An assessment of the dental health of chronic institutionalized patients with psychiatric disease in Israel
Identifieur interne : 003C50 ( Istex/Corpus ); précédent : 003C49; suivant : 003C51An assessment of the dental health of chronic institutionalized patients with psychiatric disease in Israel
Auteurs : Shlomo Paul Zusman ; Alexander Michael Ponizovsky ; Dan Dekel ; Abd-El-Samia Masarwa ; Tirza Ramon ; Lena Natapov ; Alexander GrinshpoonSource :
- Special Care in Dentistry [ 0275-1879 ] ; 2010-01.
English descriptors
- KwdEn :
- Caries component, Carious teeth, Clinical diagnosis, Comm dent, Community settings, Component scores, Dental, Dental care, Dental disease, Dental health, Dental pathology, Dental professionals, Dental services, Dental status, Dental treatment, Denture, Edentulous, Edentulous patients, Gender, Health service, Hebrew university, High risk, Hospitalization registry, Index scores, Inpatient, Mental health services, Mood disorders, Oral disease, Oral health, Positive correlation, Psychiatric, Psychiatric disabilities, Psychiatric disease, Psychiatric hospitals, Psychiatric institutions, Psychiatric patients, Random sample, Response rate, Schizophrenia, Study show, Teeth component.
- Teeft :
- Caries component, Carious teeth, Clinical diagnosis, Comm dent, Community settings, Component scores, Dental, Dental care, Dental disease, Dental health, Dental pathology, Dental professionals, Dental services, Dental status, Dental treatment, Denture, Edentulous, Edentulous patients, Gender, Health service, Hebrew university, High risk, Hospitalization registry, Index scores, Inpatient, Mental health services, Mood disorders, Oral disease, Oral health, Positive correlation, Psychiatric, Psychiatric disabilities, Psychiatric disease, Psychiatric hospitals, Psychiatric institutions, Psychiatric patients, Random sample, Response rate, Schizophrenia, Study show, Teeth component.
Abstract
Many institutionalized patients with psychiatric disease have been discharged into the community and the patients who remain hospitalized are at a particularly high risk for dental disease. This study assessed the oral health and treatment needs of chronically hospitalized patients with psychiatric disease in Israel. A random sample of 301 patients hospitalized for more than 1 year in 14 of 18 psychiatric institutions in Israel was drawn from the National Psychiatric Hospitalization Registry, and 84.4% of them were examined. Their dental status was evaluated using decayed, missing, filled teeth (DMF‐T) index and demographic and medical data were retrieved from the patients’ files. Of the 254 patients examined, 4 (1.6%) were caries‐free, 176 (69%) patients had only a partial natural dentition, while 66 (26%) were edentulous. The average DMF‐T score was 23.8. The caries component accounted for 2.7 of the DMF‐T, the missing teeth component was 20, and the restored teeth component was only 1.1. There was a negative correlation between age and treated caries, and a positive correlation between age and missing teeth. Not all edentulous patients had dentures. These findings confirm the need to improve the oral health of chronic psychiatric inpatients and the need for dental treatment. The existing policy should be adjusted to integrate the currently separated delivery of the dental services for institutions and community settings. Dental professionals in the health service should be rewarded to restore teeth in this population rather than just to extract them.
