Kossioni Anastasia, Kossionis Georges E, Polychronopoulou Argy
Department of Prosthodontics, Dental School, University of Athens, Greece.
Spec Care Dentist. 2013 Sep-Oct;33(5):232-8. doi: 10.1111/scd.12004. Epub 2013 Jan 7.
This study investigated the variation in the oral examination findings and the subjective oral complaints between older people with and without mental disorders. An interview and an oral investigation were performed in a group of older patients with mental disorders with a mean age of 71.9 years and in a group of older people without mental disease with a mean age of 70.2 years. The analysis did not reveal any statistically significant differences in the dental status of the participants and in the prevalence of oral ulcers and stomatitis. However xerostomia, burning mouth, dysgeusia, and oral malodor complaints were more frequent in patients with mental disorders, whereas general chewing complaints were less frequent. The multiple logistic regression analysis revealed that psychiatric illness was significantly associated with more complaints of dysgeusia and fewer chewing complaints. The increased prevalence of specific oral complaints in the older patients with mental disorders revealed the significant psychopathological compound of these symptoms.
本研究调查了患有和未患有精神障碍的老年人在口腔检查结果和主观口腔不适方面的差异。对一组平均年龄为71.9岁的患有精神障碍的老年患者和一组平均年龄为70.2岁的未患有精神疾病的老年人进行了访谈和口腔检查。分析未发现参与者的牙齿状况以及口腔溃疡和口腔炎患病率存在任何统计学上的显著差异。然而，口干、灼口、味觉障碍和口臭等不适在患有精神障碍的患者中更为常见，而一般性咀嚼不适则较少见。多元逻辑回归分析显示，精神疾病与更多的味觉障碍主诉和更少的咀嚼不适主诉显著相关。患有精神障碍的老年患者中特定口腔不适患病率的增加揭示了这些症状的显著精神病理复合情况。
