Schulte P F J, Brand H S
Uit het Behandelcentrum bipolaire stoornissen, divisie kortdurende psychiatrie, GGZ Noord-Holland-Noord.
Ned Tijdschr Tandheelkd. 2010 Oct;117(10):493-9. doi: 10.5177/ntvt.2010.10.10165.
A bipolar disorder is a mood disorder characterized by recurrent occurrences of manic, depressive or mixed episodes, separated by shorter or longer relatively symptom-free periods. In the Netherlands, the incidence of bipolar disorders is 1.9%. Bipolar disorders are usually treated with a combination of psycho-education, self-management and pharmacotherapy. Both the bipolar disorder and the drugs for treating this disorder have negative effects on oral health. Patients have, among other things, an increased risk of caries, xerostomia, taste abnormalities and bruxism. Extensive instruction in oral hygiene, supported frequently by professional oral health care, is therefore essential. Considering the possible interaction among different kinds of drugs, NSAIDs should only be prescribed after consulting the patient's psychiatrist.
双相情感障碍是一种心境障碍，其特征为躁狂、抑郁或混合发作反复出现，发作之间有长短不一的相对无症状期。在荷兰，双相情感障碍的发病率为1.9%。双相情感障碍通常采用心理教育、自我管理和药物治疗相结合的方法进行治疗。双相情感障碍及其治疗药物都会对口腔健康产生负面影响。患者除其他外，患龋齿、口干、味觉异常和磨牙症的风险增加。因此，在专业口腔保健的频繁支持下，进行广泛的口腔卫生指导至关重要。考虑到不同种类药物之间可能存在的相互作用，非甾体抗炎药仅应在咨询患者的精神科医生后才开具处方。
