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dc.contributor.authorKisely, Steve
dc.contributor.authorQuek, Lake-Hui
dc.contributor.authorPais, Joanne
dc.contributor.authorLalloo, Ratilal
dc.contributor.authorJohnson, Newell W
dc.contributor.authorLawrence, David
dc.date.accessioned2017-05-03T15:32:06Z
dc.date.available2017-05-03T15:32:06Z
dc.date.issued2011
dc.date.modified2012-02-10T02:29:27Z
dc.identifier.issn0007-1250
dc.identifier.doi10.1192/bjp.bp.110.081695
dc.identifier.urihttp://hdl.handle.net/10072/41683
dc.description.abstractBackground Psychiatric patients have increased comorbid physical illness. There is less information concerning dental disease in this population in spite of risk factors including diet and psychotropic side-effects (such as xerostomia). Aims To compare the oral health of people with severe mental illness with that of the general population. Method A systematic search for studies from the past 20 years was conducted using Medline, PsycINFO, Embase and article bibliographies. Papers were independently assessed. The primary outcome was total tooth loss (edentulousness), the end-stage of both untreated caries and periodontal disease. We also assessed dental decay through standardised measures: the mean number of decayed, missing and filled teeth (DMFT) or surfaces (DMFS). For studies lacking a control group we used controls of similar ages from a community survey within 10 years of the study. Results We identified 21 papers of which 14 had sufficient data (n = 2784 psychiatric patients) and suitable controls (n = 31 084) for a random effects meta-analysis. People with severe mental illness had 3.4 times the odds of having lost all their teeth than the general community (95% CI 1.6-7.2). They also had significantly higher scores for DMFT (mean difference 6.2, 95% CI 0.6-11.8) and DMFS (mean difference 14.6, 95% CI 4.1-25.1). Fluoridated water reduced the gap in oral health between psychiatric patients and the general population. Conclusions Psychiatric patients have not shared in the improving oral health of the general population. Management should include oral health assessment using standard checklists that can be completed by non-dental personnel. Interventions include oral hygiene and management of xerostomia.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherThe Royal College of Psychiatrists
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom187
dc.relation.ispartofpageto193
dc.relation.ispartofissue3
dc.relation.ispartofjournalBritish Journal of Psychiatry
dc.relation.ispartofvolume199
dc.rights.retentionY
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchSpecial needs dentistry
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode320312
dc.subject.fieldofresearchcode52
dc.titleAdvanced dental disease in people with severe mental illness: systematic review and meta-analysis
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2011
gro.hasfulltextNo Full Text
gro.griffith.authorJohnson, Newell W.
gro.griffith.authorKisely, Steve R.
gro.griffith.authorLalloo, Ratilal


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