Url:
DOI: 10.1111/j.1754-4505.2009.00118.x
Links to Exploration step
ISTEX:7A726E78CC5CC4BBDBBFDC2F72BC78A85B66A21DLe document en format XML
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Israel</mods:affiliation></affiliation></author><author><name sortKey="Masarwa, Abd L Amia" sort="Masarwa, Abd L Amia" uniqKey="Masarwa A" first="Abd-El-Samia" last="Masarwa">Abd-El-Samia Masarwa</name><affiliation><mods:affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel</mods:affiliation></affiliation></author><author><name sortKey="Ramon, Tirza" sort="Ramon, Tirza" uniqKey="Ramon T" first="Tirza" last="Ramon">Tirza Ramon</name><affiliation><mods:affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel</mods:affiliation></affiliation></author><author><name sortKey="Natapov, Lena" sort="Natapov, Lena" uniqKey="Natapov L" first="Lena" last="Natapov">Lena Natapov</name><affiliation><mods:affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel</mods:affiliation></affiliation></author><author><name sortKey="Grinshpoon, Alexander" sort="Grinshpoon, Alexander" uniqKey="Grinshpoon A" first="Alexander" last="Grinshpoon">Alexander 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institutions</term><term>Psychiatric patients</term><term>Random sample</term><term>Response rate</term><term>Schizophrenia</term><term>Study show</term><term>Teeth component</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Caries component</term><term>Carious teeth</term><term>Clinical diagnosis</term><term>Comm dent</term><term>Community settings</term><term>Component scores</term><term>Dental</term><term>Dental care</term><term>Dental disease</term><term>Dental health</term><term>Dental pathology</term><term>Dental professionals</term><term>Dental services</term><term>Dental status</term><term>Dental treatment</term><term>Denture</term><term>Edentulous</term><term>Edentulous patients</term><term>Gender</term><term>Health service</term><term>Hebrew university</term><term>High risk</term><term>Hospitalization registry</term><term>Index scores</term><term>Inpatient</term><term>Mental health services</term><term>Mood disorders</term><term>Oral disease</term><term>Oral health</term><term>Positive correlation</term><term>Psychiatric</term><term>Psychiatric disabilities</term><term>Psychiatric disease</term><term>Psychiatric hospitals</term><term>Psychiatric institutions</term><term>Psychiatric patients</term><term>Random sample</term><term>Response rate</term><term>Schizophrenia</term><term>Study show</term><term>Teeth component</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Many institutionalized patients with psychiatric disease have been discharged into the community and the patients who remain hospitalized are at a particularly high risk for dental disease. This study assessed the oral health and treatment needs of chronically hospitalized patients with psychiatric disease in Israel. A random sample of 301 patients hospitalized for more than 1 year in 14 of 18 psychiatric institutions in Israel was drawn from the National Psychiatric Hospitalization Registry, and 84.4% of them were examined. Their dental status was evaluated using decayed, missing, filled teeth (DMF‐T) index and demographic and medical data were retrieved from the patients’ files. Of the 254 patients examined, 4 (1.6%) were caries‐free, 176 (69%) patients had only a partial natural dentition, while 66 (26%) were edentulous. The average DMF‐T score was 23.8. The caries component accounted for 2.7 of the DMF‐T, the missing teeth component was 20, and the restored teeth component was only 1.1. There was a negative correlation between age and treated caries, and a positive correlation between age and missing teeth. Not all edentulous patients had dentures. These findings confirm the need to improve the oral health of chronic psychiatric inpatients and the need for dental treatment. The existing policy should be adjusted to integrate the currently separated delivery of the dental services for institutions and community settings. Dental professionals in the health service should be rewarded to restore teeth in this population rather than just to extract them.