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Cited by 41Bipolar Disorder and TreatmentOral Health Pathology and TreatmentDental Anxiety and Anesthesia Techniques

Bipolar I disorder

FRIEDLANDER, ARTHUR H., FRIEDLANDER, IDA K., MARDER, STEPHEN R.·2002·The Journal of the American Dental Association
DOI 10.14219/jada.archive.2002.0362
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Abstract

Background The authors review the clinical features, epidemiology, pathophysiology, medical management, dental findings and dental management of patients who have bipolar I disorder, or BD, previously known as manic-depressive disorder.Types of studies reviewed The authors conducted a MEDLINE search for the period 1995 through 2001 using the key terms "bipolar disorder," "epidemiology," "pathophysiology," "treatment" and "dentistry." The articles they selected for further review included those published in English in peer-reviewed journals; they gave preference to articles reporting randomized, controlled trials.Results BD is a psychiatric illness characterized by extreme mood swings. Mania is accompanied by euphoria, grandiosity, racing thoughts and lack of insight. Depression is characterized by marked sadness or loss of interest or pleasure in daily activities. The unpredictable mood swings can distress the person, can impair social function and quality of life and are associated with a significant increase in the risk for substance abuse and suicide. BD is common in the United States, with a lifetime prevalence rate of 1.6 percent and recurrence rate of more than 50 percent.Clinical implications The prevalence of dental disease usually is extensive because of poor oral hygiene and medication-induced xerostomia. Preventive dental education, saliva substitutes and anticaries agents are indicated. To avoid adverse drug interactions with the usually prescribed psychiatric medications, special precautions should be taken when administering certain antibiotics, analgesics and sedatives.

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Crossref · 10.14219/jada.archive.2002.0362

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Authors
FRIEDLANDER, A. H., FRIEDLANDER, I. K., & MARDER, S. R.
Corresponding author
FRIEDLANDER, ARTHUR H.
ORCID
MARDER, STEPHEN R.
Venue
The Journal of the American Dental Association
Publisher
Elsevier BV
Published
2002-09
Volume
133
Issue
9
Pages
1209-1217
ISSN
0002-8177 (ISSN-L)
DOI
10.14219/jada.archive.2002.0362
OpenAlex
W3207603490
Cited by
41
References
77
Citations by year
2024: 3 · 2023: 3 · 2020: 1 · 2018: 1 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 5 · 2012: 3
FWCI
0.11
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • The Journal of the American Dental Association (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Health Sciences › Dentistry › Periodontics › Oral Health Pathology and Treatment
  • Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
Keywords
bipolar I disorder, bipolar disorder, mood disorders, dental management, dental caries, xerostomia, oral hygiene, psychiatric medication, drug interactions, artificial saliva, anticaries agents, prevalence, pathophysiology
MeSH terms
Antidepressive Agents, Bipolar Disorder, Dental Caries, Drug Interactions, Humans, Periodontal Diseases, United States, Xerostomia, Lithium Carbonate, Dental Care for Chronically Ill, Antimanic Agents

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