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Oral health and treatment needs of institutionalized chronic psychiatric patients in Israel

Published online by Cambridge University Press:  16 April 2020

T. Ramon*
Affiliation:
Israel Ministry of Health, Division of Dental Health, 2 Ben Tabai Street, Jerusalem93591, Israel
A. Grinshpoon
Affiliation:
Ministry of Health, Mental Health Services, Jerusalem, Israel
S.P. Zusman
Affiliation:
Israel Ministry of Health, Division of Dental Health, 2 Ben Tabai Street, Jerusalem93591, Israel
A. Weizman
Affiliation:
Geha Psychiatric Hospital and Felsenstein Medical Research Center, Beilinson Campus, Petah Tiqva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
*
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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.

Type
Original article
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2003

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References

Adut, MDental needs and demand of an institutionalized elderly (65+) population in Israel. DMD thesis, Hebrew University. 1988.Google Scholar
Angelilo, IF, Nobile, CGA, Pavia, M, De Fazio, P, Puca, M, Amati, ADental health and treatment needs in institutionalized psychiatric patients in Italy. Comm Dent Oral Epidemiol 1995;23:360–4.Google Scholar
Banes, GP, Allne, EH, Parker, WA, Lyon, TC, Cole, JC, Armentrout, WDental treatment needs among hospitalized adult mental patients. Spec Care Dentist 1988;8:173–7.CrossRefGoogle Scholar
Bassuk, E, Schoonover, SRampant dental caries in the treatment of depression. J Clin Psychiat 1978;39:163–5.Google ScholarPubMed
Ekelund, RDental state and subjective chewing ability of institutionalized elderly people. Comm Dent Oral Epidemiol 1989;17:24–7.CrossRefGoogle ScholarPubMed
Feinberg, MThe problem of anticholinergic adverse effect in older patients. Drug Aging 1993;3(4):334–48.Google Scholar
Handelman, SL. Prevalence of drugs causing hyposalivation in an institutionalized geriatric population. Oral Surg 1986;62:26–31.Google Scholar
Harrison. Principles of Internal Medicine. 13th. Tel Aviv: Dionon; 1996. p. 795–807.Google Scholar
Hede, BOral health of Danish hospitalized psychiatric patients. Comm Dent Oral Epidemiol 1995;23:44–8.CrossRefGoogle ScholarPubMed
Hershko, ADental needs and demands of hospitalised psychiatric patients. DMD thesis. Jerusalem: Hebrew University; 1988.Google Scholar
Horev, TDental treatment needs of regular army personnel. Tel Aviv: IDF publications; 1991 (Hebrew).Google Scholar
Kalk, W, Kayser, AF, Witter, DJ. Needs for tooth replacement. Int Dent J 1993;43:41–9.Google ScholarPubMed
Kaplan, HI, Sadoc, BJ, Grebb, JA. 8th. Synopsis of psychiatry, 33. 1994. p. 865–91.Google Scholar
Klick, KS, Haugejorden, OPrimary reasons for extraction of permanent teeth in Norway, changes from 1968 to 1988. Comm Dent Oral Epidemiol 1991;19:336–41.CrossRefGoogle Scholar
Langer, AChemopsychotherapy and its role in prosthetic failures in elderly patients. J Prosthet Dent 1984;52:14–9.CrossRefGoogle Scholar
Leopold, CT, Mander, C, Utting, C, Watkins, K, Rock, WP. The Word Health Organization goals for oral health, a progress report. Comm Dent Health 1991;8:245–51.Google Scholar
Lucas, VS. Association of psychotropic drugs, prevalence of denture-related stomatitis and oral candidosis. Comm Dent Oral Epidemiol 1993;21:313–6.CrossRefGoogle ScholarPubMed
Mester, RThe psychodynamics of the dental pathology of chronic schizophrenic patients. Isr J Psychiat Relat Sci 1982;19(4):255–61.Google ScholarPubMed
Muskuna, D, Kaplan, AEpidemiological survey of the dry mouth and the burning mouth in the elderly population in Israel. Gerontology 1994;66:3–7.Google Scholar
Muskuna, D, Kaplan, AOral health differences between independent and institutionalized elderly. Gerontology 1994;67:26–9.Google Scholar
Rundeg, EN, van Dijken, J, Mornstad, H, Von Knorring, LOral condition in patients receiving long term antidepressant drugs. Swed Dent J 1965;9:55–64.Google Scholar
Shapira, J, Mann, J, Tamari, I, Mester, R, et al.Oral health status and dental needs of an autistic population of children and young adults. Spec Care Dentist 1989;9:38–41.Google ScholarPubMed
Ter Horst, GDental care in psychiatric hospitals in the Netherlands. Spec Care Dentist 1992;12:63–6.CrossRefGoogle ScholarPubMed
Vigild, M, Brinck, JJ, Christensen, JOral health and treatment needs among patients in psychiatric institutions for the elderly. Comm Dent Oral Epidemiol 1993;21:169–71.CrossRefGoogle ScholarPubMed
Winner, JA, Bahan, SLoss of teeth with antidepressant drug therapy. Arch Gen Psychiat 1967;16:239–40.CrossRefGoogle Scholar
World Health Organization. Oral health surveys. Basic methods. 3rd. Washington: DC: WHO; 1987.Google Scholar
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