The psychopathology, medical management and dental implications of schizophrenia
Abstract
Background Schizophrenia is a psychiatric illness characterized by thought disturbances, bizarre behaviors and cognitive impairments that may diminish a person's abilities in the areas of social relations, school or work and self-care. The onset of the disorder typically occurs between the late teens and mid-30s. Advanced dental disease is seen frequently in patients with schizophrenia for several reasons: the disease impairs these patients' ability to plan and perform oral hygiene procedures; some of the antipsychotic medications they take have adverse orofacial effects such as xerostomia; and these patients sometimes have limited access to treatment because of a paucity of financial resources and adequate number of dentists comfortable in providing care. The recent introduction of more effective medications has permitted the majority of patients to receive their psychiatric care from community-based providers rather than in the hospital. Consequently, dentists in the private sector also are being called on more frequently to care for these people.Conclusions Dentists cognizant of the signs and symptoms of schizophrenia are likely to feel more secure in treating patients with schizophrenia and more confident when obtaining consultative advice from the patients' psychiatrists. Dentists usually can provide a full range of services to such patients, can enhance these patients' self-esteem and can contribute to the psychotherapeutic aspect of management.Clinical implications To effectively provide treatment to patients with schizophrenia, dentists must be familiar with the disease process so that they can communicate effectively with the patient, the treating psychiatrist and family members who serve as caregivers. In addition, dental treatment may need to be modified because of the patient's impaired ability to think logically, the local and systemic effects of psychiatric medications, and adverse interactions between these drugs and medications used in dentistry.
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This reduction in salivary flow changes the oral environment and leads to caries, gingivitis and periodontal disease.
“This reduction in salivary flow changes the oral environment and leads to caries, gingivitis and periodontal disease (576).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [576]
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Psikiyatrik Hastalarda Ağiz Sağliği Oral Health in Psychiatric Patients
Gürbüz, Ö., & Kurt, E. (2011)
- Authors
- FRIEDLANDER, A. H., & MARDER, S. R.
- Affiliations
- VA Greater Los Angeles Healthcare System (US)
- Corresponding author
- FRIEDLANDER, ARTHUR H.
- ORCID
- MARDER, STEPHEN R.
- Venue
- The Journal of the American Dental Association
- Publisher
- Elsevier BV
- Published
- 2002-05
- Volume
- 133
- Issue
- 5
- Pages
- 603-610
- ISSN
- 0002-8177 (ISSN-L)
- OpenAlex
- W2037821237
- Cited by
- 115
- References
- 62
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 6 · 2020: 3 · 2019: 7 · 2018: 3 · 2017: 6 · 2016: 10 · 2015: 6 · 2014: 6 · 2013: 7 · 2012: 6
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of the American Dental Association (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Keywords
- schizophrenia, antipsychotic adverse effects, xerostomia, oral hygiene, psychopathology, medical management, drug interactions, community-based psychiatric care, dentist-patient communication
- MeSH terms
- Humans, Mouth Diseases, Schizophrenia, Antipsychotic Agents, Dental Care for Chronically Ill
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