The Journal of

Oral Health Status in Adults Aged 30-75 Years with Some Mental Problems among a Sample of Iranian Population
Mohammad Ali Morowatisharifabad(Ph.D.)¹, Elham Azad Sharifabadi(MS.C.)², Alireza Danesh Kazemi(Ph.D.)³, Hossein Fallahzadeh Abarghooei( Ph.D.)⁴, Mohammad Javad Zare Sakhvidi( Ph.D.)⁵, Behnam Bagheri(MS.C.)⁶
1.Professor, Department of Health Education and Health Promotion, School of Public  Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2.Corresponding author: Master student in health education and health promotion, School of Public  Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Phone: 0937591384 Email: e.azad71@yahoo.com
3. Professor of Restorative and Aesthetic Dentistry, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.
4. Professor, Department of Biostatistics and Epidemiology, Non-Communicable Diseases Research Center, School of Public  Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
5.Associate Professor, Department of Occupational Health, School of Public  Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
6. MS.c., of  Biostatistics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
 
Abstract
Introduction: Oral health is one of the most important aspects of public health and people with mental health problems are at higher risk of oral diseases. The aim of this study was to evaluate the oral health status of adults aged 30-75 years with some mental health problems in a sample of Iranian population.
Methods: This cross-sectional study was performed using Persian cohort baseline data in Shahedieh, Yazd. In this study, 2287 people aged 30 to 75 years with a history of some mental problems (depression, learning disabilities, memory disorders, other psychiatric disorders) who were gradually included in the study between 12/5/2015 and 21/9/2017.  In this study, data related to the DMFT (Decayed, Missing, and Filled Teeth) index and the status of oral health behaviors were analyzed. Descriptive statistics were used to examine the basic characteristics of the participants and Mann-Whitney and Kruskal-Wallis tests were used to evaluate the difference between the mean DMFT index in demographic variables. The significance level of the test was considered 0.05.
Results: Most of the participants (70%) were female and their mean age was 48.17 ± 9.17. The mean and standard deviation of DMFT score among all participants (with and without dentures) was 20.99± 8.4. The mean and standard deviation of missing, decayed and filled teeth were 1.13 ±11.12, 1.96 ±3.15 and 3.9 ± 4.66, respectively. Of the subjects, 23.7% used teeth floss, 1.8% used mouthwash and 24.9% once, 3.5% twice, 1.3% three times a day, 19.2% did not brush at all and 22% did not brush because of dentures. There was a significant relationship between DMFT (p <0.001) and the variables of number of brushing times, flossing, age, social class, level of education, marital status.
Conclusion: DMFT index is undesirable among people with some mental problems and this index is associated with most demographic variables and oral health behaviors. Training and raising the level of awareness in these people is recommended.
Keywords: Oral health behaviors, decayed, Missed, filled teeth (DMFT), mental problems.
 
