Denis Frederic, Milleret Gérard, Wallenhorst Thomas, Carpentier Maud, Rude Nathalie, Trojak Benoit
Clinical Research Unit, La Chartreuse Psychiatric Centre, 1, boulevard Chanoine Kir, BP 23314, 21033 Dijon cedex, France; EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, 25000 Besançon, France; Université Champagne Ardenne, faculté d'odontologie de Reims, département de santé publique, 2, rue du Général-Koenig, 51100 Reims, France.
Clinical Research Unit, La Chartreuse Psychiatric Centre, 1, boulevard Chanoine Kir, BP 23314, 21033 Dijon cedex, France.
Presse Med. 2019 Feb;48(2):e89-e99. doi: 10.1016/j.lpm.2018.06.018. Epub 2019 Mar 8.
The aim of this study was to assess the oral health status of a sample of patients with schizophrenia (PWS) in Côte d'Or region (France) and to determine the factors associated with dental status.
A multicenter cross-sectional descriptive study was performed. PWS were selected using a random stratified method. Dental status was investigated using the Decayed, Missing, or Filled Teeth (DMFT) index, based on 32 teeth. The Simplified Oral Hygiene Index (OHI-S), the Xerostomia Index (XI) and the Global Oral Health Assessment Index (GOHAI) for Oral Health-related Quality of Life (OHrQoL) were recorded.
Among the 302 persons identified, 109 were included (acceptance rate was 49.1%). Of these, 61.5% were men. The mean age was 46.8 years±12.0 years. The majority (78%) had completed a secondary education (SE). The mean duration of mental illness (DMI) was 17.9±9.4 years, and 55.5% were taking drugs. The mean DMFT was 16.6±8.1. There was a significant relationship between age, SE, oral health variables, medical conditions and OHrQoL.
PWS describe a poor OHrQoL. The dental and hygiene index scores are poor. We observed a lack of brushing and of dental visit for these persons and a gap in oral health between PWS and general population.
本研究旨在评估法国科多尔地区精神分裂症患者样本的口腔健康状况，并确定与牙齿状况相关的因素。
进行了一项多中心横断面描述性研究。采用随机分层方法选择精神分裂症患者。基于32颗牙齿，使用龋失补牙指数（DMFT）调查牙齿状况。记录简化口腔卫生指数（OHI-S）、口干指数（XI）和口腔健康相关生活质量（OHrQoL）的全球口腔健康评估指数（GOHAI）。
在确定的302人中，109人被纳入（接受率为49.1%）。其中，61.5%为男性。平均年龄为46.8岁±12.0岁。大多数（78%）完成了中等教育。精神疾病平均病程（DMI）为17.9±9.4年，55.5%的患者正在服药。平均DMFT为16.6±8.1。年龄、中等教育、口腔健康变量、医疗状况与OHrQoL之间存在显著关系。
精神分裂症患者的OHrQoL较差。牙齿和卫生指数得分较低。我们观察到这些人缺乏刷牙和看牙的习惯，并且精神分裂症患者与普通人群在口腔健康方面存在差距。
