scholarly journals Prevalence of dental caries in hospitalized patients with schizophrenia

2016 ◽  
Vol 73 (12) ◽  
pp. 1102-1108 ◽  
Author(s):  
Vladan Djordjevic ◽  
Mila Jovanovic ◽  
Biljana Milicic ◽  
Vesna Stefanovic ◽  
Slavica Djukic-Dejanovic

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.

Author(s):  
Miodrag Scepanovic ◽  
Vladan Djordjevic ◽  
Ivana Stasevic-Karlicic ◽  
Ena Joksimovic ◽  
Danijela Staletovic ◽  
...  

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.


2018 ◽  
Vol 11 (4) ◽  
pp. 2085-2089
Author(s):  
Ali Hadi Fahad ◽  
Raed Faisal Al-Huwaizi ◽  
Yamama A. Al-Rubbaey ◽  
Abbas F. Alhuwaizi

Differences in susceptibility to dental caries occurs even under the similar, controlled conditions because of genetic variations, certain environmental factors are potentially more cariogenic for some individuals than for others. Salivary constituents differences may cause variation in caries susceptibility. This study was conducted to assess the salivary pH, flow rate and streptococcus mutans count in relation to oral health status among colored eyes adolescents. The study group included all 85 colored eyes adolescents from 6 secondary schools, while control group contained 85 brown eyes adolescents selected randomly from the same schools (12-15 for both groups, only males). Decayed, missing and filled teeth (DMFT), plaque (PlI), Gingival (GI) and calculus (CI) indices were used to measure oral health status for both groups. Salivary samples collection was done in the morning at least one hour after breakfast, then normal saline was added to have tenfold dilutions, to assess the total colony counting of the caries related microorganisms (streptococcus mutans), after that inoculation was done in the special selective media (Mitis-Salivarius-Bacitracin agar). Counting of bacterial colonies were estimated by the aid of dissection microscope. Salivary pH and flow rate were measured directly. The data of present study was analyzed using SPSS version 21. The median and mean rank values for DMFT, PlI, GI and CI indices were higher in study group than control group with high significant differences with regard to DMFT and PlI. A strong positive correlation was recorded between DMFT and PlI, GI, CI in both groups. Salivary pH and flow rate were lower in study compared to the control group (statistically significant difference with salivary flow rate). Higher mean value of salivary streptococcus mutans count among study group compared to control group with statistical significant difference. Dental caries experience and streptococcus mutans count were higher in colored eyes adolescents than brown eyes adolescents. Oral hygiene and salivary flow rate were lower in study group than control group.


2021 ◽  
Vol 12 (1) ◽  
pp. 240
Author(s):  
Elżbieta Dembowska ◽  
Aleksandra Jaroń ◽  
Karolina Skoczek-Szlosser ◽  
Ewa Gabrysz-Trybek ◽  
Joanna Bladowska ◽  
...  

Asthma belongs to a broad group of allergic diseases and is the most common chronic disease found in children and adults up to four decades of age. Already published studies suggest that the use of inhaled anti-asthmatic medications affects both general health and oral health. The study included 120 adult patients aged 18 to 71 divided into three groups: I “PERIO-ASTHMA”—with asthma and periodontitis, II “ASTHMA”—with asthma without periodontitis, and control group III “CONTROL”—without asthma and periodontitis. The patients were monitored for oral health status for six months. Oral health was assessed by dental indices: DMF index, PI, BoP, PD, and CAL at interproximal sites. Significantly deeper pockets in the lateral segments of the dentition were observed in all study groups. In addition, the bronchial-only group had significantly deeper pockets in the lateral sextants than the control group at all time points. There was no significant worsening of periodontal status by CAL and PD in asthma patients treated with inhalation, irrespective of baseline periodontal status. Depending on the severity of asthma, an increase in BOP was observed in the central sextant in patients without periodontitis. The history of asthma and the use of ICS has an impact on the periodontal status of patients.


Author(s):  
Maha H. Alamri ◽  
Reem A. Alqahtani ◽  
Norah A. Alqahtani ◽  
Wejdan A. Shobeili ◽  
Rafi A. Togoo ◽  
...  

Background: This study aimed to assess the oral health status and dental treatment needs of children with Sickle Cell disease (SCD) in Abha and Khamis Mushait cities of southern Saudi Arabia.Methods: A total of 82 children were included in the study, 41 children with SCD and 41 control group. A total of 82 children having age group of 2 to 13 years from Abha and Khamis Mushait cities of southern Saudi Arabia were examined. The clinical examinations were performed by experienced clinicians in those children who fulfilled the required inclusion criteria. Intraoral examination was done using Decayed-Missing-Filled Teeth Index (DMFT Index) and other dental conditions were examined. Statistical analysis was done with Chi square test and level of significance was set at p<0.05.Results: Prevalence of dental caries was shown between the 2 groups of children i.e., SCD and control. When SCD was compared with control group, the Mean ±Standard deviation for decayed missing filled tooth was found to be DMFT= 6.95±4.79, 8.02±4.33 respectively. Statistically no significant difference was found (P=0.290). 17.1% of children with SCD group has gingivitis compared to control group which is 7.3%. Statistically no significant difference was found (P=0.177). Dental trauma, deleterious oral habits and tooth brushing amount SCD children were shown no statistically significant compared to control group.Conclusions: In the present study no significant difference was evident in dental diseases and treatment needs among SCD and Control group.


