Prevalence of dental caries in hospitalized patients with schizophrenia

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 ment...

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Main Authors: Đorđević Vladan, Jovanović Mila, Miličić Biljana, Stefanović Vesna, Đukić-Dejanović Slavica
Format: Article
Language:English
Published: Military Health Department, Ministry of Defence, Serbia 2016-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600111D.pdf
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author Đorđević Vladan
Jovanović Mila
Miličić Biljana
Stefanović Vesna
Đukić-Dejanović Slavica
author_facet Đorđević Vladan
Jovanović Mila
Miličić Biljana
Stefanović Vesna
Đukić-Dejanović Slavica
author_sort Đorđević Vladan
collection DOAJ
description 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 Lazarević” 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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spelling doaj.art-45e3d58e6c17455c99c8f4e375ba26002025-03-02T01:23:07ZengMilitary Health Department, Ministry of Defence, SerbiaVojnosanitetski Pregled0042-84502406-07202016-01-0173121102110810.2298/VSP150917111D0042-84501600111DPrevalence of dental caries in hospitalized patients with schizophreniaĐorđević Vladan0Jovanović Mila1Miličić Biljana2Stefanović Vesna3Đukić-Dejanović Slavica4Clinic for Psychiatric Disorders “Dr. Laza Lazarević”, BelgradeFaculty of Dental Medicine, BelgradeFaculty of Dental Medicine, BelgradeClinic for Psychiatric Disorders “Dr. Laza Lazarević”, BelgradeClinic for Psychiatric Disorders “Dr. Laza Lazarević”, Belgrade + Faculty of Medical Sciences, KragujevacBackground/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 Lazarević” 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.http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600111D.pdfschizophreniahospitals, psychiatricdental cariesprevalenceDMF indexoral hygiene
spellingShingle Đorđević Vladan
Jovanović Mila
Miličić Biljana
Stefanović Vesna
Đukić-Dejanović Slavica
Prevalence of dental caries in hospitalized patients with schizophrenia
Vojnosanitetski Pregled
schizophrenia
hospitals, psychiatric
dental caries
prevalence
DMF index
oral hygiene
title Prevalence of dental caries in hospitalized patients with schizophrenia
title_full Prevalence of dental caries in hospitalized patients with schizophrenia
title_fullStr Prevalence of dental caries in hospitalized patients with schizophrenia
title_full_unstemmed Prevalence of dental caries in hospitalized patients with schizophrenia
title_short Prevalence of dental caries in hospitalized patients with schizophrenia
title_sort prevalence of dental caries in hospitalized patients with schizophrenia
topic schizophrenia
hospitals, psychiatric
dental caries
prevalence
DMF index
oral hygiene
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501600111D.pdf
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AT stefanovicvesna prevalenceofdentalcariesinhospitalizedpatientswithschizophrenia
AT đukicdejanovicslavica prevalenceofdentalcariesinhospitalizedpatientswithschizophrenia