Oral Health Profile of Chronic Mentally Ill Patients in Moradabad City: A Cross-Sectional Study
Introduction: Good oral health is an important feature of good general health depression or chronic mental illness causes different types of oral problem such as xerostomia, acidic salivary pH, tooth decay, or periodontal disease. There is no study carried out in the Department of Psychiatry, Teerthanker Mahaveer Medical Hospital, Moradabad, which show oral health status of depression or chronic mentally ill patient.
Materials and Methods: The study was carried out in the out patient Department of Psychiatry, Teerthanker Mahaveer Medical Hospital Moradabad with total number of 250 patients.Type III method of examination was used. oral examination was done by the help of WHO oral health assessment form for adult 2013. Salivary PH was calculated by the help of universal PH indicator solvent.
Results: Mean score of decayed, missing, and filled tooth (DMFT) was 3.75 and the SD of DMFT is 1.75. Mean of salivary pH is 4.89 and the standard deviation (SD) is 0.81. Mean of periodontal pocket is 1.14 and the SD of periodontal pocket is 0.81. Mean distribution of pH in relation to periodontal pocket was 4.86 and the SD of 0.79 pH in relation to periodontal pocket was 0.79. By using ANOVA P value in relation to salivary pH and periodontal pocket was 0.23 which is less than 0.5 (i.e. significant) .
Conclusion: The adverse effect of antidepressants leads to xerostomia and salivary pH of psychiatry patient is more acidic so psychiatry patients are more periodontally compromise.
Organization; 2017. Available from: http://www.who.int/mental_health/
management/depression/en. [Last accessed on 2017 Dec 15].
2. Baxter AJ, Patton G, Scott KM, Degenhardt L, Whiteford HA. Global
epidemiology of mental disorders: What are we missing? PLoS One
3. Marmot M, Bell R. Social determinants and dental health. Adv Dent Res
4. Petersen PE, Kwan S. Equity, social determinants and public health
programmes-the case of oral health. Community Dent Oral Epidemiol
5. Glick M, da Silva OM, Seeberger GK, Xu T, Pucca G, Williams DM,
et al. FDI vision 2020: Shaping the future of oral health. Int Dent J
6. Jin L, Lamster I, Greenspan J, Pitts N, Scully C, Warnakulasuriya S. Global
burden of oral diseases: Emerging concepts, management and interplay
with systemic health. Oral Dis 2016;22:609-19.
7. Kisely S. No mental health without oral health. Can J Psychiatry
8. Kisely S, Baghaie H, Lalloo R, Siskind D, Johnson NW. A systematic
review and meta-analysis of the association between poor oral health and
severe mental illness. Psychosom Med 2015;77:83-92.
9. Yang M, Chen P, He MX, Lu M, Wang HM, Soares JC, et al. Poor oral
health in patients with schizophrenia: A systematic review and metaanalysis.
Schizophr Res 2018;201:3-9.
10. Lim M, Borromeo G. The use of general anesthesia to facilitate dental
treatment in adult patients with special needs. J Dent Anesth Pain Med
11. Mallineni SK, Yiu CK. Dental treatment under general anesthesia for
special-needs patients: Analysis of the literature. J Investig Clin Dent
12. Oh TJ, Nam O, Kim M, Choi S, Lee H. Oral health of patients with special
health care needs after general anesthesia: A 25-year retrospective study.
Pediatr Dent 2018;40:215-9.
13. Schnabl D, Guarda A, Guarda M, von Spreckelsen LM, Riedmann M,
Steiner R, et al. Dental treatment under general anesthesia in adults with
special needs at the University hospital of dental prosthetics and restorative
dentistry of Innsbruck, Austria: A retrospective study of 12 years. Clin Oral
14. Ramon T, Grinshpoon A, Zusman S, Weizman A. Oral health and treatment
needs of institutionalized chronic psychiatric patients in Israel. Eur
15. von Knorring L, Mörnstad H. Qualitative changes in saliva composition
after short-term administration of imipramine and zimelidine in healthy
volunteers. Scand J Dent Res 1981;89:313-20.
16. Mörnstad H, von Knorring L, Forsgren L, Holmgren S. Long-term effects
of two principally different antidepressant drugs on saliva secretion and
composition. Scand J Dent Res 1986;94:461-70.
17. Mörnstad H, von Knorring L, Forsgren L, Holmgren S. Acute effects of some
different antidepressant drugs on saliva composition. Neuropsychobiology
18. Bergdahl M, Bergdahl J. Low unstimulated salivary flow and subjective
oral dryness: Association with medication, anxiety, depression, and stress. J
Dent Res 2000;79:1652-8.
19. Berkovitz BK, Holland GR, Moxham BJ. Oral Anatomy, Histology and
Embryology. 3rd ed. New York: Mosby; 2002.
20. Tenovuo J, Lagerlöf F. Saliva. In: Thylstrup A, Fejerskov O, editors.
Textbook of Clinical Cariology. 2nd ed. Copenhagen: Munksgaard; 1994.
21. Nagler RM. Salivary glands and the aging process: Mechanistic aspects,
health-status and medicinal-efficacy monitoring. Biogerontology
22. Scully C. Drug effects on salivary glands: Dry mouth. Oral Dis 2003;9:165-76.
23. Peter S. Essentials of Preventive and Community Dentistry. 4th ed. New York: Arya (Medi) Publishing House; 2011. p. 282-310.
24. World Health Organization. Oral Health Surveys: Basic Methods. 5th ed.
Geneva: World Health Organization; 2013. p. 110-4.
25. Provenza DV. Textbook of Oral Histology, Inheritance and Development.
2nd ed. Philadelphia, PA: Leaf and Ginger; 1986.
26. Hunter KD, Wilson WS. The effects of antidepressant drugs on salivary
flow and content of sodium and potassium ions in human parotid saliva.
Arch Oral Biol 1995;40:983-9.