Teasdale Scott B, Watkins Andrew, Ardill-Young Oliver, Draper Eliza, Ward Philip B, Curtis Jackie
Discipline of Psychiatry and Mental Health, School of Clinical Medicine, UNSW Sydney, Kensington, New South Wales, Australia.
Mindgardens Neuroscience Network, Randwick, New South Wales, Australia.
Early Interv Psychiatry. 2025 Apr;19(4):e70030. doi: 10.1111/eip.70030.
To explore the oral health status and uptake of a free on-site professional check-up in young people with first-episode psychosis or with an at-risk mental state engaged with mental health services in Sydney, Australia.
A retrospective analysis of a two-stage quality improvement project was undertaken. First, a 26-item survey was administered to young people engaged with the Early Psychosis and Youth (At-Risk Mental State) services. The survey was adapted from the NSW Teen Dental Survey 2010, modified to suit the needs of this population group. Survey responses were compared against national recommendations where possible. Second, people were offered a free, on-site, oral health check-up conducted by an oral health hygienist. Check-ups were scored into seven categories, ranging from 'does not appear to require routine treatment' to 'needs urgent dental treatment'.
Fifty young people completed the survey, of whom 70% met the Australian Dental Association recommendations for frequency of teeth brushing, 56% for brushing duration, and 16% for flossing. Fifty percent reported visiting a dentist at least once per year, and 30% reported that they do not visit the dentist. Twenty-seven people agreed to a dental check-up, with 16 participants attending, and of these, 44% were recommended for dental treatment or further assessment to determine treatment needs.
Young people with first-episode psychosis or with an at-risk mental state frequently report suboptimal oral health practices and may benefit from dental support to prevent the high rates of dental disease that occur in more advanced mental illness.
探讨在澳大利亚悉尼，首次发作精神病或处于高危精神状态且接受心理健康服务的年轻人的口腔健康状况，以及他们对免费现场专业检查的接受情况。
对一个两阶段质量改进项目进行回顾性分析。首先，对参与早期精神病和青少年（高危精神状态）服务的年轻人进行了一项包含26个项目的调查。该调查改编自2010年新南威尔士州青少年牙科调查，并根据该人群的需求进行了修改。尽可能将调查结果与国家建议进行比较。其次，为人们提供了由口腔健康保健员进行的免费现场口腔健康检查。检查结果分为七类，从“似乎不需要常规治疗”到“需要紧急牙科治疗”。
50名年轻人完成了调查，其中70%的人达到了澳大利亚牙科协会关于刷牙频率的建议，56%达到了刷牙时长的建议，16%达到了使用牙线的建议。50%的人报告每年至少看一次牙医，30%的人报告从不看牙医。27人同意进行牙科检查，16人参加了检查，其中44%的人被建议接受牙科治疗或进一步评估以确定治疗需求。
首次发作精神病或处于高危精神状态的年轻人经常报告口腔健康习惯欠佳，可能会从牙科支持中受益，以预防在更严重精神疾病中出现的高龋齿率。
