Advanced dental disease in people with severe mental illness: systematic review and meta-analysis
Identifieur interne : 000096 ( PascalFrancis/Corpus ); précédent : 000095; suivant : 000097Advanced dental disease in people with severe mental illness: systematic review and meta-analysis
Auteurs : Steve Kisely ; Lake-Hui Quek ; Joanne Pais ; Ratilal Lalloo ; Newell W. Johnson ; David LawrenceSource :
- British journal of psychiatry : (Print) [ 0007-1250 ] ; 2011.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
pA |
|
---|
Format Inist (serveur)
NO : | PASCAL 12-0055007 INIST |
---|---|
ET : | Advanced dental disease in people with severe mental illness: systematic review and meta-analysis |
AU : | KISELY (Steve); QUEK (Lake-Hui); PAIS (Joanne); LALLOO (Ratilal); JOHNSON (Newell W.); LAWRENCE (David) |
AF : | University of Queensland, and Griffith Health Institute, Griffith University/Queensland/Australie (1 aut.); University of Queensland; Ratilal Lalloo, MChD, PhD, School of Dentistry and Oral Health, Griffith University and Griffith Health Institute/Queensland/Australie (2 aut., 3 aut., 4 aut.); Griffith Health Institute, Griffith University/Queensland/Australie (5 aut.); Centre for Developmental Health, Curtin University of Technology and Telethon Institute for Child Health Research/Perth/Australie (6 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | British journal of psychiatry : (Print); ISSN 0007-1250; Coden BJPYAJ; Royaume-Uni; Da. 2011; Vol. 199; No. SEP; Pp. 187-193; Bibl. 63 ref. |
LA : | Anglais |
EA : | 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. |
CC : | 002B10C02; 002B18C14 |
FD : | Stade avancé; Pathologie dentaire; Trouble psychiatrique; Article synthèse; Métaanalyse; Association morbide; Santé publique; Santé mentale; Environnement social; International; Australie; Homme |
FG : | Océanie; Stomatologie |
ED : | Advanced stage; Dental disease; Mental disorder; Review; Metaanalysis; Concomitant disease; Public health; Mental health; Social environment; International; Australia; Human |
EG : | Oceania; Stomatology |
SD : | Estadio avanzado; Diente patología; Trastorno psiquiátrico; Artículo síntesis; Meta-análisis; Asociación morbosa; Salud pública; Salud mental; Contexto social; Internacional; Australia; Hombre |
LO : | INIST-3999.354000500130520050 |
ID : | 12-0055007 |
Links to Exploration step
Pascal:12-0055007Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Advanced dental disease in people with severe mental illness: systematic review and meta-analysis</title>
<author><name sortKey="Kisely, Steve" sort="Kisely, Steve" uniqKey="Kisely S" first="Steve" last="Kisely">Steve Kisely</name>
<affiliation><inist:fA14 i1="01"><s1>University of Queensland, and Griffith Health Institute, Griffith University</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Quek, Lake Hui" sort="Quek, Lake Hui" uniqKey="Quek L" first="Lake-Hui" last="Quek">Lake-Hui Quek</name>
<affiliation><inist:fA14 i1="02"><s1>University of Queensland; Ratilal Lalloo, MChD, PhD, School of Dentistry and Oral Health, Griffith University and Griffith Health Institute</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Pais, Joanne" sort="Pais, Joanne" uniqKey="Pais J" first="Joanne" last="Pais">Joanne Pais</name>
<affiliation><inist:fA14 i1="02"><s1>University of Queensland; Ratilal Lalloo, MChD, PhD, School of Dentistry and Oral Health, Griffith University and Griffith Health Institute</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Lalloo, Ratilal" sort="Lalloo, Ratilal" uniqKey="Lalloo R" first="Ratilal" last="Lalloo">Ratilal Lalloo</name>
<affiliation><inist:fA14 i1="02"><s1>University of Queensland; Ratilal Lalloo, MChD, PhD, School of Dentistry and Oral Health, Griffith University and Griffith Health Institute</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Johnson, Newell W" sort="Johnson, Newell W" uniqKey="Johnson N" first="Newell W." last="Johnson">Newell W. Johnson</name>
<affiliation><inist:fA14 i1="03"><s1>Griffith Health Institute, Griffith University</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Lawrence, David" sort="Lawrence, David" uniqKey="Lawrence D" first="David" last="Lawrence">David Lawrence</name>
<affiliation><inist:fA14 i1="04"><s1>Centre for Developmental Health, Curtin University of Technology and Telethon Institute for Child Health Research</s1>
<s2>Perth</s2>
<s3>AUS</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">12-0055007</idno>
<date when="2011">2011</date>
<idno type="stanalyst">PASCAL 12-0055007 INIST</idno>
<idno type="RBID">Pascal:12-0055007</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000096</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Advanced dental disease in people with severe mental illness: systematic review and meta-analysis</title>
<author><name sortKey="Kisely, Steve" sort="Kisely, Steve" uniqKey="Kisely S" first="Steve" last="Kisely">Steve Kisely</name>
