospitalized at the Clinic for Psychiatric Disorders ?Dr. Laza Lazarevic? in Belgrade, and 190 mentally healthy patients at the Clinic for Periodontology and Oral Medicine, Faculty of Dental Medicine in Belgrade. The decayed, missing, filled (DMF) index, sociodemographic and economic characteristics were registered in both groups, as well as characteristics of the primary disease of hospitalized patients with schizophrenia. Results. The value of DMF index (representing the sum of carious, extracted and filled teeth), in the hospitalized patients with schizophrenia was 18.57 ? 7.07 and 12.47 ? 5.64 in the healthy group (p = 0.000). The structure of the DMF index in the study group showed that caries and extracted teeth dominated with 88.1%; in the control group, filled teeth dominated with 55.6%, which was a statistically significant difference for all the three observed variables. Conclusion. Hospitalized patients with schizophrenia had twice as many caries and extracted teeth, and five time less filled teeth than healthy people. The patient?s age and taking antiparkinsonics were established as predictors of the increased DMF index in hospitalized patients with schizophrenia.

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The Connection of the Level of Estradiol in Serum and Obesity with the Endometrial Bleeding in Postmenopausal Women

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.079 ◽

2019 ◽

Vol 7 (1) ◽

pp. 88-91 ◽

Cited By ~ 1

Author(s):

Valentina Tofiloska ◽

Maria Krstevska ◽

Ana Daneva-Markova ◽

Viktorija Jovanovska

Keyword(s):

Endometrial Cancer ◽

Statistical Significance ◽

Abnormal Uterine Bleeding ◽

Control Group ◽

Prospective Clinical Study ◽

Study Group ◽

Gynecology And Obstetrics ◽

Increased Risk ◽

Significant Difference ◽

Post Menopausal

BACKGROUND: Postmenopausis is a period that begins one year after the last menstrual period. Abnormal uterine bleeding could be of different origins. AIM: This study aimed to determine the association of serum estrogen hormone levels and obesity with the occurrence of endometrial bleeding in post-menopausal women. MATERIAL AND METHODS: Prospective clinical study involving 120 postmenopausal patients treated at the University Clinic for Gynecology and Obstetrics-Skopje, divided into two groups: control and study. The control group consisted of 40 postmenopausal patients without endometrial bleeding, hospitalised and operated due to urogenital pathology. The study group consisted of 80 patients with endometrial bleeding who were divided into three subgroups according to the thickness of the endometrium: from 5-8 mm, 8-11 mm and above 11 mm. In all subjects, estradiol and BMI was determined. RESULTS: Estradiol levels were statistically higher in the study group compared to control while statistically significant difference among the three subgroups according to the thickness of the endometrium about the levels of estradiol in blood is not found. About BMI, the results showed that there was no statistical significance between the two examined groups. CONCLUSION: Patients with endometrial bleeding have increased levels of estradiol and are at increased risk of endometrial cancer about controls, the likelihood of endometrial cancer significantly increases by 1,108 times.

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Tooth abnormalities in pediatric patients submitted to antineoplastic treatment for central nervous system neoplasms

Brazilian Dental Science ◽

10.14295/bds.2016.v19i3.1263 ◽

2016 ◽

Vol 19 (3) ◽

pp. 39

Author(s):

Ornella Florio Demasi ◽

Marcelo Fava ◽

Camila Merida Carrillo ◽

Terezinha Garrett de Freitas Sampaio Amaral ◽

Vicente Odone Filho

Keyword(s):

Central Nervous System ◽

Nervous System ◽

Pediatric Patients ◽

Statistical Significance ◽

Control Group ◽

Study Group ◽

Central Nervous System Neoplasms ◽

Tooth Abnormalities ◽

Significant Difference ◽

Nervous System Neoplasms

Objective: The aim of this study was to evaluate the frequency of tooth abnormalities in pediatric patients treated for central nervous system neoplasms. Material and methods: This cross-sectional study assessed thirty-one patients, median age 14.2 years (range 5 - 25), who were off therapy for at least one year, comparatively with a control group of thirty-one healthy patients matched for age with the study group. Tooth abnormalities were evaluated by panoramic radiographs. Results: There was no statistical significant evidence that patients of the study group (age range 5 - 25 years) have more frequency of tooth abnormalities comparatively with controls. However, in children who were diagnosed before 5 years of age, microdontia was the most common abnormality with statistically significant difference (P=0.037). Root shortening grade III was observed in patients over 10 years of age at the time of radiographic examination, also with statistical significance (P=0.046). Conclusions: Tooth abnormalities frequency in patients treated for central nervous system neoplasms is directly related to the age of diagnosis and stage of odontogenesis. Microdontia and reduced root surface areas, the most common abnormalities observed, can lead to future oral health impairment due to malocclusion and less periodontal support. It is important to give parents and patients early orientation about maintenance of good oral hygiene and proper treatment by orthodontics or dentofacial orthopedics.

