Oral and dental health in hospitalized psychiatric patients: a cross-sectional and comparative study in Kerman, Iran
الموضوعات : Report of Health Care
Alireza Ghaffarinejad
1
(MD, Full Professor, Shahid Beheshti Hospital, Kerman University of Medical Sciences, Kerman, Iran)
Goli Chamani
2
(DDS, MSc, Associate Professor, Department of Oral Medicine, Kerman School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran)
Mohammad Reza Zarei
3
(DDS, MSc, Associate Professor, Department of Oral Medicine, Kerman School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran)
Ali Mehdizadeh Zare Anari
4
(MD, Psychiatrist, Researcher, Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran)
Shahrzad Aghaabasi
5
(DDS, Private Practice, Kerman, Iran)
Roya Samadi
6
(MD, Psychiatrist, Researcher, Psychiatry and Behavioral Sciences Research Center, Faculty of Medicine, Mashhad University
of Medical Sciences, Mashhad, Iran)
الکلمات المفتاحية: Dental Health, DMF-T, OAG-PC, Oral Health, Psychiatric Patients,
ملخص المقالة :
Introduction: The purpose of this study was to assess oral and dental health of hospitalized psychiatric patients.
Methods: This cross-sectional study which included 193 psychiatric patients was conducted in two psychiatric hospitals (Shahid Beheshti and Bahman) in Kerman, Iran. According to the duration of the hospital stay, patients were categorized into two groups of acute and chronic. The oral and dental health of the patients was assessed using Decay, Missing, Filling Teeth (DMF-T) index and Oral Assessment Guide for Psychiatric Care (OAG-PC). High score for these two scales indicated a worse oral and dental health.
Results: Mean (±SD) DMFT and OAG-PC scores of the patients were 19.74 (±7.88) and 20.77, respectively. Univariate analysis showed that patients in chronic group had higher OAG-PC (P = 0.014), but the difference of DMF-T scores was not statistically significant between the two groups (P = 0.57). After controlling confounding variables, the differences of the DMF-T and OAG-PC scores were not statistically significant between the two groups (P values of 0.88 and 0.64, respectively).
Conclusion: Oral and dental health in the studied psychiatric patients was poor. It is vital to improve the oral and dental health status of psychiatric patients.
1. Sjögren R, Nordström G. Oral health status of psychiatric patients. J Clin Nurs 2000; 9(4): 632-8.
2. Lewis S, Jagger RG, Treasure E. The oral health of psychiatric in-patients in South Wales. Spec Care Dentist 2001; 21(5): 182-6.
3. Ramon T, Grinshpoon A, Zusman SP, Weizman A. Oral health and treatment needs of institutionalized chronic psychiatric patients in Israel. Eur Psychiatry 2003; 18(3): 101-5.
4. Angelillo IF, Nobile CG, Pavia M, De Fazio P, Puca M, Amati A. Dental health and treatment needs in institutionalized psychiatric patients in Italy. Community Dent Oral Epidemiol 1995; 23(6): 360-4.
5. Hede B. Dental health behavior and self-reported dental health problems among hospitalized psychiatric patients in Denmark. Acta Odontol Scand 1995; 53(1): 35-40.
6. Eilers J, Berger AM, Petersen MC. Development, testing, and application of the oral assessment guide. Oncol Nurs Forum 1988; 15(3): 325-30.
7. Andersson P, Persson L, Hallberg IR, Renvert S. Testing an oral assessment guide during chemotherapy treatmen in a Swedish care setting : a pilot study. J Clin Nurs 1999; 8(2): 150-8.
8. Andersson P, Hallberg IR, Renvert S. Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward. Spec Care Dentist 2002; 22(5): 181-6.
9. Andersson P, Hallberg IR, Renvert S. Comparison of oral health status on admission and at discharge in a group of geriatric rehabilitation patients. Oral Health Prev Dent 2003; 1(3): 221-8.
10. Ross A, Crumpler J. The impact of an evidence-based practice education program on the role of oral care in the prevention of ventilator-associated pneumonia. Intensive Crit Care Nurs 2007; 23(3):132-6.
11. Ghorbanibirgani A, Hakim A, Dorri N. DMFT index and dental carries assessment for 12-14 years old students, Ahvaz - Iran in, 2010-2011. Jundishapur Journal Chronic Disease Care. 2013; 2(2): 26-31.
12. Rudolph MJ, Chikte UM. Dental caries experience and periodontal disease in institutionalised male psychiatric patients. J Dent Assoc S Afr 1993; 48(8): 451-4.
13. Rekha R, Hiremath SS, Bharath S. Oral health status and treatment requirements of hospitalized psychiatric patients in Bangalore city: a comparative study. J Indian Soc Pedod Prev Dent 2002; 20(2):63-7.
14. Tang WK, Sun FC, Ungvari GS, O’Donnell D. Oral health of psychiatric in-patients in Hong Kong. Int J Soc Psychiatry 2004; 50(2): 186-91.
15. Vigild M, Brinck JJ, Christensen J. Oral health and treatment needs among patients in psychiatric institutions for the elderly. Community Dent Oral Epidemiol 1993; 21(3): 169-71.
16. Kenkre AM, Spadigam AE. Oral health and treatment needs in institutionalized psychiatric patients in India. Indian J Dent Res 2000; 11(1): 5-11.
17. Lynch U, Lazenbatt A, Freeman R, Lynch G, Neill EO. Making equity a reality: oral health promotion in a psychiatric setting. Int J Psychiatr Nurs Res 2005; 10(2): 1078-92.
18. Nalcaci R, Baran I. Factors associated with self-reported halitosis (SRH) and perceived taste disturbance (PTD) in elderly. Arch Gerontol Geriatr 2008; 46(3): 307-16.
19. Khaira N, Palmer RM, Wilson RF, Scott DA, Wade WG. Production of volatile sulphur compounds in diseased periodontal pockets is significantly increased in smokers. Oral Dis 2000; 6(6): 371-5.
20. Velasco E, Bullón P. Periodontal status and treatment needs among Spanish hospitalized psychiatric patients. Spec Care Dentist 1999; 19(6): 254-8.
21. Chalmers J, Pearson A. Oral hygiene care for residents with dementia: a literature review. J Adv Nurs 2005; 52(4): 410-19.
22. Kilbourne AM, Horvitz-Lennon M, Post EP, McCarthy JF, Cruz M, Welsh D, et al. Oral health in Veterans Affairs patients diagnosed with serious mental illness. J Public Health Dent 2007; 67(1): 42-8.
23. Clark DB. Dental care for the patient with bipolar disorder. J Can Dent Assoc 2003; 69(1): 20-4.
