精神障碍患者的龋齿经历、牙周状况和代谢性发病。

Caries experience, periodontal status, and metabolic morbidity in patients with psychiatric disorders.

出版信息

Quintessence Int. 2021 May 7;52(6):516-526. doi: 10.3290/j.qi.b1044091.

DOI:10.3290/j.qi.b1044091

Abstract

OBJECTIVES

To investigate the association of psychiatric disorders with (1) caries experience, (2) periodontal status, and (3) metabolic syndrome (MetS) components.

METHOD AND MATERIALS

This 7-year cross-sectional study retrospectively analyzed the medical records of 504 individuals aged 18 to 90 years who attended the student dental clinic. Collected data included: demographics, smoking habits, systolic and diastolic blood pressures, pulse, waist circumference, full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), maximal pocket probing depth (PPD), average and maximal radiographic bone loss (RBL), the sum of the number of decayed (D), missing (M), and filled (F) teeth (DMFT score), and presence of MetS components, consequences and related conditions including diabetes, hypertension, hyperlipidemia, ischemic heart disease, heart failure, s/p stroke, and cancer.

RESULTS

68 (13.5%) had psychiatric disorders with an average age of 53.42 ± 15.71 years. Psychiatric disorders were positively associated with smoking (P = .008), smoking pack-years (P = .004), DMFT score (P = .005), and negatively associated with hypertension (P = .046). Psychiatric disorders had no statistically significant associations with all periodontal indices studied and with other components of MetS. Following multivariate analysis, psychiatric disorders retained a statistically significant positive association with smoking (odds ratio [OR] and 95% confidence interval [CI] = 2.24 [1.28 to 3.92]) and with DMFT (OR and 95% CI = 1.08 [1.02 to 1.14]), and a statistically significant negative association with hypertension (OR and 95% CI = 0.46 [0.25 to 0.84]).

CONCLUSIONS

Psychiatric disorders were positively associated with smoking and caries experience but not with periodontal status and metabolic morbidity. Communication between dental and medical professionals is needed to address the higher smoking consumption and caries morbidity in psychiatric patients. (Quintessence Int 2021;52:516-526; doi: 10.3290/j.qi.b1044091).

摘要

目的

调查精神障碍与（1）龋齿经历、（2）牙周状况和（3）代谢综合征（MetS）成分之间的关联。

方法与材料

这项为期 7 年的横断面研究回顾性分析了 504 名年龄在 18 至 90 岁之间的个体的医疗记录，这些个体曾到学生牙科诊所就诊。收集的数据包括：人口统计学资料、吸烟习惯、收缩压和舒张压、脉搏、腰围、全口菌斑评分（FMPS）、全口出血评分（FMBS）、最大牙周袋探诊深度（PPD）、平均和最大放射状骨丧失（RBL）、龋齿（D）、缺失（M）和填充（F）牙齿数量之和（DMFT 评分）以及 MetS 成分、后果和相关疾病的存在，包括糖尿病、高血压、高血脂、缺血性心脏病、心力衰竭、中风后和癌症。

结果

68 人（13.5%）患有精神障碍，平均年龄为 53.42 ± 15.71 岁。精神障碍与吸烟（P =.008）、吸烟包年数（P =.004）、DMFT 评分（P =.005）呈正相关，与高血压（P =.046）呈负相关。精神障碍与所有研究的牙周指数以及 MetS 的其他成分均无统计学显著关联。经过多变量分析，精神障碍与吸烟（比值比 [OR] 和 95%置信区间 [CI] = 2.24 [1.28 至 3.92]）和 DMFT（OR 和 95% CI = 1.08 [1.02 至 1.14]）呈统计学显著正相关，与高血压（OR 和 95% CI = 0.46 [0.25 至 0.84]）呈统计学显著负相关。