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The aim of the study is to describe the oral health status of patients suffering from schizophrenia and schizoaffective disorders in a psychiatric institute in France.
Schizophrenia concerns 21 million people in the world and 600 000 in France according to the World Health Organization. This pathology decreases the patient's quality of life and one patient out of two will try to commit suicide and 10% will die. Oral health is an important factor for general well being. The litterature shows that schizophrenic patients tend to visit less dental surgeries than the general population. Patients will often visit the surgery in emergency and dentist often choses to extract instead of a restorative solution. Thus, schizophrenic subjects are 3,4 more likely to become edentulous compared to the general population.
This is a cross-sectional epidemiological study on patients suffering from schizophrenia and and schizoaffective disorders in a psychiatric institution. A dental assessment will be conducted to provide clinical data on oral health. (DMFT, hygiene, mouth dryness, prosthesis) and a survey of their diet, medication, oral quality of life, social security coverage and patients view regarding dental care (Anxiety and Healthcare renunciation).
This is an observational study (oral examination and survey), so no treatment will be compared. The oral health status will be evaluated during one single oral examination and survey during the patient's stay at hospital.
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| Measure | Description | Time Frame |
|---|---|---|
| Measure of the number of caries, fillings and teeth missing | The main outcome will be to measure the number of caries, fillings and teeth missing as stated in the DMFT Index. | 1 day |
| Evaluation of oral hygiene | Oral hygiene will be measured with the simplified oral hygiene index (OHI-S) | 1 day |
| Assessement of temporo mandibular dysfunction | Number of patients suffering from temporo mandibular dysfunction (for patients who have replied yes to the 3Q/TMD screening). | 1 day |
| Assessing of mouth dryness | Assessing mouth dryness through the Xerostomia Inventory survey. | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Link between quality of life and oral health: survey | - Assessment of the link between quality of life and oral health through the GOHAI survey. | 1 day |
| Social security coverage | Number of patients and kind of social security coverage |
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Inclusion Criteria:
Exclusion Criteria:
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Schizophrenic adults and adults with schizoaffective disorders at the Charles Perrens Hospital.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier CHARLES PERRENS | Bordeaux | 33076 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24620549 | Background | Denis F. [The oral health of patients in psychiatric institutions and related comorbidities]. Soins Psychiatr. 2014 Jan-Feb;(290):40-4. French. | |
| Background | Curien R. & al; Evaluation de l'influence des psychotropes sur la santé bucco-dentaire chez une population de patients hospitalisés en secteur psychiatrique. Information Dentaire. 88 : (2006): 439-441 | ||
| 24053587 |
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| ID | Term |
|---|---|
| D009057 | Stomatognathic Diseases |
| D012559 | Schizophrenia |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| 1 day |
| Reason for primary appointment | Assessment for primary reason appointment and dental anxiety measured through the modified dental anxiety scale (MDAS). | 1 day |
| Measurement of dental anxiety | Measurement of dental anxiety through the modified dental anxiety scale (MDAS). | 1 day |
| Background |
| Bertaud-Gounot V, Kovess-Masfety V, Perrus C, Trohel G, Richard F. Oral health status and treatment needs among psychiatric inpatients in Rennes, France: a cross-sectional study. BMC Psychiatry. 2013 Sep 21;13:227. doi: 10.1186/1471-244X-13-227. |
| 24451420 | Background | Catteau C, Blaizot A, Duhamel A, Delzenne A, Devillers A, Frimat P. [Dental status and related factors in an occupational health service in Northern France]. Sante Publique. 2013 Nov-Dec;25(6):747-55. French. |