Citation Information :
Canga M, Malagnino I, Malagnino G, Malagnino V. Evaluating Therapy Treatments in Patients with Mental Disorders in Relation to Oral Health. J Contemp Dent Pract 2019; 20 (10):1179-1183.
Aim: The purpose of this study was to find the correlation between dental caries and teeth loss in relation to gender, age, treatments with different therapies, time period being hospitalized, sugar consumption, smoking, and oral hygiene in mental disordered patients.
Objective: Evaluating therapeutic treatments in patients with mental illnesses, focusing on the effects on oral health.
Materials and methods: This is a longitudinal cohort study conducted on patients who have been hospitalized from 5 years to 30 years. Patients were observed for 7 months (January 2019–July 2019) in the psychiatric hospital “Ali Mihali”, in Vlora, Albania. In our study, 200 patients participated, of which 103 were females (51.5%) and 97 were males (48.5%).
Results: In the present study, we analyzed the oral health of patients within the age class of 30–70 years. We divided them into four age groups: 30–40, 41–50, 51–60, and 61–70 years. According to the ANOVA test, a strongest influence on caries manifestation and missing teeth was noticed during the time the patient was being hospitalized, with p values = 0.000 in both cases. The treatments done with different therapies also had a strong influence on the teeth loss with a p value = 0.001, while in carious teeth the p value was 0.004. This study showed that there is a strong statistically significant correlation between sugar consumption and smoking, in relation to caries manifestation and teeth loss, with p values = 0.000, respectively.
Conclusion: These patients are a vulnerable group, if we consider their oral health. The present study proved that the most important reasons for their poor dental health are: bad oral hygiene, smoking, sugar consumption, adverse effects of medications, and the time period that these patients have been hospitalized.
Clinical significance: By knowing the factors that have worsened the oral health of mental disordered patients, we can try to raise the awareness about caries reduction and to avoid teeth loss.
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