Dry Mouth and Oral Pathologic Lesions in Women With Psychiatric Disorders Hospitalized in Two Selected Hospitals in Isfahan, Iran

Forooz Keshani, Z. Ghazavi, Marzie Sheikhrobati, Fatemeh Bahram Zadeh, N. Kargahi
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Abstract

Background and Objectives: In addition to diseases, patients with psychiatric disorders are at risk of oral and dental problems. The present study aims to investigate dental mouth and oral pathologic lesions in women with psychiatric disorders hospitalized in two hospitals in Isfahan, Iran. Methods: In this descriptive cross-sectional study, 43 women with psychiatric disorders hospitalized in Modarres and Khorshid hospitals in Isfahan, Iran in 2019 participated. Using a checklist, their demographic information including age, duration of hospitalization, type of disease, and educational level were recorded. Then, their oral cavity was examined in terms of dental health and pathological lesions. The data were analyzed in SPSS software, version 21 using Fishers’ exact test, Mann-Whitney U test, Kruskal-Wallis test, and logistic regression analysis. P<0.05 was statistically significant. Results: Of 43 women with a mean age of 36.7±13.8 years, 72% had oral lesions. The most common lesions were red-white lesions (23.1%). Moreover, 37.2% of women had dry mouth and 16.3% had self-inflicted oral injury. Dry mouth was significantly associated with the type of lesions and diseases. Self-inflicted oral injury was significantly associated with acute ulcers (P=0.001). Conclusion: Dry mouth and self-inflicted oral injury are high among hospitalized women with psychiatric disorders in Isfahan, Iran. Regular follow-up in psychiatric patients can reduce the incidence of oral lesions and dental caries, or help in their earlier diagnosis and better treatment.
伊朗伊斯法罕两家选定医院中患有精神疾病的妇女的口干和口腔病理病变
背景和目的:除了疾病之外,精神障碍患者还存在口腔和牙齿问题的风险。本研究旨在调查在伊朗伊斯法罕两家医院住院的患有精神疾病的妇女的口腔和口腔病理病变。方法:在这项描述性横断面研究中,参与了2019年在伊朗伊斯法罕Modarres和Khorshid医院住院的43名精神障碍女性。使用核对表,记录他们的人口统计信息,包括年龄、住院时间、疾病类型和教育水平。然后,对他们的口腔进行牙齿健康和病理病变的检查。采用SPSS软件21版对数据进行分析,采用fisher精确检验、Mann-Whitney U检验、Kruskal-Wallis检验和logistic回归分析。P<0.05差异有统计学意义。结果:43例女性,平均年龄36.7±13.8岁,72%有口腔病变。最常见的病变是红白色病变(23.1%)。此外,37.2%的女性有口干,16.3%的女性有自己造成的口腔损伤。口干与病变和疾病的类型显著相关。自行造成的口腔损伤与急性溃疡显著相关(P=0.001)。结论:在伊朗伊斯法罕的精神疾病住院妇女中,口干和自伤发生率很高。精神病患者的定期随访可以减少口腔病变和龋齿的发生率,或有助于他们的早期诊断和更好的治疗。
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