Srpski arhiv za celokupno lekarstvo 2010 Volume 138, Issue 9-10, Pages: 564-569
https://doi.org/10.2298/SARH1010564J
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Oral lesions in patients with psychiatric disorders
Jovanović Svetlana
Gajić Ivanka
Mandić Bojan
Mandić Jelena (Clinic for Paediatric and Preventive Dentistry, School of Dentistry, University of Belgrade, Belgrade, Serbia)
Radivojević Vlada
Introduction. Oral diseases in psychiatric patients are usually a result of
bad oral hygiene and psychopharmaceutical side-effects. Objective. The aim of
this study was to detect oral lesions in patients hospitalized in psychiatric
institutions with the confirmed diagnosis of psychiatric illness and mood
disorder with psychotic characteristics, as well as to discover the factors
that can influence these oral lesions. Methods. Cross-section study consisted
of 186 hospitalized patients with psychiatric disorders in the experimental
group, out of whom 87 were males and 99 females. Patients were aged from 18
to 59 years, mean age 46.0±8.0 years. The control group consisted of 186
healthy persons matched for age and gender. Data on oral lesions were
obtained within history and clinical examination of the oral cavity. Other
medical data were collected from medical documentation. Statistical analysis
was performed by Student’s t-test, chi-square test and logistic regression.
Results. Dry mouth was registered in 78.5% of patients. The difference in
tongue and lip lesions, burning and stinging symptoms, bruxism, facial pain,
low saliva rates, halitosis, taste changes and swallowing difficulties
between the patients and healthy persons was highly statistically significant
(p<0.001). Age and gender, as well as the factors of main disease, influence
burning and stinging, bruxism, low saliva rates, swallowing difficulties,
taste changes and facial pain of the psychiatric patients. Conclusion.
Results imply that psychiatric patients are more frequently involved with
oral lesions than healthy persons. It is necessary to organize specific
preventive and educational oral health programmes with these patients, as
well as with doctors who treat the basic illness.
Keywords: oral lesions, xerostomia, risk factors, psychiatric patients
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