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Oral Health Status of Psychiatric In-patients in Serbia and Implications for Their Dental Care

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Oral Health Status of Psychiatric In-patients in Serbia and Implications for Their Dental Care

Auteurs : Svetlana Jovanovi [Serbie] ; Sr An D. Milovanovi [Serbie] ; Ivanka Gaji [Serbie] ; Jelena Mandi [Serbie] ; Milan Latas [Serbie] ; Ljiljana Jankovi [Serbie]

Source :

Croatian Medical Journal [ 0353-9504 ] ; 2010.

RBID : PMC:2969139

Abstract

Aim

To determine oral health status and identify predictors of oral health in a representative sample of psychiatric in-patients in Serbia.

Methods

The study included 186 psychiatric in-patients and 186 control participants without psychiatric illness matched to the study group by age, sex, marital status, education level, employment, and monthly income. Dental examinations were done in both groups to measure the following indices of oral health: decayed, missing, and filled teeth (DMFT) index; community periodontal index; and plaque index. Participants were also interviewed about their dental health behavior and their medical records were examined.

Results

Psychiatric in-patients had higher caries prevalence, poorer periodontal health, and poorer oral hygiene than controls. The average DMFT score in the patient group was 24.4 and 16.1 in the control group (P < 0.001). Periodontal diseases were significantly more prevalent among psychiatric in-patients than among controls (P < 0.001). The average plaque index for patients was 2.78 and 1.40 for controls (P < 0.001). Multiple regression analysis demonstrated that 1) DMFT index was associated with age, male sex, duration of mental illness, use of antidepressants, time since the last visit to the dentist, and snacking frequency; 2) community periodontal index was associated with male sex; and 3) plaque index was associated with age, male sex, education level, employment, monthly income, tooth brushing technique, and snacking frequency.

Conclusion

Psychiatric in-patients in Serbia have poorer oral health than healthy controls. It is necessary to intensify preventive dental care in this vulnerable population.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2969139