1- Kebede B, Kemal T, Abera S. Oral health status of patients with mental disorders in southwest Ethiopia. PLoS One. 2012:18;7(6):e39142.
2- Bakhtiar K, Gharouni K, Gharouni B, Bastami F, Almasian M, Hosseintalai M. DMFT and OHIS Indexs in the Pregnant Mothers: An Explanation Based on the Health Belief Model. Journal of Community Health Research. 2018:10;7(1):10.
3-Manderscheid RW, Ryff  CD, Freeman EJ, McKnight-Eily L, Dhingra S, Strine TW. Evolving definitions of mental illness and wellness. Fecha de consulta.2013;13.
4-Gustavson K, Knudsen AK, Nesvag R, Knudsen GP, Vollset SE, Reichborn-Kjennerud T. Prevalence and stability of mental disorders among young adults: findings from a longitudinal study. BMC psychiatry.2018;18(1):1-5.
5-Wittchen HU, Jacobi F. Size and burden of mental disorders in Europea critical review and appraisal of 27 studies. European neuropsychopharmacology. 2005:1;15(4):357-76.
6-Alonso J, Angermeyer MC, Bernert S, et al. Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta psychiatrica scandinavica. 2004;109:21-7.
7-Ahmadvand A, Sepehrmanesh Z, Sadat-Ghoreishi F, Afshinmajd S. Prevalence of psychiatric disorders in the general population of Kashan, Iran. Archives of Iranian medicine. 2012:1;15(4):0-1
8-Mohammadi MR, Davidian H, Noorbala AA, et al. An epidemiological survey of psychiatric disorders in Iran. Clinical practice and epidemiology in mental health. 2005;1(1):1-8.
9-Davidian H, Izadi S, Nehaptian V, Motabar M. A pilot study on the prevalence of mental diseases in the Caspian Sea area in Roudsar. Iran health J. 1974;3:145-56.
10-Bagheriyazdi A, Bolhari J, Shahmohammad D. An epidemiological study of psychological disorders on a rural area (Meibod, Yazd) in Iran. Iranian Journal of Psychiatry and Clinical Psychology.1994:10;1(1):32-41.
11-Yousefzade SH, Pilafkan J, Rouhi Balasi L, Hosseinpour M, Khodadady N. Prevalence of mental disorders in the general population referring to a medical educational center in Rasht, Iran. Journal of Occupational Health and Epidemiology. 2014 Jan 10;3(1):32-6.
12-Bahadorkhan J. Epidemiology of Mental Disorders in Rural Areas of Gonabad, Khorasan. Tehran psychiatric institute, Tehran, Iran. 1998.
13-Noorbala A, Mohammad K, Bagheri Yazdi S. Prevalence of psychiatric disorders in Tehran city. Hakim.1998;2:212-23.
14-Skoskiewicz-Malinowska K, Malicka B, Ziętek M, Kaczmarek U. Oral health condition and occurrence of depression in the elderly. Medicine. 2018;97(41).
15-Farhadmollashahi L, Lashkaripour K, Bakhshani NM, Faghihinia M. Dental health status in hospitalized psychiatric patients in Sistan and Baluchestan province, Iran. Health Scope. 2014 : 1;3(4).
16-Yaghooti Khorasani MM, Shakerian M, Irannezhad M. The relationship between level of dental fear and anxiety and DMFT index in students of Rafsanjan University of Medical Sciences, Iran, during the 2010-2011 academic years. Journal of Occupational Health and Epidemiology. 2016 Jul 10;5(3):143-50.
17-Tumarian  L, Souri S, Farhadi H.Study of DMFT index in 12 year old students in Qom in 2004, Journal of Dental School.2005:65;3.[Persian]
18-Dadadi E, Khafri S.Study of DMFT index of permanent first molar in 12-year-old students in Babol in 2011-2012 (short report), Journal of Babol University of Medical Sciences.  2013: 15;5[Persian]
19- Davari AR, Haerian A, Danesh KA, et al. Prevalence and comparison of dmft in 15 year old male high school students of Yazd city.2002-2009.
20-Bertaud-Gounot V, Kovess-Masfety V, Perrus C, Trohel G, Richard F. Oral health status and treatment needs among psychiatric inpatients in Rennes, France: a cross-sectional study. BMC psychiatry.2013;13(1):1-9.
21-Denis F, Pelletier JF, Chauvet-Gelinier JC, Rude N, Trojak B. Oral health is a challenging problem for patients with schizophrenia: a narrative review. Iranian Journal of Psychiatry and Behavioral Sciences.2018 :31;12(1).
22-Karimi M, Ghasemi M, Sadr SS. Determining Periodontal and DMFT in Mental Disorder Patients in 3 Training Center in Tehran and Related Factors in The Year 2016-17. Annals of Dental Specialty. 2018 :1;6(3):327-32.
23-Garcia-Cortes JO, Medina-Solis CE, Loyola-Rodriguez JP, et al. Dental caries' experience, prevalence and severity in Mexican adolescents and young adults. Revista de Salud Publica. 2009;11(1):82-91.
24-Lawal F, Alade O. Dental caries experience and treatment needs of an adult female population in Nigeria. African health sciences. 2017:18;17(3):905-11.
25-Arnaiz A, Zumarraga M, Diez-Altuna I, et al. Oral health and the symptoms of schizophrenia. Psychiatry Research. 2011:30;188(1):24-8.
26-Chu KY, Yang NP, Chou P, Chiu HJ, Chi LY. Factors associated with dental caries among institutionalized residents with schizophrenia in Taiwan: a cross-sectional study. BMC public health. 2010;10(1):1-6.