Ogaard B, Koxvig I J
Klinikk for Kjeveortopedi, Universitetet i Oslo.
Nor Tannlaegeforen Tid. 1991 Mar;101(5):144-7.
The caries status was recorded for 107 patients in a Norwegian psychiatric hospital in 1988. The number of edentulous patients was highest among patients older than 50 years (42%). Only two patients below 50 years of age were edentulous (5%). The average DMFT was 21.5 in the age group below 50 years and 26.8 in the age group above 50 years. The percentage number of patients with carious teeth (DT greater than 0) was 42% in those above 50 years and 60% in those below 50 years of age. On average, each patients used nearly 3 medicaments regularly. Most of the medicaments belonged to the antidepressiva and neuroleptica group which give nearly complete xerostomia. It is speculated that the reason for the high caries activity in the hospitalized psychiatric patients is due to irregular eating and oral hygiene habits in combination with complete or partial xerostomia. It is suggested that fluoride therapy (topical and tablets) and professional plaque control would be the most appropriate preventive measures.
1988年，挪威一家精神病院对107名患者的龋齿状况进行了记录。无牙患者数量在50岁以上患者中最多（42%）。50岁以下患者中只有两名无牙（5%）。50岁以下年龄组的平均龋失补牙数（DMFT）为21.5，50岁以上年龄组为26.8。50岁以上患者中患龋牙（DT大于0）的百分比为42%，50岁以下患者中为60%。平均而言，每位患者定期使用近3种药物。大多数药物属于抗抑郁药和抗精神病药组，这些药物几乎会导致完全口干。据推测，住院精神病患者龋齿活动率高的原因是饮食和口腔卫生习惯不规律，再加上完全或部分口干。建议氟化物治疗（局部和片剂）和专业的牙菌斑控制是最合适的预防措施。
