"ORAL HEALTH AND MENTAL HEALTH: ASSESSING THE CORRELATION BETWEEN PSYCHIATRIC DISORDERS AND PERIODONTAL DISEASE"

Main Article Content

Dr. Shalu Chandna Bathla
Dr. Manish Bathla

Keywords

Psychiatric disorders, periodontal disease, xerostomia, oral health, psychotropic medications, mental health.

Abstract

Introduction
Mental health and oral health are interconnected, yet the relationship between psychiatric disorders and periodontal disease remains insufficiently explored. Psychiatric disorders such as depression, anxiety, schizophrenia, and bipolar disorder are prevalent and often linked to poor oral hygiene, which may lead to periodontal disease. This study aimed to assess the correlation between psychiatric disorders and periodontal disease among psychiatric patients.


Materials and Methods


This cross-sectional study included 80 participants (mean age 38.2 ± 9.5 years) diagnosed with psychiatric disorders, including depression, anxiety, schizophrenia, and bipolar disorder. Participants were assessed using standardized psychiatric scales and a clinical oral examination to evaluate periodontal disease, including clinical attachment level (CAL), Probing pocket depth (PPD), plaque index (PI), and bleeding on probing (BOP). The impact of psychotropic medications on periodontal health was also evaluated.


Results
The study found that 80% of participants had periodontal disease, with 45% presenting moderate and 35% severe disease. A significant positive correlation was found between psychiatric symptom severity and periodontal disease, with depression, anxiety, and schizophrenia linked to worse oral health outcomes (r = 0.45, p < 0.001 for CAL, r = 0.41, p = 0.001 for BOP). Additionally, 45% of participants reported xerostomia as a side effect of psychotropic medications, which was associated with severe periodontal disease.


Conclusion
This study demonstrates a strong association between psychiatric disorders and periodontal disease, with psychotropic medications exacerbating oral health issues. Integrated care addressing both mental and oral health is crucial for improving health outcomes in individuals with psychiatric conditions.


 

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References

1. Friedlander AH, Marder SR. The psychopathology, medical management and oral health consequences of schizophrenia. J Am Dent Assoc. 2002;133(5):603-610.
2. Rieder CE, Bartold PM. Dental considerations for the patient with psychiatric disorders. J Prosthet Dent. 2001;85(2):147-151.
3. Friedlander AH, Mahler ME. Major depressive disorder: psychopathology, medical management and dental implications. J Am Dent Assoc. 2001;132(5):629-638.
4. Hugoson A, Thorstensson H, Falk H, Kuylenstierna J. Periodontal conditions in insulin-dependent diabetics. J Clin Periodontol. 1989;16(4):215-223.
5. Angelillo IF, Nobile CGA, Pavia M, De Fazio P, Puca M, Amati A. Dental health and treatment needs in institutionalized psychiatric patients in Italy. Community Dent Oral Epidemiol. 1995;23(6):360-364.
6. McCreadie RG, Stevens H, Henderson J, Hall D, McCaul R, Filik R. The dental health of people with schizophrenia. Acta Psychiatr Scand. 2004;110(4):306-310.
7. Thomas B, Dahiya M, Singh A. Oral health status and treatment needs of psychiatric patients. Indian J Dent Res. 1996;7(2):56-60.
8. Boyd MA, Dwyer T, McGuckin M. Oral health status of psychiatric inpatients. Aust N Z J Psychiatry. 1996;30(2):173-178.
9. Hede B. Dental health behaviour and self-reported dental health problems among psychiatric patients in Denmark. Acta Odontol Scand. 1995;53(1):35-40.
10. McCreadie RG, Stevens H, Henderson J, Hall D, McCaul R, Filik R, Young G, Sutch G, Kanagaratnam G, Perrington S, McKendrick J, Stephenson D, Burns T. The dental health of people with schizophrenia. Acta Psychiatr Scand. 2004;110(4):306-10.
11. Thomson WM, Locker D, Poulton R. The oral health of psychiatric populations: a longitudinal approach. J Dent Res. 1993;79(10):1711-1715.
12. Kisely S, Quek LH, Pais J, et al. Advanced dental disease in people with severe mental illness: systematic review. Br J Psychiatry. 2005;187:364-369.
13. Lewis S, Jagger RG, Jagger DC. Dental status of psychiatric hospital residents. Br Dent J. 1996;180(6):227-230.
14. Jones RB, Barber K. Oral hygiene and periodontal status of psychiatric inpatients. Br J Psychiatry. 1992;160:380-383.