From the School of Dentistry (Cai, Ng, Zhao), University of Queensland, Herston; Metro South Addiction and Mental Health Service (Siskind, Kisely), Brisbane; School of Medicine (Siskind, Kisely), University of Queensland, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia; and Departments of Psychiatry, Community Health and Epidemiology (Kisely), Dalhousie University, Halifax, Canada.
Psychosom Med. 2022 Sep 1;84(7):836-847. doi: 10.1097/PSY.0000000000001102. Epub 2022 Jun 28.
Periodontal disease represents a global public health concern, with a disproportionate burden being borne by vulnerable populations. One such group is people with severe mental illness (SMI), and this study examined whether periodontal health is poorer in people with SMI than the general population.
We conducted a systematic search for studies published before March 2021 on the periodontal health of people with SMI using the following databases: PubMed, PsycINFO, EMBASE, China National Knowledge Infrastructure, and Chongqing VIP. Outcomes were periodontitis, periodontal disease, and shallow and deep periodontal pockets. Results were compared with the general population.
Seventeen studies had sufficient data for a random-effects meta-analysis, consisting of 4404 psychiatric patients and 95,411 controls. SMI was associated with an increased prevalence of periodontitis (odds ratio = 1.97, 95% confidence interval [CI] = 1.15-3.35) compared with the general population. People with SMI had 4.28 the odds of having periodontal disease compared with controls (95% CI = 2.54-7.21). They also had 3.65 the odds of shallow pockets (95% CI = 1.80-7.42) and 2.76 the odds of deep pockets (95% CI = 1.10-6.93).
Our findings highlight the increased prevalence and severity of periodontal disease in people with SMI. Oral health is often considered the gateway to overall health and should be a public health priority for this population.
牙周病是全球公共卫生关注的一个问题，弱势群体承受着不成比例的负担。精神疾病严重的人群就是这样一个群体，本研究旨在探讨精神疾病患者的牙周健康状况是否比一般人群更差。
我们使用以下数据库对截至 2021 年 3 月之前发表的有关精神疾病患者牙周健康的研究进行了系统检索：PubMed、PsycINFO、EMBASE、中国国家知识基础设施和重庆 VIP。结果为牙周炎、牙周病、浅牙周袋和深牙周袋。结果与一般人群进行了比较。
17 项研究有足够的数据进行随机效应荟萃分析，共包括 4404 名精神科患者和 95411 名对照。与一般人群相比，精神疾病患者患牙周炎的患病率更高（比值比=1.97，95%置信区间[CI] = 1.15-3.35）。与对照组相比，精神疾病患者患牙周病的几率高 4.28 倍（95% CI = 2.54-7.21）。他们患浅牙周袋的几率高 3.65 倍（95% CI = 1.80-7.42），患深牙周袋的几率高 2.76 倍（95% CI = 1.10-6.93）。
我们的研究结果强调了精神疾病患者牙周病的患病率和严重程度增加。口腔健康通常被认为是整体健康的门户，应该成为该人群的公共卫生重点。