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>inpatient</json:string><json:string>denture</json:string><json:string>psychiatric disease</json:string><json:string>schizophrenia</json:string><json:string>dental treatment</json:string><json:string>oral health</json:string><json:string>psychiatric patients</json:string><json:string>dental care</json:string><json:string>component scores</json:string><json:string>positive correlation</json:string><json:string>psychiatric institutions</json:string><json:string>random sample</json:string><json:string>edentulous</json:string><json:string>dental status</json:string><json:string>comm dent</json:string><json:string>caries component</json:string><json:string>psychiatric hospitals</json:string><json:string>dental services</json:string><json:string>psychiatric disabilities</json:string><json:string>dental disease</json:string><json:string>dental health</json:string><json:string>teeth component</json:string><json:string>psychiatric</json:string><json:string>gender</json:string><json:string>mood disorders</json:string><json:string>dental pathology</json:string><json:string>oral disease</json:string><json:string>community settings</json:string><json:string>edentulous patients</json:string><json:string>hospitalization registry</json:string><json:string>health service</json:string><json:string>clinical diagnosis</json:string><json:string>mental health services</json:string><json:string>response rate</json:string><json:string>hebrew university</json:string><json:string>index scores</json:string><json:string>carious teeth</json:string><json:string>study show</json:string><json:string>high risk</json:string><json:string>dental professionals</json:string><json:string>dental</json:string></teeft></keywords><author><json:item><name>Shlomo Paul Zusman DMD, MSc(DPA), MPA</name><affiliations><json:string>Ministry of Health, Dental Health Division, Jerusalem, Israel</json:string><json:string>E-mail: shlomo.zusman@moh.health.gov.il</json:string></affiliations></json:item><json:item><name>Alexander Michael Ponizovsky MD, PhD</name><affiliations><json:string>Ministry of Health, Mental Health Services, Jerusalem, Israel</json:string></affiliations></json:item><json:item><name>Dan Dekel DMD, MPH</name><affiliations><json:string>Ministry of Health, Dental Health Division, Jerusalem, Israel</json:string></affiliations></json:item><json:item><name>Abd‐el‐Samia Masarwa DMD, BSW</name><affiliations><json:string>Ministry of Health, Dental Health Division, Jerusalem, Israel</json:string></affiliations></json:item><json:item><name>Tirza Ramon DMD, MPH</name><affiliations><json:string>Ministry of Health, Dental Health Division, Jerusalem, Israel</json:string></affiliations></json:item><json:item><name>Lena Natapov DMD, MPH</name><affiliations><json:string>Ministry of Health, Dental Health Division, Jerusalem, Israel</json:string></affiliations></json:item><json:item><name>Alexander Grinshpoon MD, PhD</name><affiliations><json:string>Tirat Hakarmel University Hospital and Mental Health Center, Affiliated to Bruce Rappaport Medical Faculty, Technion, Haifa, Israel.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>oral health</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental status</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>chronic psychiatric patients</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>schizophrenia</value></json:item></subject><articleId><json:string>SCD118</json:string></articleId><arkIstex>ark:/67375/WNG-2TK3G0D8-7</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Many institutionalized patients with psychiatric disease have been discharged into the community and the patients who remain hospitalized are at a particularly high risk for dental disease. This study assessed the oral health and treatment needs of chronically hospitalized patients with psychiatric disease in Israel. A random sample of 301 patients hospitalized for more than 1 year in 14 of 18 psychiatric institutions in Israel was drawn from the National Psychiatric Hospitalization Registry, and 84.4% of them were examined. Their dental status was evaluated using decayed, missing, filled teeth (DMF‐T) index and demographic and medical data were retrieved from the patients’ files. Of the 254 patients examined, 4 (1.6%) were caries‐free, 176 (69%) patients had only a partial natural dentition, while 66 (26%) were edentulous. The average DMF‐T score was 23.8. The caries component accounted for 2.7 of the DMF‐T, the missing teeth component was 20, and the restored teeth component was only 1.1. There was a negative correlation between age and treated caries, and a positive correlation between age and missing teeth. Not all edentulous patients had dentures. These findings confirm the need to improve the oral health of chronic psychiatric inpatients and the need for dental treatment. The existing policy should be adjusted to integrate the currently separated delivery of the dental services for institutions and community settings. 