TY - JOUR
T1 - Caries experience, periodontal status, and metabolic morbidity in patients with psychiatric disorders
AU - Abdalla-Aslan, Ragda
AU - Findler, Mordechai
AU - Zini, Avraham
AU - Almoznino, Galit
N1 - Publisher Copyright:
© 2021 Quintessence Publishing Co., Ltd. All rights reserved.
PY - 2021/5/7
Y1 - 2021/5/7
N2 - Objectives: To investigate the association of psychiatric disor ders with (1) caries experience, (2) periodontal status, and (3) metabolic syndrome (MetS) components. Method and materials: This 7-year cross-sectional study retrospectively analyzed the medical records of 504 individuals aged 18 to 90 years who attended the student dental clinic. Collected data included: demographics, smoking habits, systolic and diastolic blood pressures, pulse, waist circumference, full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), maximal pocket probing depth (PPD), average and maximal radiographic bone loss (RBL), the sum of the number of decayed (D), missing (M), and filled (F) teeth (DMFT score), and presence of MetS compo nents, consequences and related conditions including diabe tes, hypertension, hyperlipidemia, ischemic heart disease, heart failure, s/p stroke, and cancer. Results: 68 (13.5%) had psychiatric disorders with an average age of 53.42 ± 15.71 years. Psychiatric disorders were positively associated with smoking (P =.008), smoking pack-years (P =.004), DMFT score (P =.005), and negatively associated with hypertension (P =.046). Psychiatric disorders had no statistically significant associations with all periodontal indices studied and with other components of MetS. Following multivariate analysis, psychiatric disorders re tained a statistically significant positive association with smok ing (odds ratio [OR] and 95% confidence interval [CI] = 2.24 [1.28 to 3.92]) and with DMFT (OR and 95% CI = 1.08 [1.02 to 1.14]), and a statistically significant negative association with hypertension (OR and 95% CI = 0.46 [0.25 to 0.84]). Conclusions: Psychiatric disorders were positively associated with smoking and caries experience but not with periodontal status and metabolic morbidity. Communication between dental and medical professionals is needed to address the higher smoking consumption and caries morbidity in psychiatric patients.
AB - Objectives: To investigate the association of psychiatric disor ders with (1) caries experience, (2) periodontal status, and (3) metabolic syndrome (MetS) components. Method and materials: This 7-year cross-sectional study retrospectively analyzed the medical records of 504 individuals aged 18 to 90 years who attended the student dental clinic. Collected data included: demographics, smoking habits, systolic and diastolic blood pressures, pulse, waist circumference, full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), maximal pocket probing depth (PPD), average and maximal radiographic bone loss (RBL), the sum of the number of decayed (D), missing (M), and filled (F) teeth (DMFT score), and presence of MetS compo nents, consequences and related conditions including diabe tes, hypertension, hyperlipidemia, ischemic heart disease, heart failure, s/p stroke, and cancer. Results: 68 (13.5%) had psychiatric disorders with an average age of 53.42 ± 15.71 years. Psychiatric disorders were positively associated with smoking (P =.008), smoking pack-years (P =.004), DMFT score (P =.005), and negatively associated with hypertension (P =.046). Psychiatric disorders had no statistically significant associations with all periodontal indices studied and with other components of MetS. Following multivariate analysis, psychiatric disorders re tained a statistically significant positive association with smok ing (odds ratio [OR] and 95% confidence interval [CI] = 2.24 [1.28 to 3.92]) and with DMFT (OR and 95% CI = 1.08 [1.02 to 1.14]), and a statistically significant negative association with hypertension (OR and 95% CI = 0.46 [0.25 to 0.84]). Conclusions: Psychiatric disorders were positively associated with smoking and caries experience but not with periodontal status and metabolic morbidity. Communication between dental and medical professionals is needed to address the higher smoking consumption and caries morbidity in psychiatric patients.
KW - Dental caries
KW - Diabetes
KW - Hyperlipidemia
KW - Hypertension
KW - Metabolic syndrome
KW - Plaque score
KW - Psychiatric disorders
KW - Risk factor
KW - Smoking
UR - http://www.scopus.com/inward/record.url?scp=85106538130&partnerID=8YFLogxK
U2 - 10.3290/j.qi.b1044091
DO - 10.3290/j.qi.b1044091
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 33688712
AN - SCOPUS:85106538130
SN - 0033-6572
VL - 52
SP - 516
EP - 526
JO - Quintessence International
JF - Quintessence International
IS - 6
ER -