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Oral Health Status in Autism Patients Children in Iraq

NeuroQuantology ◽

10.14704/nq.2021.19.6.nq21068 ◽

2021 ◽

Vol 19 (6) ◽

pp. 54-60

Author(s):

Raghad R. Al-Zaidi

Keyword(s):

Oral Health ◽

Dental Caries ◽

Oral Care ◽

Mean Value ◽

Permanent Teeth ◽

Caries Experience ◽

Control Group ◽

Study Group ◽

Significant Difference ◽

And Control

Background: The autism spectrum disorder (ASD) has been introduced as one of the complicated developmental disabilities impairing communication and behavioral, intellectual as well as social functioning describes diverse symptoms, such as difficulties in communication skills and social interactions. The present research has been performed to assess seriousness of the dental caries in conjunction with the oral cleanliness amongst children suffering from autism in comparison with a control group according to age groups and gender. Materials and Methods: This research involved 30 children aged 3-14 years (male, female) who suffered from autism and attended autism centers in Welfare Children Teaching Hospital in Baghdad province, Iraq, were selected for the study compared to 30 healthy children with the same age group. Plaque (PlI), Decayed, missing, and filled surfaces (dmfs, DMFS), calculus (CI) as well as Gingival (GI) indices have been applied for measuring the status of oral health for these two groups. The data of our research has been analyzed by SPSS 26. Results: The entire autism group was caries active. For primary dentition, a lower dmfs values were recorded for study in comparison with the controls, differences have been not significant in dmfs, while for permanent dentition, a higher DMFS values were recorded for study in comparison with the control group with statistically significant concerning DMFS (P < 0.05). Moreover, caries experience (DS and DMFS) among both genders were higher in the study group in comparison with the controls with a significant difference in female only. Total mean value of PlI in the study group has been greater than the controls with no statistically significant difference. In addition, total mean value of GI in the study group has been lower than the controls with no statistically significant difference. Furthermore, correlation coefficient between the caries experience of primary and permanent teeth with PlI and GI among study and control group showed no significant correlations seen in the study and control groups, all of them were positively correlated except (ds) with (GI) in control group which was negatively correlated with no significant correlation. Conclusion: children with ASD had higher dental caries severity regarding permanent teeth compared to normal subjects, plaque higher in autistic group than control group. Dental care planners must design preventing strategies for avoiding caries; procedures for oral care as well as educational programs for oral care and promotion for addressing diverse challenges facing the oral care in ASD.

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The use of Lactobacillus reuteri DSM 17938 and ATCC PTA 5289 on oral health indexes in a school population: A pilot randomized clinical trial

International Journal of Immunopathology and Pharmacology ◽

10.1177/20587384211031107 ◽

2021 ◽

Vol 35 ◽

pp. 205873842110311

Author(s):

Carla Borrell García ◽

Marta Ribelles Llop ◽

Maria Ángeles García Esparza ◽

Antonio Juan Flichy-Fernández ◽

Laura Marqués Martínez ◽

...

Keyword(s):

Oral Health ◽

Oral Hygiene ◽

Dietary Habits ◽

Lactobacillus Reuteri ◽

Eating Habits ◽

Statistical Significance ◽

Significant Degree ◽

Control Group ◽

Study Group ◽

Marked Rise

To assess the effects of a probiotic upon oral health indices in adolescents and to establish relationships between these indices and dietary habits and oral hygiene. Twenty-seven adolescents between 12 and 18 years of age were randomized into two groups. The study group received tablets containing Lactobacillus reuteri DSM 17938/ ATCC 5289 for 28 days, while the control group received tablets without any bacteria. Streptococcus mutans, Lactobacillus sp., and salivary pH were assessed at baseline and at 7, 14, 21, 28, and 45 days. The plaque, gingivitis, and bleeding indices were recorded at baseline and at 14, 28, and 45 days. Dietary and oral hygiene habits were also evaluated by means of a questionnaire. A less marked rise in S. mutans was recorded in the study group. Improvements were observed in terms of plaque, gingivitis, and bleeding, though statistical significance was not reached. Oral pH increased in the study group, though not to a significant degree. Poorer eating habits were significantly correlated to increased plaque. The study parameters decreased with the two strains of L. reuteri DSM 17938 and ATCC PTA 5289, though the results failed to reach statistical.

