Monitoring oral health and dental attendance in an outpatient psychiatric population
Abstract
Impaired mental health has been associated with an increased need for dental care. Population surveys have indicated that people with enduring mental health problems make less frequent planned visits to the dentist and report a greater number of missing teeth than the general population. The study aims to examine oral health status, attendance to dental care, and medication in an outpatient psychiatric sample. A descriptive study combining a structured interview with a visual oral examination carried out in 113 outpatients under psychiatric care. Dental health was described in terms of sound, missing and/or filled teeth, and showed a relation between these categories and types of psychiatric diagnosis, age and numbers of antidepressant and neuroleptic drugs. Oral hygiene was found to be more neglected among men and in patients with the diagnosis of schizophrenia. The need of dental treatment was widespread, although regular dental visits were commonly reported. In order to maintain good oral health, regular dental check‐ups should be encouraged for patients under psychiatric care. Further studies are required to reveal contributory causes for/to decreased oral health. The difficulty such individuals have in maintaining additional self‐efficacy raises questions about the necessity for oral health interventions in outpatient psychiatric services.
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Oral health status is a frequently disregarded health issue among SMI patients, with low rates of dental examination within the past 12 months.
“Oral health status is a frequently disregarded health issue among SMI patients (498), with low rates of dental examination within the past 12 months (569,577-579).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [579]
In one study of a mixed psychiatric population, 15% had not been to a dentist in the last 2 years, while in another only 31% of schizophrenia patients had visited a dentist during a three year period.
“In one study of a mixed psychiatric population, 15% had not been to a dentist in the last 2 years (579), while in another only 31% of schizophrenia patients had visited a dentist during a three year period (577).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [579]
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DE HERT, M., CORRELL, C. U., BOBES, J., CETKOVICH‐BAKMAS, M., COHEN, D., ASAI, I., DETRAUX, J., GAUTAM, S., MÖLLER, H., NDETEI, D. M., et al. (2011) · World Psychiatry · doi:10.1002/j.2051-5545.2011.tb00014.x · Cited by 2,488 · see citing works
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- Authors
- PERSSON, K., AXTELIUS, B., SÖDERFELDT, B., & ÖSTMAN, M.
- Affiliations
- Malmö University (SE)
- Venue
- Journal of Psychiatric and Mental Health Nursing
- Publisher
- Wiley
- Published
- 2009-03-06
- Volume
- 16
- Issue
- 3
- Pages
- 263-271
- ISSN
- 1351-0126 (ISSN-L)
- 1365-2850
- OpenAlex
- W2067995905
- Cited by
- 69
- References
- 29
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 5 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 4 · 2012: 4
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric and Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Malmö University Publications (Malmö University) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Keywords
- oral health, dental attendance, psychiatric outpatients, mental illness, dental caries, tooth loss, oral hygiene, schizophrenia, antidepressants, antipsychotic drugs, dental check-ups, oral health interventions
- MeSH terms
- Adult, Antidepressive Agents, Anxiety Disorders, Mental Disorders, Dental Care, Dental Caries, Female, Humans, Male, Middle Aged, Monitoring, Physiologic, Oral Health, Outpatients, Schizophrenia, Self Care, Mood Disorders, Young Adult
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