Severity of illness and extra pyramidal symptoms as predictors for oral diseases among patients with schizophrenia |
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| Authors: | Abhinav Singh Pankaj Mittal Pankaj Goel Bharathi M. Purohit Rishi Thukral |
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| Affiliation: | 1. Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Ministry of Health and Family Welfare, Government of India, Bhopal, India;2. Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), Ministry of Health and Family Welfare, Government of India, Bhopal, India;3. Department of Public Health Dentistry, Peoples College of Dental Sciences and Research Centre, Bhopal, India |
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| Abstract: | Objective: The study explores the association between severity of illness (positive, negative, depressive and cognitive symptoms) and extra pyramidal symptoms (EPS) with dental caries, periodontal disease and prosthetic needs among patients with schizophrenia.Material and methods: A total of 71 schizophrenic patients diagnosed based on ICD-10 criteria participated in the study. Clinical Global Impression – Schizophrenia (CGI–SCH) scale was used to evaluate positive, negative, depressive, cognitive symptoms and overall severity of schizophrenia. Simpson–Angus Scale (SAS) was used for assessment of EPS. Dental examinations were conducted as per WHO (1997) criterion.Results: Mean DMFT and CPI scores with periodontal pockets were 5.57?±?2.12 and 2.37?±?0.74; significant differences being noted among those with and without EPS (p?p?p?p?p?Conclusions: Patients with schizophrenia had high dental caries, periodontal disease and unmet dental prosthetic needs. Severity of the schizophrenic and EPS was associated with poor oral health. Efforts need to be focused on strengthening the evidence of its association with oral health indicators through further studies including cohort investigations. |
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| Keywords: | Cognitive disorders depressive symptoms extra pyramidal disorders oral health schizophrenia |
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