EdenteV2, PascalFrancis, Corpus, bibRecord, 000104

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

Identifieur interne : 000104 ( PascalFrancis/Corpus ); précédent : 000103; suivant : 000105

Advanced 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 Lawrence

Source :

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

RBID : Francis: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.

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0007-1250`
A02	`01`			`@0 BJPYAJ`
A03		`1`		`@0 Br. j. psychiatry : (Print)`
A05				`@2 199`
A06				`@2 SEP`
A08	`01`	`1`	`ENG`	`@1 Advanced dental disease in people with severe mental illness: systematic review and meta-analysis`
A11	`01`	`1`		`@1 KISELY (Steve)`
A11	`02`	`1`		`@1 QUEK (Lake-Hui)`
A11	`03`	`1`		`@1 PAIS (Joanne)`
A11	`04`	`1`		`@1 LALLOO (Ratilal)`
A11	`05`	`1`		`@1 JOHNSON (Newell W.)`
A11	`06`	`1`		`@1 LAWRENCE (David)`
A14	`01`			`@1 University of Queensland, and Griffith Health Institute, Griffith University @2 Queensland @3 AUS @Z 1 aut.`
A14	`02`			`@1 University of Queensland; Ratilal Lalloo, MChD, PhD, School of Dentistry and Oral Health, Griffith University and Griffith Health Institute @2 Queensland @3 AUS @Z 2 aut. @Z 3 aut. @Z 4 aut.`
A14	`03`			`@1 Griffith Health Institute, Griffith University @2 Queensland @3 AUS @Z 5 aut.`
A14	`04`			`@1 Centre for Developmental Health, Curtin University of Technology and Telethon Institute for Child Health Research @2 Perth @3 AUS @Z 6 aut.`
A20				`@1 187-193`
A21				`@1 2011`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 3999 @5 354000500130520050`
A44				`@0 0000 @1 © 2012 INIST-CNRS. All rights reserved.`
A45				`@0 63 ref.`
A47	`01`	`1`		`@0 12-0055007`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 British journal of psychiatry : (Print)`
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C01	`01`		`ENG`	@0 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.
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C03	`06`	`X`	`SPA`	`@0 Asociación morbosa @5 06`
C03	`07`	`X`	`FRE`	`@0 Santé publique @5 07`
C03	`07`	`X`	`ENG`	`@0 Public health @5 07`
C03	`07`	`X`	`SPA`	`@0 Salud pública @5 07`
C03	`08`	`X`	`FRE`	`@0 Santé mentale @5 08`
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Format Inist (serveur)

NO :	FRANCIS 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 :	770D03N
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

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Francis:12-0055007

Le document en format XML

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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>
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<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>
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<server><NO>FRANCIS 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>770D03N</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>
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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

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