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MPA</roleName></persName><affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel<address><country key="IL"></country></address></affiliation><affiliation>*Corresponding author e‐mail: shlomo.zusman@moh.health.gov.il</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Alexander Michael</forename><surname>Ponizovsky</surname><roleName type="degree">MD, PhD</roleName></persName><affiliation>Ministry of Health, Mental Health Services, Jerusalem, Israel<address><country key="IL"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Dan</forename><surname>Dekel</surname><roleName type="degree">DMD, MPH</roleName></persName><affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel<address><country key="IL"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Abd‐el‐Samia</forename><surname>Masarwa</surname><roleName type="degree">DMD, BSW</roleName></persName><affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel<address><country key="IL"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Tirza</forename><surname>Ramon</surname><roleName type="degree">DMD, MPH</roleName></persName><affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel<address><country key="IL"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Lena</forename><surname>Natapov</surname><roleName type="degree">DMD, MPH</roleName></persName><affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel<address><country key="IL"></country></address></affiliation></author><author xml:id="author-0006"><persName><forename type="first">Alexander</forename><surname>Grinshpoon</surname><roleName type="degree">MD, PhD</roleName></persName><affiliation>Tirat Hakarmel University Hospital and Mental Health Center, Affiliated to Bruce Rappaport Medical Faculty, Technion, Haifa, Israel.<address><country key="IL"></country></address></affiliation></author><idno type="istex">7A726E78CC5CC4BBDBBFDC2F72BC78A85B66A21D</idno><idno type="ark">ark:/67375/WNG-2TK3G0D8-7</idno><idno type="DOI">10.1111/j.1754-4505.2009.00118.x</idno><idno type="unit">SCD118</idno><idno type="toTypesetVersion">file:SCD.SCD118.pdf</idno></analytic><monogr><title level="j" type="main">Special Care in Dentistry</title><title level="j" type="alt">SPECIAL CARE IN DENTISTRY</title><idno type="pISSN">0275-1879</idno><idno type="eISSN">1754-4505</idno><idno type="book-DOI">10.1111/(ISSN)1754-4505</idno><idno type="book-part-DOI">10.1111/scd.2010.30.issue-1</idno><idno type="product">SCD</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">30</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="18">18</biblScope><biblScope unit="page" to="22">22</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2010-01"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>ABSTRACT</head><p>Many institutionalized patients with psychiatric disease have been discharged into the community and the patients who remain hospitalized are at a particularly high risk for dental disease. This study assessed the oral health and treatment needs of chronically hospitalized patients with psychiatric disease in Israel. A random sample of 301 patients hospitalized for more than 1 year in 14 of 18 psychiatric institutions in Israel was drawn from the National Psychiatric Hospitalization Registry, and 84.4% of them were examined. Their dental status was evaluated using decayed, missing, filled teeth (DMF‐T) index and demographic and medical data were retrieved from the patients’ files. Of the 254 patients examined, 4 (1.6%) were caries‐free, 176 (69%) patients had only a partial natural dentition, while 66 (26%) were edentulous. The average DMF‐T score was 23.8. The caries component accounted for 2.7 of the DMF‐T, the missing teeth component was 20, and the restored teeth component was only 1.1. There was a negative correlation between age and treated caries, and a positive correlation between age and missing teeth. Not all edentulous patients had dentures. These findings confirm the need to improve the oral health of chronic psychiatric inpatients and the need for dental treatment. The existing policy should be adjusted to integrate the currently separated delivery of the dental services for institutions and community settings. Dental professionals in the health service should be rewarded to restore teeth in this population rather than just to extract them.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">oral health</term><term xml:id="k2">dental status</term><term xml:id="k3">chronic psychiatric patients</term><term xml:id="k4">schizophrenia</term></keywords><keywords rend="tocHeading1"><term>ARTICLE</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/7A726E78CC5CC4BBDBBFDC2F72BC78A85B66A21D/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Inc</publisherName><publisherLoc>Malden, USA</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1754-4505</doi><issn type="print">0275-1879</issn><issn type="electronic">1754-4505</issn><idGroup><id type="product" value="SCD"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="SPECIAL CARE IN DENTISTRY">Special Care in Dentistry</title></titleGroup></publicationMeta><publicationMeta level="part" position="01001"><doi origin="wiley">10.1111/scd.2010.30.issue-1</doi><numberingGroup><numbering type="journalVolume" number="30">30</numbering><numbering type="journalIssue" number="1">1</numbering></numberingGroup><coverDate startDate="2010-01">January/February 2010</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="4" status="forIssue"><doi origin="wiley">10.1111/j.1754-4505.2009.00118.x</doi><idGroup><id type="unit" value="SCD118"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="tocHeading1">ARTICLE</title></titleGroup><copyright>©2009 Special Care Dentistry Association and Wiley Periodicals, Inc.