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Assessment of periodontal health among the inpatients with schizophrenia

Vojnosanitetski pregled ◽

10.2298/vsp170929018d ◽

2019 ◽

Vol 76 (11) ◽

pp. 1139-1146

Author(s):

Vladan Djordjevic ◽

Mila Jovanovic ◽

Vesna Stefanovic ◽

Natasa Nikolic-Jakoba ◽

Gorica Djokic ◽

...

Keyword(s):

Oral Health ◽

Psychiatric Patients ◽

Linear Regression Analysis ◽

Psychiatric Inpatients ◽

Control Group ◽

Sample Population ◽

Study Group ◽

Treatment Needs ◽

Periodontal Health ◽

Periodontal Index

Background/Aim. Many studies on oral health of psychiatric inpatients reported schizophrenia as the most common psychiatric disorder among their sample population. The available evidence suggests the higher prevalence and severity of periodontal disease among the psychiatric inpatients. The aim of this study was to evaluate periodontal health among the inpatients with schizophrenia and to consider possible risk factors for their current periodontal diseases. Methods. This cross-sectional study comprised 190 inpatients with schizophrenia at the Clinic for Psychiatric Disorders ?Dr Laza Lazarevic? in Belgrade, and 190 mentally healthy patients at the Clinic for Periodontology and Oral Medicine, Faculty of Dental Medicine, University in Belgrade. The Community Periodontal Index for Treatment Needs (CPITN) and sociodemographic characteristics were registered in both groups as well as the characteristics of the primary disease among the inpatients with schizophrenia. Results. The patients in the study group had significantly higher scores of the CPITN (2.24 ? 0.98) than the patients in the control group (1.21 ? 1.10). Most of the patients in the study group had supra- , or subgingival calculi (46.8%), in contrast to the control group patients, who had in most cases gingival bleeding (45.8%). The periodontal pockets where detected in 35.8% of schizophrenic inpatients. The linear regression analysis showed that the gender and age were statistically significant predictors of the CPITN value among the inpatients with schizophrenia. Conclusion. The results of this study generally indicate the need for continuous research of psychiatric patients? oral health, in order to determine the modes of its improvement. Similar studies should elucidate significance of psychiatric patients? periodontal health and sensitize psychiatrists and psychiatric nurses to the oral problems of their patients.

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Study on the correlation parameters of Class II malocclusion in child tooth dentition early stage by using 3D technique

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.35.5.592 ◽

2019 ◽

Vol 35 (5) ◽

Author(s):

Peiying Xiong ◽

Wen Sui ◽

Wendan He ◽

Qiaoling Lei ◽

Wenli Gao

Keyword(s):

3D Reconstruction ◽

Statistical Significance ◽

Class Ii ◽

Control Group ◽

Study Group ◽

Class Ii Malocclusion ◽

Nasolabial Angle ◽

Significant Difference ◽

Face Scanning ◽

Lower Mandible

Objective: To record the dentition, jaw and facial growth and development of children with class II malocclusion at the age of 7-8 years old in the early dental transitional stage with 3D technology and to provide the study basis for the growth and development parameters of normal children and children with class II malocclusion. Methods: Twenty-four children who were suffering class-II malocclusion in the early dental transitional stage and received treatment between July 2016 and July 2017 in our hospital were selected as the study group, and 20 healthy children were selected as the control group in the same period. SIRONA CEREC dentition scanning, 3D reconstruction of the lower mandible and 3d MD face scanning were performed on the children. Relevant data were recorded and compared. Results: The dentition scanning results suggested that the study group had significantly larger anterior overbite and anterior overjet and smaller width of the upper arch than the control group; there was a significant difference between the two groups (P<0.05). The 3D reconstruction of the lower mandible suggested that the study group had smaller Go angle and SNB angle and shorter ANS-Me distance, Go-Me distance and N-Me distance compared to the control group; the differences had statistical significance (P<0.05). The face scanning results demonstrated that the nasolabial angle and facial convexity angle of the study group were significantly larger than those in the control group, and the difference was statistically significant (P<0.05). Conclusion: The dentition scanning results suggested that the study group had significantly larger anterior overbite and anterior overjet and smaller width of the upper arch than the control group; there was a significant difference between the two groups (P<0.05). The 3D reconstruction of the lower mandible suggested that the study group had smaller Go angle and SNB angle and shorter ANS-Me distance, Go-Me distance and N-Me distance compared to the control group; the differences had statistical significance (P<0.05). The face scanning results demonstrated that the nasolabial angle and facial convexity angle of the study group were significantly larger than those in the control group, and the difference was statistically significant (P<0.05). doi: https://doi.org/10.12669/pjms.35.5.592 How to cite this:Xiong P, Sui W, He W, Lei Q, Gao W. Study on the correlation parameters of Class II malocclusion in child tooth dentition early stage by using 3D technique. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.592 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Oral Hygiene (OHI-S) and DMFT Status among Type 1 Diabetic Adolescents Aged 12-19 Years: A Case-Control Study

