Community Dental Health

cover art

Cover Date:
September 2010
Print ISSN:
0265 539X
Vol:
27
Issue:
3

Oral health and treatment needs of institutionalized chronic psychiatric patients in Istanbul, Turkey.

Objective To assess the oral health status and treatment needs in a group of hospitalized chronic psychiatric patients. Method The dental status was assessed using the DMFT index. Demographic and medical data were retrieved from the institutional clinical files. Results 491 patients were examined in the study. 258 (52.5%) of the patients were males. The mean age was 52.3 ± 12.3 years and the average length of hospitalization was 17.5 years. The majority of the patients (69%) were diagnosed with schizophrenia. The mean DMFT was 19.25 ± 7.85. Missing teeth (81.4%) comprised the largest proportion of the DMFT while filled teeth (0.5%) the smallest. 18.1% of the DMFT consisted of decayed teeth. Stepwise logistic regression analysis showed that the DMFT significantly increased with age (p<0.001) and was significantly higher in schizophrenia patients than those with mental retardation (p<0.01). Males had significantly higher decayed teeth (p<0.01) and fewer missing teeth (p<0.01) than females. 58 dentate subjects (14.4%) were caries free. Two hundred and thirty five patients (58.5%) required restorative care, the mean number of treatments required per patient was1.42 ± 1.82. Eighty-nine subjects (18.1%) were found to be completely edentulous with only 17 wearing complete dentures. 70.6% of dentate patients needed tooth extraction for caries and 36.1% for periodontal disease. Conclusion The findings of this study demonstrate poor oral health status with extensive unmet dental and prosthetic needs. These underline the urgent need for specific preventive oral health programme to improve the dental care of these chronic psychiatric inpatients.

Key words: Chronic psychiatric patients, dental health, DMFT, schizophrenia, treatment needs.

Article Price
£15.00
Institution Article Price
£
Page Start
151
Page End
157
Authors
O. Gurbuz, G. Alatas, E. Kurt, H. Issever, F. Dogan

Articles from this issue

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  • Pg. End

  1. Editorial - The challenges of designing and evaluating complex interventions
  2. 130
  3. 132

  1. Plaque, caries level and oral hygiene habits in young patients receiving orthodontic treatment
  2. 133
  3. 138

  1. The voice of the elderly in accepting alternative perspectives on oral health
  2. 139
  3. 144

  1. Social determinants of dental health services utilisation of Greek adults
  2. 145
  3. 150

  1. Oral health and treatment needs of institutionalized chronic psychiatric patients in Istanbul, Turkey.
  2. 151
  3. 157

  1. Barriers to oral health care amongst different social classes in India.
  2. 158
  3. 162

  1. Social differences in tooth decay occurrence in a sample of children aged 3 to 5 in North-East Italy
  2. 163
  3. 166

  1. Child oral health concerns amongst parents and primary care givers in a Sure Start Local Programme
  2. 167
  3. 171

  1. A 6-year longitudinal study of caries in teenagers and the effect of “dropouts” on the findings
  2. 172
  3. 177

  1. The dentist workforce in Kuwait to the year 2020.
  2. 178
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  1. The distribution of individual tooth impaction in general dental patients of Northern India
  2. 184
  3. 186

  1. Short Communication - Wheelchair-accessible dental offices in Nagasaki, Japan
  2. 187
  3. 190