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Advanced dental disease in people with severe mental illness: systematic review and meta-analysis

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Advanced dental disease in people with severe mental illness: systematic review and meta-analysis

Auteurs : Steve Kisely [Australie] ; Lake-Hui Quek [Australie] ; Joanne Pais [Australie] ; Ratilal Lalloo [Australie] ; Newell W. Johnson [Australie] ; David Lawrence [Australie]

Source :

British journal of psychiatry : (Print) [ 0007-1250 ] ; 2011.

RBID : Pascal:12-0055007

Descripteurs français

Pascal (Inist)
- Stade avancé, Pathologie dentaire, Trouble psychiatrique, Article synthèse, Métaanalyse, Association morbide, Santé publique, Santé mentale, Environnement social, International, Australie, Homme.
Wicri :
- geographic : Australie.
- topic : Santé publique, Santé mentale, Homme.

English descriptors

KwdEn :
- Advanced stage, Australia, Concomitant disease, Dental disease, Human, International, Mental disorder, Mental health, Metaanalysis, Public health, Review, Social environment.

Abstract

Background Psychiatric patients have increased comorbid physical illness. There is less information concerning dental disease in this population in spite of risk factors including diet and psychotropic side-effects (such as xerostomia). Aims To compare the oral health of people with severe mental illness with that of the general population. Method A systematic search for studies from the past 20 years was conducted using Medline, PsycINFO, Embase and article bibliographies. Papers were independently assessed. The primary outcome was total tooth loss (edentulousness), the end-stage of both untreated caries and periodontal disease. We also assessed dental decay through standardised measures: the mean number of decayed, missing and filled teeth (DMFT) or surfaces (DMFS). For studies lacking a control group we used controls of similar ages from a community survey within 10 years of the study. Results We identified 21 papers of which 14 had sufficient data (n=278₄ psychiatric patients) and suitable controls (n=₃₁₀₈₄) for a random effects meta-analysis. People with severe mental illness had 3.4 times the odds of having lost all their teeth than the general community (95% CI 1.6-7.2). They also had significantly higher scores for DMFT (mean difference 6.2, 95% CI 0.6-11.8) and DMFS (mean difference 14.6, 95% CI 4.1-25.1). Fluoridated water reduced the gap in oral health between psychiatric patients and the general population. Conclusions Psychiatric patients have not shared in the improving oral health of the general population. Management should include oral health assessment using standard checklists that can be completed by non-dental personnel. Interventions include oral hygiene and management of xerostomia.

Affiliations:

Australie

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Le document en format XML

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<term>Australia</term>
<term>Concomitant disease</term>
<term>Dental disease</term>
<term>Human</term>
<term>International</term>
<term>Mental disorder</term>
<term>Mental health</term>
<term>Metaanalysis</term>
<term>Public health</term>
<term>Review</term>
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<term>Pathologie dentaire</term>
<term>Trouble psychiatrique</term>
<term>Article synthèse</term>
<term>Métaanalyse</term>
<term>Association morbide</term>
<term>Santé publique</term>
<term>Santé mentale</term>
<term>Environnement social</term>
<term>International</term>
<term>Australie</term>
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<front><div type="abstract" xml:lang="en">Background Psychiatric patients have increased comorbid physical illness. There is less information concerning dental disease in this population in spite of risk factors including diet and psychotropic side-effects (such as xerostomia). Aims To compare the oral health of people with severe mental illness with that of the general population. Method A systematic search for studies from the past 20 years was conducted using Medline, PsycINFO, Embase and article bibliographies. Papers were independently assessed. The primary outcome was total tooth loss (edentulousness), the end-stage of both untreated caries and periodontal disease. We also assessed dental decay through standardised measures: the mean number of decayed, missing and filled teeth (DMFT) or surfaces (DMFS). For studies lacking a control group we used controls of similar ages from a community survey within 10 years of the study. Results We identified 21 papers of which 14 had sufficient data (n=278<sub>4</sub>
 psychiatric patients) and suitable controls (n=<sub>31084</sub>
) for a random effects meta-analysis. People with severe mental illness had 3.4 times the odds of having lost all their teeth than the general community (95% CI 1.6-7.2). They also had significantly higher scores for DMFT (mean difference 6.2, 95% CI 0.6-11.8) and DMFS (mean difference 14.6, 95% CI 4.1-25.1). Fluoridated water reduced the gap in oral health between psychiatric patients and the general population. Conclusions Psychiatric patients have not shared in the improving oral health of the general population. Management should include oral health assessment using standard checklists that can be completed by non-dental personnel. Interventions include oral hygiene and management of xerostomia.</div>
</front>
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<tree><country name="Australie"><noRegion><name sortKey="Kisely, Steve" sort="Kisely, Steve" uniqKey="Kisely S" first="Steve" last="Kisely">Steve Kisely</name>
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<name sortKey="Johnson, Newell W" sort="Johnson, Newell W" uniqKey="Johnson N" first="Newell W." last="Johnson">Newell W. Johnson</name>
<name sortKey="Lalloo, Ratilal" sort="Lalloo, Ratilal" uniqKey="Lalloo R" first="Ratilal" last="Lalloo">Ratilal Lalloo</name>
<name sortKey="Lawrence, David" sort="Lawrence, David" uniqKey="Lawrence D" first="David" last="Lawrence">David Lawrence</name>
<name sortKey="Pais, Joanne" sort="Pais, Joanne" uniqKey="Pais J" first="Joanne" last="Pais">Joanne Pais</name>
<name sortKey="Quek, Lake Hui" sort="Quek, Lake Hui" uniqKey="Quek L" first="Lake-Hui" last="Quek">Lake-Hui Quek</name>
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Advanced dental disease in people with severe mental illness: systematic review and meta-analysis

Advanced dental disease in people with severe mental illness: systematic review and meta-analysis

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

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