Piccoli Luca, Besharat Laith Konstantinos, Cassetta Michele, Migliau Guido, Di Carlo Stefano, Pompa Giorgio
Department of Oral and Maxillo-facial Sciences, Sapienza University of Rome, Italy.
Ann Stomatol (Roma). 2014 Jun 18;5(2):52-60. eCollection 2014 Apr.
Assess oral health, treatment needs and the correlation between tooth wear and medications in patients with psychiatric disease.
92 patients (40 male and 52 female) admitted in the Department of Neurology and Psychiatry of the Umberto I Hospital of Rome underwent an oral and dental clinical examination in accordance according to World Health Organization Basic Methods Criteria. One dentist performed all clinical examinations, training and calibration was carried out by an experienced clinical examiner. To measure the degree of inter-examiner agreement Kappa statistics was calculated. Level of tooth wear was assessed using the tooth wear classification of Johansson et al. Exact psychiatric pathology and medications of each patient were registrated. The Statistical Package for the Social Sciences (SPSS Inc., Chicago, Ill.) was used to analyze the data. A value of P < 0.05 was considered statistically significant.
34.78% of the sample regarding tooth wear demonstrated score 2. Men demonstrated 30% score 2, and 20% score 3 and 4 whereas female patients 38.46% score 2, 7.69% score 3 and none score 4.
Chronic exposure to neuroleptic drugs can cause phenomena of bruxism. There is a direct correlation between tooth wear, psychiatric disorders and administration of certain drugs. Poor oral hygiene and extensive unmet needs for dental treatment were widespread among psychiatric patients.
评估精神疾病患者的口腔健康状况、治疗需求以及牙齿磨损与药物之间的相关性。
罗马翁贝托一世医院神经科和精神科收治的92例患者（40例男性和52例女性）按照世界卫生组织基本方法标准接受了口腔和牙科临床检查。所有临床检查均由一名牙医进行，由一名经验丰富的临床检查人员进行培训和校准。为测量检查者间的一致性程度，计算了卡帕统计量。使用约翰松等人的牙齿磨损分类法评估牙齿磨损程度。记录每位患者的确切精神病理状况和用药情况。使用社会科学统计软件包（SPSS公司，伊利诺伊州芝加哥）分析数据。P值<0.05被认为具有统计学意义。
在牙齿磨损方面，34.78%的样本显示评分为2分。男性中2分的占30%，3分和4分的占20%，而女性患者中2分的占38.46%，只有7.69%的患者评分为3分，无评分为4分的患者。
长期接触抗精神病药物可导致磨牙症现象。牙齿磨损、精神障碍和某些药物的使用之间存在直接相关性。精神疾病患者普遍存在口腔卫生差和牙科治疗需求未得到充分满足的情况。