DOI: 10.3325/cmj.2010.51.443
PubMed: 20960594
PubMed Central: 2969139

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<author><name sortKey="Jovanovi, Svetlana" sort="Jovanovi, Svetlana" uniqKey="Jovanovi S" first="Svetlana" last="Jovanovi">Svetlana Jovanovi</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Public Health, School of Dentistry, University of Belgrade, Belgrade, Serbia</nlm:aff>
<country xml:lang="fr">Serbie</country>
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<author><name sortKey="Milovanovi, Sr An D" sort="Milovanovi, Sr An D" uniqKey="Milovanovi S" first="Sr An D." last="Milovanovi">Sr An D. Milovanovi</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Aim</title>
<p>To determine oral health status and identify predictors of oral health in a representative sample of psychiatric in-patients in Serbia.</p>
</sec>
<sec><title>Methods</title>
<p>The study included 186 psychiatric in-patients and 186 control participants without psychiatric illness matched to the study group by age, sex, marital status, education level, employment, and monthly income. Dental examinations were done in both groups to measure the following indices of oral health: decayed, missing, and filled teeth (DMFT) index; community periodontal index; and plaque index. Participants were also interviewed about their dental health behavior and their medical records were examined.</p>
</sec>
<sec><title>Results</title>
<p>Psychiatric in-patients had higher caries prevalence, poorer periodontal health, and poorer oral hygiene than controls. The average DMFT score in the patient group was 24.4 and 16.1 in the control group (<italic>P</italic>
 < 0.001). Periodontal diseases were significantly more prevalent among psychiatric in-patients than among controls (<italic>P</italic>
 < 0.001). The average plaque index for patients was 2.78 and 1.40 for controls (<italic>P</italic>
 < 0.001). Multiple regression analysis demonstrated that 1) DMFT index was associated with age, male sex, duration of mental illness, use of antidepressants, time since the last visit to the dentist, and snacking frequency; 2) community periodontal index was associated with male sex; and 3) plaque index was associated with age, male sex, education level, employment, monthly income, tooth brushing technique, and snacking frequency.</p>
</sec>
<sec><title>Conclusion</title>
<p>Psychiatric in-patients in Serbia have poorer oral health than healthy controls. It is necessary to intensify preventive dental care in this vulnerable population.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">Croat Med J</journal-id>
<journal-id journal-id-type="publisher-id">CMJ</journal-id>
<journal-title-group><journal-title>Croatian Medical Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">0353-9504</issn>
<issn pub-type="epub">1332-8166</issn>
<publisher><publisher-name>Croatian Medical Schools</publisher-name>
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<article-meta><article-id pub-id-type="pmid">20960594</article-id>
<article-id pub-id-type="pmc">2969139</article-id>
<article-id pub-id-type="publisher-id">CroatMedJ_51_0443</article-id>
<article-id pub-id-type="doi">10.3325/cmj.2010.51.443</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Public Health</subject>
</subj-group>
</article-categories>
<title-group><article-title>Oral Health Status of Psychiatric In-patients in Serbia and Implications for Their Dental Care</article-title>
<alt-title alt-title-type="running-head"><bold>Jovanović et al:</bold>
 Oral Health of Psychiatric In-patients</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Jovanović</surname>
<given-names>Svetlana</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Milovanović</surname>
<given-names>Srđan D.</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gajić</surname>
<given-names>Ivanka</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mandić</surname>
<given-names>Jelena</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Latas</surname>
<given-names>Milan</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Janković</surname>
<given-names>Ljiljana</given-names>
</name>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
</contrib>
<aff id="aff1"><label>1</label>
Department of Public Health, School of Dentistry, University of Belgrade, Belgrade, Serbia</aff>
<aff id="aff2"><label>2</label>
Clinic for Psychiatry, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia</aff>
<aff id="aff3"><label>3</label>
Clinic of Preventive and Pediatric Dentistry, School of Dentistry, University of Belgrade, Belgrade, Serbia</aff>
<aff id="aff4"><label>4</label>
Clinic of Periodontology and Oral Medicine, School of Dentistry, University of Belgrade, Belgrade, Serbia</aff>
</contrib-group>
<author-notes><corresp id="cor1">Correspondence to: Svetlana Jovanović Department of Public Health School of Dentistry, University of Belgrade Dr Subotića 1 11 000 Belgrade, Serbia <italic><email xlink:href="svetlanajr@ptt.rs">svetlanajr@ptt.rs</email>
</italic>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2010</year>
</pub-date>
<volume>51</volume>
<issue>5</issue>
<fpage>443</fpage>
<lpage>450</lpage>
<history><date date-type="received"><day>07</day>
<month>5</month>
<year>2010</year>
</date>
<date date-type="accepted"><day>15</day>
<month>9</month>
<year>2010</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2010 by the Croatian Medical Journal. All rights reserved.</copyright-statement>
<license><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec><title>Aim</title>
<p>To determine oral health status and identify predictors of oral health in a representative sample of psychiatric in-patients in Serbia.</p>
</sec>
<sec><title>Methods</title>
<p>The study included 186 psychiatric in-patients and 186 control participants without psychiatric illness matched to the study group by age, sex, marital status, education level, employment, and monthly income. Dental examinations were done in both groups to measure the following indices of oral health: decayed, missing, and filled teeth (DMFT) index; community periodontal index; and plaque index. Participants were also interviewed about their dental health behavior and their medical records were examined.</p>
</sec>
<sec><title>Results</title>
<p>Psychiatric in-patients had higher caries prevalence, poorer periodontal health, and poorer oral hygiene than controls. The average DMFT score in the patient group was 24.4 and 16.1 in the control group (<italic>P</italic>
 < 0.001). Periodontal diseases were significantly more prevalent among psychiatric in-patients than among controls (<italic>P</italic>
 < 0.001). The average plaque index for patients was 2.78 and 1.40 for controls (<italic>P</italic>
 < 0.001). Multiple regression analysis demonstrated that 1) DMFT index was associated with age, male sex, duration of mental illness, use of antidepressants, time since the last visit to the dentist, and snacking frequency; 2) community periodontal index was associated with male sex; and 3) plaque index was associated with age, male sex, education level, employment, monthly income, tooth brushing technique, and snacking frequency.</p>
</sec>
<sec><title>Conclusion</title>
<p>Psychiatric in-patients in Serbia have poorer oral health than healthy controls. It is necessary to intensify preventive dental care in this vulnerable population.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
</record>

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Oral Health Status of Psychiatric In-patients in Serbia and Implications for Their Dental Care

Oral Health Status of Psychiatric In-patients in Serbia and Implications for Their Dental Care

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