with selected mental disorders. Arkadiusz Dziedzic1, Marta Tanasiewicz2, Dariusz Skaba3. 1Arkadiusz Dziedzic, Department of Conservative Dentistry with ...
P151 Periodontal condition and periodontal teatment needs in patients with selected mental disorders Arkadiusz Dziedzic1, Marta Tanasiewicz2, Dariusz Skaba3 Dziedzic, Department of Conservative Dentistry with Endodontics, Medical University of Silesia, Faculty of Dentistry, Bytom, Poland 2Marta Tanasiewicz, Department of Conservative Dentistry with Endodontics, Medical University of Silesia, Faculty of Dentistry, Bytom, Poland 3Dariusz Skaba, Department of Conservative Dentistry with Endodontics, Medical University of Silesia, Faculty of Dentistry, Bytom, Poland
1Arkadiusz
Objectives To determine the periodontium condition and treatment needs in adults hospitalized and treated as outpatients for mental health problems (MHP) in the Specialist Mental Health Service Institution.
Case Psycho-physical, behavioral, pharmacological, as well as social and living conditions are the main factors for increasing the risk of periodontal diseases in individuals under mental health care.
Materials-Methods The study involved 212 patients, 86 women and 126 men in the age range of 35-44 years, qualified to one of the 4 categories of mental disorder diagnoses according to ICD-10: behavioral disorders and personality disorders due to misuse of mind-altering substances or alcohol (F10.2), schizophrenia (F20-25), affective disorders (F30-36), as well as neuroses and somatoform disorders (F40-47). Questionnaire on oral health was applied and a complete periodontal exam, including visible plaque/calculus, gingival bleeding, pocketing, attachment loss (AL), was performed by a single calibrated examiner. Smokers were excluded. Standardized CPI/TN common periodontal index of treatment needs (WHO) has been used for clinical assessment and group of gender-matched 52 mentally and physically healthy individuals as control group.
Results The prevalence and frequency of occurrence of periodontal diseases in the analyzed population amounts to about 100%. The most frequent problems observed were mild/moderate periodontal pockets (3.5mm-5 mm) and supra-/subgingival hard deposits - 47.44% and 35.90% of cases, respectively. The percentage of patients with deep periodontal pockets above 6 mm ranged between 9.68% and 17.39%. The highest levels of codes 3 and 4 have been registered for patients with diagnosis of schizophrenia - 52.17% and 17.39%, respectively. Over 80% of the subjects required calculus/plaque removal and thorough oral hygiene instructions (TN2). Statistically significant differences (p
