Department of Preventive Medicine and Institute of Occupational and Environmental Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea; Department of Dental Hygiene, Yonsei University Wonju College of Medicine, Wonju, Korea.
Int J Dent Hyg. 2014 May;12(2):133-40. doi: 10.1111/idh.12053. Epub 2013 Sep 3.
To develop a dental hygiene care programme based on the specific needs of patients with mental disorders and to suggest practical guidelines to improve the oral health care of these patients.
A total of 73 patients with mental illness participated in the study. The patients were randomly classified into three groups and followed over 12 weeks at 4-week intervals. A newly designed dental hygiene care programme using flash-based video, brochures and a toothpick method was implemented by five dental hygienists. Plaque index, stimulated saliva, subjective oral dryness and dental caries activity were analysed as outcome variables.
Results showed that the dental plaque index significantly decreased after each session (P < 0.0001) in all three groups, and significant differences were found between groups (P = 0.036). Patients' oral dryness decreased significantly, but stimulated saliva and dental caries activity did not improve.
The results of this study suggest that the dental hygiene care programme, which made use of a short, 10-min flash-based video and brochures every 4 weeks, was effective in reducing the dental plaque index of patients with mental disorders.
根据精神障碍患者的特殊需求，制定口腔卫生保健方案，并提出切实可行的指导意见，以改善这些患者的口腔保健水平。
共纳入 73 例精神疾病患者参与本研究。将患者随机分为三组，每 4 周间隔随访 12 周。由五名口腔卫生保健员采用基于闪存的视频、宣传册和牙签法实施新设计的口腔卫生保健方案。菌斑指数、刺激唾液、主观口腔干燥和龋齿活动度被分析为结局变量。
结果显示，三组患者的菌斑指数在每次治疗后均显著下降（P<0.0001），且组间存在显著差异（P=0.036）。患者的口腔干燥感显著降低，但刺激唾液和龋齿活动度未得到改善。
本研究结果表明，每 4 周使用简短的 10 分钟基于闪存的视频和宣传册的口腔卫生保健方案可有效降低精神障碍患者的菌斑指数。
