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Oral health and treatment needs of institutionalized chronic psychiatric patients in Israel
Abstract
The aim of the study was to examine the oral health and treatment needs of chronically hospitalized psychiatric patients in Israel. Ten percent of the patients hospitalized for more than 2 years in the 18 psychiatric institutions in Israel were selected at random. The dental status (DMF-T index) was calculated, demographic and medical data were retrieved from the files. Of the 431 patients examined (250 men, 181 women, average age 54 years) 312 patients had only partial natural dentition. The average DMF-T score was 26.74 (out of 32), one of the highest in the literature. The caries component accounted for 2.3% of the DMF-T, the missing teeth component 72% and the restored teeth component 5%. There was an adverse correlation between age and caries and between duration of hospitalization and number of teeth. The average number of carious and missing teeth was higher than in the healthy population. No all-edentulous patients had dentures. These findings confirm the urgent need for an intervention program to improve dental health care in high-risk, difficult-to-treat, psychiatric chronic inpatients.
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Dental health has been consistently found to be poor in people with SMI.
“Dental health has been consistently found to be poor in people with SMI (562-573).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [571]
A study using an overall dental status index (DMF-T) in chronically hospitalized patients with mental disorders (mostly schizophrenia) found a mean score of 26.74 (out of a possible 32), one of the highest reported in the literature.
“A study using an overall dental status index (DMF-T) in chronically hospitalized patients with mental disorders (mostly schizophrenia) found a mean score of 26.74 (out of a possible 32), one of the highest reported in the literature (571).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [571]
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References 20 · Cited by 132
Research works printed but not linked: 5
- Muskuna, 1994, Epidemiological survey of the dry mouth and the burning mouth in the elderly population in Israel, Gerontology, 66, 3
- [1] Adut, M Dental needs and demand of an institutionalized elderly (65+) population in Israel. DMD thesis, Hebrew University. 1988.
- Muskuna, 1994, Oral health differences between independent and institutionalized elderly, Gerontology, 67, 26
- Hershko, 1988, DMD thesis
- Rundeg, 1965, Oral condition in patients receiving long term antidepressant drugs, Swed Dent J, 9, 55
Metadata
- Authors
- Ramon, T., Grinshpoon, A., Zusman, S. P., & Weizman, A.
- Affiliations
- Israel Ministry of Health (IL)
- Tel Aviv University (IL)
- Corresponding author
- Ramon, T.
- Venue
- European Psychiatry
- Publisher
- Cambridge University Press (CUP)
- Published
- 2003-05
- Volume
- 18
- Issue
- 3
- Pages
- 101-105
- ISSN
- 0924-9338 (ISSN-L)
- 1778-3585
- OpenAlex
- W2077555853
- Cited by
- 132
- References
- 20
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 23 · 2023: 7 · 2022: 7 · 2021: 4 · 2020: 11 · 2019: 5 · 2018: 6 · 2017: 6 · 2016: 7 · 2015: 2 · 2014: 6 · 2013: 4 · 2012: 8
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Hebrew University of Jerusalem
- Topics
- Health Sciences › Dentistry › General Dentistry › Dental Health and Care Utilization
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- oral health, chronic psychiatric patients, psychiatric inpatients, DMFT index, dental caries, tooth loss, edentulism, dental treatment needs, prolonged hospital stay, Israel
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Mental Disorders, Chronic Disease, Female, Health Services Needs and Demand, Hospitals, Psychiatric, Humans, Institutionalization, Israel, Male, Middle Aged, Oral Health, Oral Hygiene, Sampling Studies, Schizophrenia, Dental Care for Chronically Ill
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