<affiliation><inist:fA14 i1="01"><s1>University of Queensland, and Griffith Health Institute, Griffith University</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Quek, Lake Hui" sort="Quek, Lake Hui" uniqKey="Quek L" first="Lake-Hui" last="Quek">Lake-Hui Quek</name>
<affiliation><inist:fA14 i1="02"><s1>University of Queensland; Ratilal Lalloo, MChD, PhD, School of Dentistry and Oral Health, Griffith University and Griffith Health Institute</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Pais, Joanne" sort="Pais, Joanne" uniqKey="Pais J" first="Joanne" last="Pais">Joanne Pais</name>
<affiliation><inist:fA14 i1="02"><s1>University of Queensland; Ratilal Lalloo, MChD, PhD, School of Dentistry and Oral Health, Griffith University and Griffith Health Institute</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Lalloo, Ratilal" sort="Lalloo, Ratilal" uniqKey="Lalloo R" first="Ratilal" last="Lalloo">Ratilal Lalloo</name>
<affiliation><inist:fA14 i1="02"><s1>University of Queensland; Ratilal Lalloo, MChD, PhD, School of Dentistry and Oral Health, Griffith University and Griffith Health Institute</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Johnson, Newell W" sort="Johnson, Newell W" uniqKey="Johnson N" first="Newell W." last="Johnson">Newell W. Johnson</name>
<affiliation><inist:fA14 i1="03"><s1>Griffith Health Institute, Griffith University</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author><name sortKey="Lawrence, David" sort="Lawrence, David" uniqKey="Lawrence D" first="David" last="Lawrence">David Lawrence</name>
<affiliation><inist:fA14 i1="04"><s1>Centre for Developmental Health, Curtin University of Technology and Telethon Institute for Child Health Research</s1>
<s2>Perth</s2>
<s3>AUS</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">British journal of psychiatry : (Print)</title>
<title level="j" type="abbreviated">Br. j. psychiatry : (Print)</title>
<idno type="ISSN">0007-1250</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">British journal of psychiatry : (Print)</title>
<title level="j" type="abbreviated">Br. j. psychiatry : (Print)</title>
<idno type="ISSN">0007-1250</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Advanced stage</term>
<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>
<term>Social environment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Stade avancé</term>
<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>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<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>
</TEI>
<inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0007-1250</s0>
</fA01>
<fA02 i1="01"><s0>BJPYAJ</s0>
</fA02>
<fA03 i2="1"><s0>Br. j. psychiatry : (Print)</s0>
</fA03>
<fA05><s2>199</s2>
</fA05>
<fA06><s2>SEP</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG"><s1>Advanced dental disease in people with severe mental illness: systematic review and meta-analysis</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>KISELY (Steve)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>QUEK (Lake-Hui)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>PAIS (Joanne)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>LALLOO (Ratilal)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>JOHNSON (Newell W.)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>LAWRENCE (David)</s1>
</fA11>
<fA14 i1="01"><s1>University of Queensland, and Griffith Health Institute, Griffith University</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>University of Queensland; Ratilal Lalloo, MChD, PhD, School of Dentistry and Oral Health, Griffith University and Griffith Health Institute</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Griffith Health Institute, Griffith University</s1>
<s2>Queensland</s2>
<s3>AUS</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Centre for Developmental Health, Curtin University of Technology and Telethon Institute for Child Health Research</s1>
<s2>Perth</s2>
<s3>AUS</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA20><s1>187-193</s1>
</fA20>
<fA21><s1>2011</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>3999</s2>
<s5>354000500130520050</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2012 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>63 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>12-0055007</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>British journal of psychiatry : (Print)</s0>
</fA64>
