Is institutionalization a risk factor for poor oral health; a comparison of the oral status of schizophrenia and bipolar affective disorders

Raheel Mushtaq, Sheikh Shoib, Randhir Singh, Ubaid Iqbal, Tabindah Shah, Sahil Mushtaq, Shahinda Shah, Kyser Sajad


Background:Oral health is an integral part of general health and psychiatric disorders lead them to change their life style and lose concern for general and oral health. In view of this, the study was planned to compare the oral health status in different types of in-patient psychiatric patients. Objective of current study was to study the oral health status in schizophrenia and bipolar affective disorders institutionalized in psychiatric hospital.

Methods:50 Psychiatric patient (43 patients suffering from schizophrenia, 7 patients of bipolar affective disorder,) and 50 unrelated healthy volunteers were taken in the study. Dental examinations were done in both groups to measure the following indices of oral health: decayed, missing, and filled teeth index (DMFT)  for caries; simplified oral hygiene index (OHI-S) for oral hygiene status; and tooth wear index for the wear of teeth. For comparison analyses t test was used.

Results: Mean age of the study group was 37.74 years. Mean decayed missing filled teeth index (DMFT) score for study group and control population was 8.52 ± 4.36 vs. 4.72 ± 2.74 vs. 1.81 ± 1.00 (P ≤0.0001). The mean simplified oral hygiene index (OHI-S) for study group was 3.87±1.21, while that of control was (p≤0.0001).The mean Tooth wear index (TWI) score for study group was found to be 1.62 ± 0.75 and for control group was 1.08±0.48 (P ≤0.0001).

Conclusion: Oral health status is affected in psychiatric patients and improving the oral health in psychiatric patients can go long way in improving the quality and management of these patients.



Institutionalization, Risk factor, Decayed missing filled teeth index, Mean simplified oral hygiene index, Tooth wear index (TWI)

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