International Healthcare Research Journal ◽

10.26440/ihrj.v2i10.194 ◽

2019 ◽

Vol 2 (10) ◽

pp. 260-263

Author(s):

Vasudha Bhagat ◽

Mehtab Singh Bhagat

Keyword(s):

Type 1 Diabetes ◽

Oral Health ◽

Oral Hygiene ◽

Control Group ◽

Jammu And Kashmir ◽

Significant Difference ◽

Dmft Index ◽

And Gender ◽

Form Type

INTRODUCTION: Diabetes in any form (type 1 or type 2) has the potential to affect the oral health of an individual. AIM: To assess the oral hygiene status (simplified) and DMFT among adolescents aged 12-19 years with type 1 diabetes (cases) in Jammu District, Jammu and Kashmir (J&K), India MATERIALS AND METHOD: A total of 50 patients aged 12-19 years with type 1 diabetes mellitus, screened via medical history from August 2017 to August 2018 were enrolled in the study. The control group consisted of 51 healthy adolescents matched for age and gender selected randomly. The DMFT index was used to record the Decayed, Missing, Filled teeth, while the OHI-S Index was used to assess the Oral Hygiene Status. The examinations were done under artificial light and data was analyzed using SPSS version 19.0. The t-test, Odd’s Ratio (OR) and multiple regression were used to analyze the data. RESULTS: Of a total of 101 participants(50 cases and 51 controls) enrolled in the study, cases reported higher values of OHI-S and DMFT as compared to controls. The cases had an OHI-S score of 3.12±3.2 indicating poor oral hygiene, the controls’ score of 2.54±1.1 revealed fair oral hygiene and no significant statistical differences were found (OR=2.1). A significant difference (p=0.03) was seen upon comparison of DMFT among cases (4.67±6.6) and controls (3.82±2.9). The cases were 1.7 (OR) times more likely to have higher DMF values as compared to controls CONCLUSION: Efforts must be reinforced among adolescents emphasizing the importance of oral health, through more frequent dental education camps in Jammu district, J&K, India

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Domestic violence in a sample of Egyptian female psychiatric patients(pilot study)

European Psychiatry ◽

10.1016/s0924-9338(11)73361-2 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 1657-1657

Author(s):

H. Dessoki ◽

M. El Batrawy ◽

M. Shaheen ◽

N. Sabry

Keyword(s):

Domestic Violence ◽

Battered Women ◽

Psychiatric Patients ◽

Statistical Significance ◽

Bipolar Affective Disorder ◽

Depression Scale ◽

Control Group ◽

Significant Difference ◽

History Of ◽

Bipolar Patients

Domestic violence is one of the most pervasive of all social problems, Domestic violence for women is violence perpetrated within relationships; this violence is much serious than violence perpetrated by a stranger.The hypothesis of this work is that domestic violence is a general health problem and not present particularly in psychiatric patients, the study aims at studying domestic violence in married female psychiatric patients. Sixty Egyptian married females were included, 20 of them had the I.C.D.-10 diagnosis of bipolar affective disorder, 20 neurotic disorders and 20 control group. All groups were clinically and psychometrically assessed using clinical psychiatric sheet of Kasr El-Aini hospital. Those who reported history of domestic violence were subjected to: Zung self rating depression scale, locus of control, Esyenck Personality Questionnaire (E.P.Q) and a specially designed questionnaire to assess intimacy/abuse, and wives’ perception of husbands characters.The results reveal no statistically significant difference between the 3 groups concerning the domestic violence or the degree of abuse. A significant relation was found between domestic violence and history of child abuse. Battered women of patient group were more depressed than control group with no statistical significance, while neurotic patients were significantly more depressed (87%) than bipolar patients (50%) and control group (57.1%)((p < 0.05). Significant higher scores were found in neurotic patients on EPQ neuroticism scale.ConclusionDomestic violence occurring in female psychiatric patients is not higher than normal. In addition, despite abuse, Egyptian wives tend to see their husbands positively.

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