September 2010

Volume 27, Issue 3

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

Authors: F. Dogan H. Issever E. Kurt G. Alatas O. Gurbuz
doi: 10.1922/CDH_ 2443Gurbuz07

Abstract

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.

£10 single article

Other articles in this issue

Article Pages Access
Editorial - The challenges of designing and evaluating complex interventions 130-132 £10 single article
Plaque, caries level and oral hygiene habits in young patients receiving orthodontic treatment 133-138 £10 single article
The voice of the elderly in accepting alternative perspectives on oral health 139-144 £10 single article
Social determinants of dental health services utilisation of Greek adults 145-150 £10 single article
Oral health and treatment needs of institutionalized chronic psychiatric patients in Istanbul, Turkey. 151-157 £10 single article
Barriers to oral health care amongst different social classes in India. 158-162 £10 single article
Social differences in tooth decay occurrence in a sample of children aged 3 to 5 in North-East Italy 163-166 £10 single article
Child oral health concerns amongst parents and primary care givers in a Sure Start Local Programme 167-171 £10 single article
A 6-year longitudinal study of caries in teenagers and the effect of “dropouts” on the findings 172-177 £10 single article
The dentist workforce in Kuwait to the year 2020. 178-183 £10 single article
The distribution of individual tooth impaction in general dental patients of Northern India 184-186 £10 single article
Short Communication - Wheelchair-accessible dental offices in Nagasaki, Japan 187-190 £10 single article

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