Evaluation of dental health among adolescents with mental disorders

Background/Aim. According to the World Health Organization (WHO), there is an increasing prevalence of mental disorders among children and adolescents worldwide. Previous studies have shown that people with mental disorders, regardless age, have an increased prevalence of dental caries due to severa...

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Main Authors: Đorđević Vladan, Jovanović Mila, Čolić Sanja, Stašević Milena, Asotić Amina, Čakić Saša, Stašević-Karličić Ivana, Todorović Ljubomir
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2020-01-01
Series:Vojnosanitetski Pregled
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Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800156D.pdf
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author Đorđević Vladan
Jovanović Mila
Čolić Sanja
Stašević Milena
Asotić Amina
Čakić Saša
Stašević-Karličić Ivana
Todorović Ljubomir
Todorović Ljubomir
author_facet Đorđević Vladan
Jovanović Mila
Čolić Sanja
Stašević Milena
Asotić Amina
Čakić Saša
Stašević-Karličić Ivana
Todorović Ljubomir
Todorović Ljubomir
author_sort Đorđević Vladan
collection DOAJ
description Background/Aim. According to the World Health Organization (WHO), there is an increasing prevalence of mental disorders among children and adolescents worldwide. Previous studies have shown that people with mental disorders, regardless age, have an increased prevalence of dental caries due to several reasons. The aim of this study was to determine prevalence of dental caries in adolescents with mental disorders and to consider possible risk factors that might contribute to their current dental health status. Methods. The study was conducted as an observational cross-sectional study. The study group comprised 70 randomly selected hospitalized adolescents with mental disorders. The control group comprised 70 randomly chosen mentally healthy adolescents. They were matched to the study group by gender and age. All the participants were subjected to targeted dental examination according to criteria recommended by the WHO. Collection of data related to mental disorders of the study group was obtained from the patient’s medical records. All collected data were organized and analyzed by descriptive statistical parameters and regression models. Results. Majority of the study group patients were diagnosed with schizophrenia, schizotypal and delusional disorders (F20-F29), as well as behavioral and emotional disorders usually occurring in childhood and adolescence (F90-F98). Almost 90% of them were treated with antipsychotics of the second generation, as monotherapy or in combination with first-generation antipsychotics. Adolescents with mental disorders had significantly more carious and extracted teeth and three times less filled teeth than mentally healthy adolescents in the control group. The mean value of the decay-missing-filled teeth (DMF) index in the study group patients was also significantly higher than the mean value of DMF index in the control group subjects. Conclusion. It seems that mental disorder among adolescents mainly affects oral health indirectly, decreasing motivation of patients in maintaining oral hygiene.
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spelling doaj-art-c66ee936a6ab4a8bb39ea009c12378922025-08-20T02:19:15ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202020-01-0177885285810.2298/VSP180717156D0042-84501800156DEvaluation of dental health among adolescents with mental disordersĐorđević Vladan0Jovanović Mila1Čolić Sanja2Stašević Milena3Asotić Amina4Čakić Saša5Stašević-Karličić Ivana6Todorović Ljubomir7Todorović Ljubomir8Clinic for Mental Disorders “Dr. Laza Lazarević” Belgrade, Serbia + University of Travnik, Faculty of Pharmacy and Health, Travnik, Bosnia and HerzegovinaUniversity in Belgrade, Faculty of Dental Medicine, Belgrade, SerbiaCommunity Health Center “Vračar”, Belgrade, SerbiaClinic for Mental Disorders “Dr. Laza Lazarević” Belgrade, SerbiaUniversity of Travnik, Faculty of Pharmacy and Health, Travnik, Bosnia and HerzegovinaUniversity in Belgrade, Faculty of Dental Medicine, Belgrade, SerbiaClinic for Mental Disorders “Dr. Laza Lazarević” Belgrade, Serbia + University of Kosovska Mitrovica, Faculty of Medicine, Kosovska Mitrovica, SerbiaUniversity of Travnik, Faculty of Pharmacy and Health, Travnik, Bosnia and HerzegovinaUniversity of Travnik, Faculty of Pharmacy and Health, Travnik, Bosnia and HerzegovinaBackground/Aim. According to the World Health Organization (WHO), there is an increasing prevalence of mental disorders among children and adolescents worldwide. Previous studies have shown that people with mental disorders, regardless age, have an increased prevalence of dental caries due to several reasons. The aim of this study was to determine prevalence of dental caries in adolescents with mental disorders and to consider possible risk factors that might contribute to their current dental health status. Methods. The study was conducted as an observational cross-sectional study. The study group comprised 70 randomly selected hospitalized adolescents with mental disorders. The control group comprised 70 randomly chosen mentally healthy adolescents. They were matched to the study group by gender and age. All the participants were subjected to targeted dental examination according to criteria recommended by the WHO. Collection of data related to mental disorders of the study group was obtained from the patient’s medical records. All collected data were organized and analyzed by descriptive statistical parameters and regression models. Results. Majority of the study group patients were diagnosed with schizophrenia, schizotypal and delusional disorders (F20-F29), as well as behavioral and emotional disorders usually occurring in childhood and adolescence (F90-F98). Almost 90% of them were treated with antipsychotics of the second generation, as monotherapy or in combination with first-generation antipsychotics. Adolescents with mental disorders had significantly more carious and extracted teeth and three times less filled teeth than mentally healthy adolescents in the control group. The mean value of the decay-missing-filled teeth (DMF) index in the study group patients was also significantly higher than the mean value of DMF index in the control group subjects. Conclusion. It seems that mental disorder among adolescents mainly affects oral health indirectly, decreasing motivation of patients in maintaining oral hygiene.http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800156D.pdfmental healthadolescentoral health
spellingShingle Đorđević Vladan
Jovanović Mila
Čolić Sanja
Stašević Milena
Asotić Amina
Čakić Saša
Stašević-Karličić Ivana
Todorović Ljubomir
Todorović Ljubomir
Evaluation of dental health among adolescents with mental disorders
Vojnosanitetski Pregled
mental health
adolescent
oral health
title Evaluation of dental health among adolescents with mental disorders
title_full Evaluation of dental health among adolescents with mental disorders
title_fullStr Evaluation of dental health among adolescents with mental disorders
title_full_unstemmed Evaluation of dental health among adolescents with mental disorders
title_short Evaluation of dental health among adolescents with mental disorders
title_sort evaluation of dental health among adolescents with mental disorders
topic mental health
adolescent
oral health
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800156D.pdf
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