EdenteV2, Main, Exploration, bibRecord, 005448

An assessment of the dental health of chronic institutionalized patients with psychiatric disease in Israel

Identifieur interne : 005448 ( Main/Exploration ); précédent : 005447; suivant : 005449

An assessment of the dental health of chronic institutionalized patients with psychiatric disease in Israel

Auteurs : Shlomo Paul Zusman [Israël] ; Alexander Michael Ponizovsky [Israël] ; Dan Dekel [Israël] ; Abd-El-Samia Masarwa [Israël] ; Tirza Ramon [Israël] ; Lena Natapov [Israël] ; Alexander Grinshpoon [Israël]

Source :

Special Care in Dentistry [ 0275-1879 ] ; 2010-01.

RBID : ISTEX:7A726E78CC5CC4BBDBBFDC2F72BC78A85B66A21D

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Appareils de prothèse dentaire (), Bouche édentée (épidémiologie), Caries dentaires (épidémiologie), Facteurs de l'âge, Facteurs sexuels, Femelle, Hospitalisation (), Humains, Indice CAO, Institutionnalisation (), Israël (épidémiologie), Jeune adulte, Mâchoire partiellement édentée (épidémiologie), Mâle, Perte dentaire (épidémiologie), Restaurations dentaires permanentes (), Santé buccodentaire, Schizophrénie (épidémiologie), Soins dentaires pour malades chroniques (), Sujet âgé, Sujet âgé de 80 ans ou plus, Troubles mentaux (épidémiologie), Troubles neurocognitifs (épidémiologie), État de santé, Évaluation des besoins ().
MESH :
- épidémiologie : Bouche édentée, Caries dentaires, Israël, Mâchoire partiellement édentée, Perte dentaire, Schizophrénie, Troubles mentaux, Troubles neurocognitifs.
Wicri :
- geographic : Israël.
- topic : Adolescent, Adulte, Adulte d'âge moyen, Appareils de prothèse dentaire, Facteurs de l'âge, Facteurs sexuels, Femelle, Hospitalisation, Humains, Indice CAO, Institutionnalisation, Jeune adulte, Mâle, Restaurations dentaires permanentes, Santé buccodentaire, Service de santé, Soins dentaires pour malades chroniques, Sujet âgé, Sujet âgé de 80 ans ou plus, État de santé, Évaluation des besoins.

English descriptors

KwdEn :
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Caries component, Carious teeth, Clinical diagnosis, Comm dent, Community settings, Component scores, DMF Index, Dental, Dental Care for Chronically Ill (statistics & numerical data), Dental Caries (epidemiology), Dental Restoration, Permanent (statistics & numerical data), Dental care, Dental disease, Dental health, Dental pathology, Dental professionals, Dental services, Dental status, Dental treatment, Denture, Dentures (statistics & numerical data), Edentulous, Edentulous patients, Female, Gender, Health Status, Health service, Hebrew university, High risk, Hospitalization (statistics & numerical data), Hospitalization registry, Humans, Index scores, Inpatient, Institutionalization (statistics & numerical data), Israel (epidemiology), Jaw, Edentulous, Partially (epidemiology), Male, Mental Disorders (epidemiology), Mental health services, Middle Aged, Mood disorders, Mouth, Edentulous (epidemiology), Needs Assessment (statistics & numerical data), Neurocognitive Disorders (epidemiology), Oral Health, Oral disease, Oral health, Positive correlation, Psychiatric, Psychiatric disabilities, Psychiatric disease, Psychiatric hospitals, Psychiatric institutions, Psychiatric patients, Random sample, Response rate, Schizophrenia, Schizophrenia (epidemiology), Sex Factors, Study show, Teeth component, Tooth Loss (epidemiology), Young Adult.
MESH :
- geographic , epidemiology : Israel.
- epidemiology : Dental Caries, Jaw, Edentulous, Partially, Mental Disorders, Mouth, Edentulous, Neurocognitive Disorders, Schizophrenia, Tooth Loss.
- statistics & numerical data : Dental Care for Chronically Ill, Dental Restoration, Permanent, Dentures, Hospitalization, Institutionalization, Needs Assessment.
Teeft :
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Caries component, Carious teeth, Clinical diagnosis, Comm dent, Community settings, Component scores, DMF Index, Dental, Dental care, Dental disease, Dental health, Dental pathology, Dental professionals, Dental services, Dental status, Dental treatment, Denture, Edentulous, Edentulous patients, Female, Gender, Health Status, Health service, Hebrew university, High risk, Hospitalization registry, Humans, Index scores, Inpatient, Male, Mental health services, Middle Aged, Mood disorders, Oral Health, Oral disease, Oral health, Positive correlation, Psychiatric, Psychiatric disabilities, Psychiatric disease, Psychiatric hospitals, Psychiatric institutions, Psychiatric patients, Random sample, Response rate, Schizophrenia, Sex Factors, Study show, Teeth component, Young Adult.

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:

https://api.istex.fr/document/7A726E78CC5CC4BBDBBFDC2F72BC78A85B66A21D/fulltext/pdf

DOI: 10.1111/j.1754-4505.2009.00118.x

Affiliations:

Israël

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<term>Component scores</term>
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<term>Dental disease</term>
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<term>Dental pathology</term>
<term>Dental professionals</term>
<term>Dental services</term>
<term>Dental status</term>
<term>Dental treatment</term>
<term>Denture</term>
<term>Dentures (statistics & numerical data)</term>
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<term>Edentulous patients</term>
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<term>Health Status</term>
<term>Health service</term>
<term>Hebrew university</term>
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<term>Neurocognitive Disorders (epidemiology)</term>
<term>Oral Health</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>
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<term>Random sample</term>
<term>Response rate</term>
<term>Schizophrenia</term>
<term>Schizophrenia (epidemiology)</term>
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<term>Study show</term>
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<term>Indice CAO</term>
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<term>Troubles neurocognitifs (épidémiologie)</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Mental Disorders</term>
<term>Mouth, Edentulous</term>
<term>Neurocognitive Disorders</term>
<term>Schizophrenia</term>
<term>Tooth Loss</term>
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<term>Institutionalization</term>
<term>Needs Assessment</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Schizophrénie</term>
<term>Troubles mentaux</term>
<term>Troubles neurocognitifs</term>
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<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<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>DMF Index</term>
<term>Dental</term>
<term>Dental care</term>
<term>Dental disease</term>
<term>Dental health</term>
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<term>Gender</term>
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<term>Hebrew university</term>
<term>High risk</term>
<term>Hospitalization registry</term>
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<term>Index scores</term>
<term>Inpatient</term>
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<term>Middle Aged</term>
<term>Mood disorders</term>
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<term>Positive correlation</term>
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<term>Psychiatric disabilities</term>
<term>Psychiatric disease</term>
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<term>Response rate</term>
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<term>Indice CAO</term>
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<term>Restaurations dentaires permanentes</term>
<term>Santé buccodentaire</term>
<term>Service de santé</term>
<term>Soins dentaires pour malades chroniques</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<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>
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<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>
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<name sortKey="Ramon, Tirza" sort="Ramon, Tirza" uniqKey="Ramon T" first="Tirza" last="Ramon">Tirza Ramon</name>
<name sortKey="Zusman, Shlomo Paul" sort="Zusman, Shlomo Paul" uniqKey="Zusman S" first="Shlomo Paul" last="Zusman">Shlomo Paul Zusman</name>
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An assessment of the dental health of chronic institutionalized patients with psychiatric disease in Israel

An assessment of the dental health of chronic institutionalized patients with psychiatric disease in Israel

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