scholarly journals Assessment of periodontal health among the inpatients with schizophrenia

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.

2014 ◽  
Vol 2 (3) ◽  
pp. 15-19
Author(s):  
HK Halwai ◽  
PK Bhat ◽  
M Shekhar ◽  
B Yadav

INTRODUCTION : Good oral health is important and have major impact on peoples daily lives and activities. This study  was conducted to assess dental caries, periodontal health, and malocclusion of school children aged 12 and 15 years and to compare them in government and private schools. MATERIAL AND METHODS: A cross-sectional study of 12- and 15-year-old children in government and private schools was conducted in Rupendehi (Bhairahawa) Nepal. A sample of 1011 school children (both males and females) was selected by a two-stage cluster sampling method. Clinical recordings of dental caries and malocclusion were done according to World Health Organization diagnostic criteria 1997. Periodontal health was assessed by Community Periodontal Index of Treatment Needs index. The data collected was analyzed by SPSS versons 13. The statistical tests used were t-test and Chi-square tests.RESULTS: The prevalence of dental caries was 32.6% and 42.2% at 12 and 15 years of age, respectively. At 12 years of age, the mean decayed, missing, filled teeth were 0.62 ± 1.42 and it was 1.06 ± 2.93 at 15 years of age. Females had higher level of caries than males at both the ages. At both ages, mean of decayed teeth was statistically higher in government schools as compared with private schools. Children in government schools had significantly less number of mean filled teeth at both ages as compared with private schools. The healthy component of gingiva was present in higher percentage of children in private schools as compared with government schools at both the age groups. The prevalence of malocclusion among the 12- year-old (58.1%) was more as compared with that among the 15-year-old (53.5%).CONCLUSION: The caries experience of 12 and 15 years old children was low but the prevalence of gingivitis and malocclusion was quite high. Effective oral health promotion strategies need to be implemented to improve the oral health of school children further in Rupendehi District , Bhairahawa, Nepal.DOI: http://dx.doi.org/10.3126/jucms.v2i3.11822 Journal of Universal College of Medical Sciences Vol.2(3) 2014: 15-19


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.


2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Karolina Wiatrak ◽  
Tadeusz Morawiec ◽  
Rafał Rój ◽  
Anna Mertas ◽  
Agnieszka Machorowska-Pieniążek ◽  
...  

This study was carried out to investigate the influence of a propolis and tee tree oil-containing hygienic agent on selected oral health parameters, oral microflora, and the condition of periodontal health. Thirty-seven patients who underwent oral rehabilitation with a removable acrylic denture were selected and randomly assigned into two groups: study group (A) which received a newly formulated propolis and tee tree oil-containing toothpaste or a control group (C) without an active ingredient. API, S-OHI, and mSBI were assessed in three subsequent stages. During each examination swabs were employed for microbiological inoculation: in the study group after 4 weeks use of the active toothpaste showed a decrease in the number of isolated microorganisms. In the control group, after 4 weeks use of the toothpaste without active ingredients resulted in increase in the number of the isolated microorganisms. Improvements in hygiene and the condition of periodontium were observed in patients using active toothpastes. In the study group the oral flora diversity was reduced by the decrease in the number of cultured microorganism species, while in the control group an increase in the number of cultured microorganisms and their species was observed.


2019 ◽  
Vol 100 (3) ◽  
pp. 434-438
Author(s):  
M A Rasulova ◽  
R M Mamedov

Aim. Assessment of the dental status of patients with mental disorders. Methods. Examination of 220 mentally ill and 208 practically healthy individuals was carried out using DCF (decay/missing/filled) and CPITN (Community Periodontal Index of Treatment Needs) indices to determine the prevalence and intensity of caries, periodontal disease, and to identify the need for complex dental care. The group were comparable by the age: 35.2±0.39 и 34.3±0.40 years (р=0.115). The functional state of the salivary glands and mouth fluid was studied. Psychoemotional status was determined before starting the treatment by the clinical psychological method using Spielberger-Khanin scale of reactive and personal anxiety levels. Results. In the study group, the number of patients in whom various forms of caries were detected was 100%, while in the group of mentally healthy subjects the number of such patients was 91.8±1.90% (p=0.001). Due to the high values of intensity of carious disease, especially in terms of the number of teeth extracted, the need of the mentally ill for dentures was recorded to be quite high. The highest intensity of the dental calculi and deep pathological periodontal pockets was found in the study group. Peaks of reduced salivation were more commonly diagnosed in patients with mental illness. Assessing the frequency of occurrence of dentoalveolar anomalies, deep bite and progeny in both groups had the highest ratio relative to other types of anomalies but in the study group, the frequency of cross bite was higher (p=0.015). The rate of reactive anxiety in the course of dental interventions in the study group was 50.1±0.72% versus 31.6±0.57 in the control group (p


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.


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.


Molecules ◽  
2021 ◽  
Vol 26 (13) ◽  
pp. 4071
Author(s):  
Karolina Wiatrak ◽  
Tadeusz Morawiec ◽  
Rafał Rój ◽  
Patryk Kownacki ◽  
Aleksandra Nitecka-Buchta ◽  
...  

The aim of this study was to evaluate the effect of toothpaste containing natural tea tree essential oil (TTO) and ethanolic extract of propolis (EEP), on microflora and selected indicators of oral health in patients using removable acrylic partial dentures. Fifty patients with varying conditions of hygiene were divided into two groups. The study group received the toothpaste with TTO and EEP, while the control group received the same toothpaste but without TTO and EEP. At the first visit, oral hygiene and hygiene of the prostheses were carried out. Control visits took place 7 and 28 days later and compared to baseline. Indexes like API (Approximal Plaque Index), mSBI (modified Sulcus Bleeding Index), OHI-s (simplified Oral Hygiene Index), and DPI (Denture Plaque Index) were assessed in three subsequent stages, and swabs were collected from floor of the mouth area to assess the microbiota. After 7 and 28 days of using the toothpaste with TTO and EEP, a statistically significant decrease of the examined indicator values were observed in the study group as compared to the values upon the initial visit. The number of isolated strains of microorganisms in the study group was decreased or maintained at the same level, whereas in the control group an increase in the number of isolated strains was observed. The observed stabilization of oral microbiota in patients from the study group confirms the beneficial activity of toothpaste containing EEP and TTO compared to the control group.