</copyright><eventGroup><event type="firstOnline" date="2009-12-07"></event><event type="publishedOnlineFinalForm" date="2009-12-21"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.4 mode:FullText source:FullText result:FullText" date="2010-03-29"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-08"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-03"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="18">18</numbering><numbering type="pageLast" number="22">22</numbering></numberingGroup><correspondenceTo>
*Corresponding author e‐mail: <email>shlomo.zusman@moh.health.gov.il</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:SCD.SCD118.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="3"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="23"></count><count type="linksCrossRef" number="36"></count></countGroup><titleGroup><title type="main">An assessment of the dental health of chronic institutionalized patients with psychiatric disease in Israel</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Shlomo Paul</givenNames><familyName>Zusman</familyName><degrees>DMD, MSc(DPA), MPA</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Alexander Michael</givenNames><familyName>Ponizovsky</familyName><degrees>MD, PhD</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>Dan</givenNames><familyName>Dekel</familyName><degrees>DMD, MPH</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>Abd‐el‐Samia</givenNames><familyName>Masarwa</familyName><degrees>DMD, BSW</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>Tirza</givenNames><familyName>Ramon</familyName><degrees>DMD, MPH</degrees></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a1"><personName><givenNames>Lena</givenNames><familyName>Natapov</familyName><degrees>DMD, MPH</degrees></personName></creator><creator creatorRole="author" xml:id="cr7" affiliationRef="#a3"><personName><givenNames>Alexander</givenNames><familyName>Grinshpoon</familyName><degrees>MD, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="IL"><unparsedAffiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="IL"><unparsedAffiliation>Ministry of Health, Mental Health Services, Jerusalem, Israel</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="IL"><unparsedAffiliation>Tirat Hakarmel University Hospital and Mental Health Center, Affiliated to Bruce Rappaport Medical Faculty, Technion, Haifa, Israel.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">oral health</keyword><keyword xml:id="k2">dental status</keyword><keyword xml:id="k3">chronic psychiatric patients</keyword><keyword xml:id="k4">schizophrenia</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">ABSTRACT</title><p>Many institutionalized patients with psychiatric disease have been discharged into the community and the patients who remain hospitalized are at a particularly high risk for dental disease. This study assessed the oral health and treatment needs of chronically hospitalized patients with psychiatric disease in Israel. A random sample of 301 patients hospitalized for more than 1 year in 14 of 18 psychiatric institutions in Israel was drawn from the National Psychiatric Hospitalization Registry, and 84.4% of them were examined. Their dental status was evaluated using decayed, missing, filled teeth (DMF‐T) index and demographic and medical data were retrieved from the patients’ files. Of the 254 patients examined, 4 (1.6%) were caries‐free, 176 (69%) patients had only a partial natural dentition, while 66 (26%) were edentulous. The average DMF‐T score was 23.8. The caries component accounted for 2.7 of the DMF‐T, the missing teeth component was 20, and the restored teeth component was only 1.1. There was a negative correlation between age and treated caries, and a positive correlation between age and missing teeth. Not all edentulous patients had dentures. These findings confirm the need to improve the oral health of chronic psychiatric inpatients and the need for dental treatment. The existing policy should be adjusted to integrate the currently separated delivery of the dental services for institutions and community settings. Dental professionals in the health service should be rewarded to restore teeth in this population rather than just to extract them.