2021 ◽  
Vol 19 (6) ◽  
pp. 54-60
Author(s):  
Raghad R. Al-Zaidi

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.


2019 ◽  
Vol 76 (11) ◽  
pp. 1139-1146
Author(s):  
Vladan Djordjevic ◽  
Mila Jovanovic ◽  
Vesna Stefanovic ◽  
Natasa Nikolic-Jakoba ◽  
Gorica Djokic ◽  
...  

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.


Author(s):  
Anisha Keshan ◽  
Manju R. ◽  
Amitha M. Hegde

Background: Chronic arsenic exposure, especially via the consumption of contaminated ground water has far reaching consequences on human health. Thus, the aim of this study was to assess the effect of arsenic on oral health status of children.Methods: 100 children selected from Sanduru, Bellary district, North Karnataka (ground water is not contaminated with arsenic) were categorized as control group and 100 children of age 10 to 14 years from Hutti, Raichur district, North Karnataka (ground water contaminated with arsenic) were categorized as the study group. Water samples were analysed for arsenic and fluoride levels. Chronic arsenic exposure in children was determined by measuring the arsenic levels in their hair and nail samples. Enamel defects, oral mucosal lesions and tooth eruption timing were recorded in both the groups using the modified WHO oral health assessment form, 2013.Results: There was a significant increase in the arsenic content in the hair and nail samples of children in study group. Prevalence of enamel defects were significantly higher and a marked delay in eruption of permanent was seen among the study population.Conclusions: Chronic arsenic exposure could be a possible cause for the enamel defects and the eruption delay seen in children residing in Hutti, Raichur district, North Karnataka. 


2021 ◽  
Vol 3 (2) ◽  
pp. 99-109
Author(s):  
Ellyvina Setya Dhini ◽  
◽  
Ganes L Tentipratiwi ◽  

Elderly is someone who has age of 60 yearsor over and the final stage of their life phase. Complexity of oral health status, systemic disease, cognitive impairment and took medicationseveral drugs causeselderly more susceptible to dental and oral problems. Purpose of this study was to determine effect of using betel leaf mouthwash (Piperis betle L.)forelderly’soral health. Study was designed byquasi experimental method with one group pre post design technique, interventionto thesubject without control group, sample studied in31 people. Effectiveness of Betel Leaf Mouthwash (OKDS) was tested by statistical analysis of the comparative Wilcoxon test. The results of the analysis showeda significant difference between before and after the intervention with p-value 0.019 which means OKDS effective to improving the subject's oral health


2019 ◽  
Vol 147 (5-6) ◽  
pp. 276-280
Author(s):  
Vladan Djordjevic ◽  
Mila Jovanovic ◽  
Ena Joksimovic ◽  
Amina Asotic ◽  
Milena Stasevic ◽  
...  

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.


2019 ◽  
Vol 14 (1) ◽  
pp. 80
Author(s):  
Dr. Zahraa Ali Al-Awadi ◽  
Dr. Baydaa Hussien Hussien

Background: Although they are not life threatening, dental caries and periodontaldisease are the most predominant and widely spread oral diseases throughout theworld. The aims of the study included the investigation of the prevalence andseverity of dental caries, gingivitis and dental plaque in relation to gender,furthermore, nutritional status was assessed in relation to oral health condition(dental caries).Materials and Methods: This oral health survey was conducted among primaryschool children aged 9 years old in Dewanyiah city in Iraq. The total samplecomposed of 600 child (320 males and 280 females) selected randomly fromdifferent school in Dewanyiah city. Diagnosis of dental caries was according tothe criteria described by WHO (1987). Plaque index of Silness and Loe (1964)was used for plaque assessment, gingival index of Loe and Silness (1963) wasfollowed for recording gingival health condition. Nutritional status was assessedaccording to body mass index (BMI) indicator using anthropometric measurement(height and weight).Results: Results showed that the prevalence of dental caries was 85% for 9 year-oldschool children. Regarding primary and permanent dentition, dental caries washigher among females compared to males with statistically significant difference(P<0.05) for primary dentition, on the other hand, males showed higher values offilled surfaces compared to females with statistically significant difference(P<0.05) for primary dentition and highly significant difference (P<0.01) forpermanent dentition. Finding of this study revealed that 100% of the children hadgingival inflammation. Furthermore, the values of plaque and gingival indiceswere higher among males compared to females with statistically highly significantdifferences (P<0.01). In current study, the prevalence of malnutrition described bythe BMI indicator was 5.3%. For total samples no significant difference wasrecorded in dmfs /DMFS values among wasting and well nourished children(P>0.05).Conclusion: A high prevalence of dental caries and gingivitis were recorded.Improvement in the prevention educational programs is needed among schoolchildren.


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