2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Reyna Aguilar Quispe ◽  
Adrielle Lindolpho Cremonesi ◽  
Jeanne Kelly Gonçalves ◽  
Cassia Maria Fischer Rubira ◽  
Paulo Sérgio da Silva Santos

ABSTRACT Objective To evaluate the oral health of patients with head and neck cancer after antineoplastic treatment, and to compare them with patients with no history of cancer. Methods A total of 75 patients, divided into Study Group, composed of individuals after antineoplastic treatment (n=30), and Control Group, with individuals with no history of cancer (n=45), aged 37 to 79 years. The oral health status was evaluated through the index of decayed, missing or filled permanent teeth (DMFT), community periodontal index and evaluation of the use and need of prosthesis. All of these items were evaluated according to the criteria recommended by the World Health Organization. The statistical analysis was descriptive and used the Pearson’s χ2 test. Results The community periodontal index was higher in the Study Group when compared to the Control Group (p<0.0001). The need for an upper (p<0.001) and lower (p<0.0001) prostheses was higher in the Study Group. Also, the use of upper prosthesis was higher in the Study Group (p<0.002). The missing or filled permanent teeth index between the two groups (p>0.0506) and the use of lower prosthesis (p>0.214) did not present a relevant statistical difference. Conclusion Periodontal disease and edentulism are the most significant changes in individuals who received antineoplastic therapy for head and neck cancer as well as greater need for oral rehabilitation.


2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Nilima S. Kadam ◽  
Rahul Patil ◽  
Abhijit N. Gurav ◽  
Yojana Patil ◽  
Abhijeet Shete ◽  
...  

The aim of the study was to determine influence of intellectually disability (ID) on oral hygiene status (OHS), periodontal status (PS), and periodontal treatment needs (PTNs) and investigate the association of these clinical parameters with various sociodemographic and clinical variables among multicentric institutionalized ID subjects aged 5–55 years in Kolhapur district, Maharashtra, India. This descriptive cross-sectional study was conducted by both questionnaire and clinical examination. OHS, PS, and PTNs of these subjects were assessed by recording Simplified Oral Hygiene Index (OHI-S) and Community Periodontal Index of Treatment Needs, respectively. Analysis of variance and multiple logistic and stepwise linear regression analysis were used for statistical analysis. Of the 576 subjects examined, the mean age of the subjects was 17.50 ± 7.4 years. Subjects with profound level of ID had the highest mean OHI-S, PS, and PTNs scores of 4.47 ± 1.04, 2.84 ± 0.78, and 2.25 ± 0.44, respectively, as compared with other ID groups (P<0.0001). The present study signified that ID subjects had poor OHS and PS with the highest PTNs and were influenced by age (P<0.0001), degree of ID (P<0.0001), SES, location, institution type, and parent’s level education. The present study underlines a considerable need for prevention and treatment of periodontal disease among ID subjects in India.


2017 ◽  
Vol 44 (4) ◽  
pp. 1537-1544 ◽  
Author(s):  
Yu-qing Huang ◽  
Jie Li ◽  
Ji-yan Chen ◽  
Ying-ling Zhou ◽  
An-ping Cai ◽  
...  

Background/Aims: Although it is widely acknowledged that atherosclerosis is mainly a chronic inflammatory process, in which both miR-29b and interleukin-6 (IL-6) play multifaceted roles, the association between miR-29b and IL-6 remains unknown. The aim of the present study was to explore the relationship between miR-29b and IL-6 and to test whether circulating levels of miR-29b and IL-6 could predict atherosclerosis. Methods: A total of 170 participants were divided into two groups according to carotid intima-media thickness (CIMT): study group (CIMT ≥ 0.9mm) and control group (CIMT < 0.9mm). Levels of circulating miR-29b and IL-6 were measured by quantitative real-time polymerase chain reaction (qRT-PCR) and enzyme-linked immunosorbent assay (ELISA), respectively. The association of miR-29b and IL-6 levels with CIMT was assessed using Spearman correlation analysis and multiple linear regression analysis. Results: The study group showed higher miR-29b levels (31.61 ± 3.05 vs. 27.91 ± 1.71 Ct, p < 0.001) and IL-6 levels (3.40 ± 0.67 vs. 2.99 ± 0.37 pg/ml, p < 0.001), compared with the control group. CIMT was positively correlated with miR-29b (r = 0.587, p < 0.001) and IL-6 (r = 0.410, p < 0.001), and miR-29b levels were also correlated with IL-6 (r = 0.242, p = 0.001). Multiple linear regression analysis also showed that CIMT was positively correlated with miR-29b and IL-6. After adjustment for age, body mass index, systolic blood pressure, total cholesterol and C-reactive protein, CIMT was still closely correlated with miR-29b and IL-6. The combination of miR-29b and IL-6 (AUC = 0.901, p < 0.001) offered a better predictive index for atherosclerosis than either miR-29b (AUC = 0.867, p < 0.001) or IL-6 (AUC = 0.747, p < 0.001) alone. Conclusion: Circulating levels of miR-29b and IL-6 may be independently correlated with subclinical atherosclerosis, and may serve as novel biomarkers for the identification of atherosclerosis.


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