<fA66 i1="01"><s0>GBR</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B10C02</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B18C14</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Stade avancé</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Advanced stage</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Estadio avanzado</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Pathologie dentaire</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Dental disease</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Diente patología</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Trouble psychiatrique</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Mental disorder</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Trastorno psiquiátrico</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Article synthèse</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Review</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Artículo síntesis</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Métaanalyse</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Metaanalysis</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Meta-análisis</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Association morbide</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Concomitant disease</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Asociación morbosa</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Santé publique</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Public health</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Salud pública</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Santé mentale</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Mental health</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Salud mental</s0>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Environnement social</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Social environment</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Contexto social</s0>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>International</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>International</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Internacional</s0>
<s5>10</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Australie</s0>
<s2>NG</s2>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Australia</s0>
<s2>NG</s2>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Australia</s0>
<s2>NG</s2>
<s5>11</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Homme</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Human</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Hombre</s0>
<s5>18</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Océanie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Oceania</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Oceania</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Stomatologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Stomatology</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Estomatología</s0>
<s5>37</s5>
</fC07>
<fN21><s1>037</s1>
</fN21>
</pA>
</standard>
<server><NO>PASCAL 12-0055007 INIST</NO>
<ET>Advanced dental disease in people with severe mental illness: systematic review and meta-analysis</ET>
<AU>KISELY (Steve); QUEK (Lake-Hui); PAIS (Joanne); LALLOO (Ratilal); JOHNSON (Newell W.); LAWRENCE (David)</AU>
<AF>University of Queensland, and Griffith Health Institute, Griffith University/Queensland/Australie (1 aut.); University of Queensland; Ratilal Lalloo, MChD, PhD, School of Dentistry and Oral Health, Griffith University and Griffith Health Institute/Queensland/Australie (2 aut., 3 aut., 4 aut.); Griffith Health Institute, Griffith University/Queensland/Australie (5 aut.); Centre for Developmental Health, Curtin University of Technology and Telethon Institute for Child Health Research/Perth/Australie (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>British journal of psychiatry : (Print); ISSN 0007-1250; Coden BJPYAJ; Royaume-Uni; Da. 2011; Vol. 199; No. SEP; Pp. 187-193; Bibl. 63 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B10C02; 002B18C14</CC>
<FD>Stade avancé; Pathologie dentaire; Trouble psychiatrique; Article synthèse; Métaanalyse; Association morbide; Santé publique; Santé mentale; Environnement social; International; Australie; Homme</FD>
<FG>Océanie; Stomatologie</FG>
<ED>Advanced stage; Dental disease; Mental disorder; Review; Metaanalysis; Concomitant disease; Public health; Mental health; Social environment; International; Australia; Human</ED>
<EG>Oceania; Stomatology</EG>
<SD>Estadio avanzado; Diente patología; Trastorno psiquiátrico; Artículo síntesis; Meta-análisis; Asociación morbosa; Salud pública; Salud mental; Contexto social; Internacional; Australia; Hombre</SD>
<LO>INIST-3999.354000500130520050</LO>
<ID>12-0055007</ID>
</server>
</inist>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/PascalFrancis/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000096 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PascalFrancis/Corpus/biblio.hfd -nk 000096 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Santé |area= EdenteV2 |flux= PascalFrancis |étape= Corpus |type= RBID |clé= Pascal:12-0055007 |texte= Advanced dental disease in people with severe mental illness: systematic review and meta-analysis }}
This area was generated with Dilib version V0.6.32. |