Journal of Disability and Oral Health

cover art

Cover Date:
December 2010
Print ISSN:
1470-8558
Vol:
11
Issue:
4

Oral health status and dental treatment needs in institutionalised versus non-institutionalised psychiatric patients

Background: Oral health is a major determinant of general health for psychiatric patients but has a low priority in the context of their mental illness. Little is known regarding the oral health status and treatment needs in and among psychiatric patients in India. Aims and Objectives: To assess and compare the oral health status and treatment needs of the institutionalised versus non-institutionalised psychiatric patients with the general population. Method: A total of 100 psychiatric patients from different settings 50 institutionalised and 50 non-institutionalised were recruited. An additional, separate control of 50 patients from the general population, a non-psychiatric patient group attending dental care services of SPDC hospital was enrolled. Oral health status was evaluated with respect to caries, oral hygiene, and periodontal status using DMFT, OHI-S and CPI indices. Treatment needs were evaluated and a direct comparison was made between the groups. Results: The medical history of the patients were psychotics (42%) mood disorders (27%) and anxiety disorders (15%); 38% of institutionalised patients had <1 year of mental illness and 46% non-institutionalised patients had mental illness of 1-5 years duration. Only 6% of patients from both groups had > 10 years of long standing mental illness. Analysis in institutionalised groups showed that the mean DMFT score (5.14) increased with irregularity of oral hygiene habits, type of psychiatric disorder and age of the patient, as compared to duration of mental illness in the non-institutionalised group (mean DMFT= 4.88). Analyses in institutionalised groups for CPI showed an increase in score with an increase in age, whereas no statistically significant increase was observed amongst the non-institutionalised group. However, all the indices were statistically significant in all patients compared to those in the general population. Conclusions: The findings of this study demonstrate high caries prevalence, poor oral hygiene and extensive unmet needs for dental treatment amongst all psychiatric patients and little opportunity for referrals to be made for further dental treatment for those in need.

Key words: Psychiatric patients, periodontal status, oral health status, treatment needs

Article Price
£15.00
Institution Article Price
£
Page Start
163
Page End
170
Authors
Shweta Ujaoney, Mukta B Motwani, Praveen H Khairkar, Shirish S Dewgekar, Govind Bang

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  1. Bisphosphonates, oral implants and osteonecrosis of the jaw: a review and guidelines
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  1. Oral health status and dental treatment needs in institutionalised versus non-institutionalised psychiatric patients
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  1. Oral radiological findings in a population of athletes at the III Para-Pan American Games, Rio de Janeiro, Brazil
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  1. The impact of dementia on the care of dental implants: a case report
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  1. Author Index 2010
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  3. 197

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