Velasco-Ortega Eugenio, Monsalve-Guil L, Ortiz-Garcia I, Jimenez-Guerra A, Lopez-Lopez J, Segura-Egea J J
Faculty of Dentistry, Dpto. de Estomatología, University of Sevilla, C/Avicena s/n, 41009, Seville, Spain.
Faculty of Dentistry, University of Sevilla, Seville, Spain.
BMC Res Notes. 2017 Jan 18;10(1):50. doi: 10.1186/s13104-016-2368-9.
The aim of this study was to assess the dental status (DMFT) in patients with schizophrenia compared with a control group.
In this case-control study, 50 patients with schizophrenia attended in the Psychiatric Unit at the Virgen Macarena University Hospital of Seville were compared with 50 people (without systemic diseases and not taking psychotropic drugs) in a control group attended in the School of Dentistry of Seville. Decayed, missing and filled teeth (DMFT) were assessed according to the World Health Organization WHO criteria.
Patients with schizophrenia showed a decayed teeth (DT) score of 7.26 ± 5.69 compared with 6.50 ± 4.37 for patients the control group. These differences were significant and suggest that dental caries are most prevalent in patients with schizophrenia. People who smoked showed significantly higher DT scores in both groups. Among patients with schizophrenia, smokers scored 9.34 ± 5.42 compared with 4.38 ± 4.82 for non-smokers. Among the healthy controls, smokers scored 6.88 ± 4.85 compared with 6.12 ± 3.85 for non-smokers (p < 0.05). Patients with schizophrenia showed a missing teeth (MT) score of 9.10 ± 8.56 compared with 5.38 ± 5.14 in control patients. MT scores increased significantly with age and with smoking in both groups of patients (p < 0.05). Patients with schizophrenia showed a filled teeth (FT) score of 1.38 ± 2.70 compared with 2.34 ± 3.48 in control patients. FT differences in gender and smoking habits between patients with schizophrenia and healthy control subjects were statistically significant (p < 0.05). This data, along with the DT scores, suggests that patients with schizophrenia have extensive untreated dental disease.
Patients with schizophrenia constitute a high risk population for dental health. This group showed a greater prevalence of decayed and missing teeth and more extensive treatment needs.
本研究旨在评估精神分裂症患者与对照组相比的牙齿状况（DMFT）。
在这项病例对照研究中，将塞维利亚圣母马卡雷纳大学医院精神科的50例精神分裂症患者与塞维利亚牙科学院的50名（无全身性疾病且未服用精神药物）对照组人员进行比较。根据世界卫生组织（WHO）标准评估龋、失、补牙数（DMFT）。
精神分裂症患者的龋牙（DT）评分为7.26±5.69，而对照组患者为6.50±4.37。这些差异具有统计学意义，表明精神分裂症患者中龋齿最为普遍。两组中吸烟者的DT评分均显著更高。在精神分裂症患者中，吸烟者评分为9.34±5.42，非吸烟者为4.38±4.82。在健康对照组中，吸烟者评分为6.88±4.85，非吸烟者为6.12±3.85（p<0.05）。精神分裂症患者的失牙（MT）评分为9.10±8.56，而对照患者为5.38±5.14。两组患者的MT评分均随年龄和吸烟而显著增加（p<0.05）。精神分裂症患者的补牙（FT）评分为1.38±2.70，而对照患者为2.34±3.48。精神分裂症患者与健康对照者之间在性别和吸烟习惯方面的FT差异具有统计学意义（p<0.05）。这些数据与DT评分一起表明，精神分裂症患者存在广泛的未治疗牙病。
精神分裂症患者是牙齿健康的高危人群。该组患者龋牙和失牙的患病率更高，治疗需求更广泛。