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>An assessment of the dental health of chronic institutionalized patients with psychiatric disease in Israel</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>An assessment of the dental health of chronic institutionalized patients with psychiatric disease in Israel</title></titleInfo><name type="personal"><namePart type="given">Shlomo Paul</namePart><namePart type="family">Zusman</namePart><namePart type="termsOfAddress">DMD, MSc(DPA), MPA</namePart><affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel</affiliation><affiliation>E-mail: shlomo.zusman@moh.health.gov.il</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alexander Michael</namePart><namePart type="family">Ponizovsky</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Ministry of Health, Mental Health Services, Jerusalem, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Dan</namePart><namePart type="family">Dekel</namePart><namePart type="termsOfAddress">DMD, MPH</namePart><affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Abd‐el‐Samia</namePart><namePart type="family">Masarwa</namePart><namePart type="termsOfAddress">DMD, BSW</namePart><affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Tirza</namePart><namePart type="family">Ramon</namePart><namePart type="termsOfAddress">DMD, MPH</namePart><affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lena</namePart><namePart type="family">Natapov</namePart><namePart type="termsOfAddress">DMD, MPH</namePart><affiliation>Ministry of Health, Dental Health Division, Jerusalem, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alexander</namePart><namePart type="family">Grinshpoon</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Tirat Hakarmel University Hospital and Mental Health Center, Affiliated to Bruce Rappaport Medical Faculty, Technion, Haifa, Israel.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Inc</publisher><place><placeTerm type="text">Malden, USA</placeTerm></place><dateIssued encoding="w3cdtf">2010-01</dateIssued><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">1</extent><extent unit="tables">3</extent><extent unit="formulas">0</extent><extent unit="references">23</extent><extent unit="linksCrossRef">36</extent></physicalDescription><abstract lang="en">Many institutionalized patients with psychiatric disease have been discharged into the community and the patients who remain hospitalized are at a particularly high risk for dental disease. This study assessed the oral health and treatment needs of chronically hospitalized patients with psychiatric disease in Israel. A random sample of 301 patients hospitalized for more than 1 year in 14 of 18 psychiatric institutions in Israel was drawn from the National Psychiatric Hospitalization Registry, and 84.4% of them were examined. Their dental status was evaluated using decayed, missing, filled teeth (DMF‐T) index and demographic and medical data were retrieved from the patients’ files. Of the 254 patients examined, 4 (1.6%) were caries‐free, 176 (69%) patients had only a partial natural dentition, while 66 (26%) were edentulous. The average DMF‐T score was 23.8. The caries component accounted for 2.7 of the DMF‐T, the missing teeth component was 20, and the restored teeth component was only 1.1. There was a negative correlation between age and treated caries, and a positive correlation between age and missing teeth. Not all edentulous patients had dentures. These findings confirm the need to improve the oral health of chronic psychiatric inpatients and the need for dental treatment. The existing policy should be adjusted to integrate the currently separated delivery of the dental services for institutions and community settings. Dental professionals in the health service should be rewarded to restore teeth in this population rather than just to extract them.</abstract><subject lang="en"><genre>keywords</genre><topic>oral health</topic><topic>dental status</topic><topic>chronic psychiatric patients</topic><topic>schizophrenia</topic></subject><relatedItem type="host"><titleInfo><title>Special Care in Dentistry</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0275-1879</identifier><identifier type="eISSN">1754-4505</identifier><identifier type="DOI">10.1111/(ISSN)1754-4505</identifier><identifier type="PublisherID">SCD</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>30</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>18</start><end>22</end><total>5</total></extent></part></relatedItem><identifier type="istex">7A726E78CC5CC4BBDBBFDC2F72BC78A85B66A21D</identifier><identifier type="ark">ark:/67375/WNG-2TK3G0D8-7</identifier><identifier type="DOI">10.1111/j.1754-4505.2009.00118.x</identifier><identifier type="ArticleID">SCD118</identifier><accessCondition type="use and reproduction" contentType="copyright">©2009 Special Care Dentistry Association and Wiley Periodicals, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Inc</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/7A726E78CC5CC4BBDBBFDC2F72BC78A85B66A21D/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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