employee
Kazan, Kazan, Russian Federation
employee
Chuvash State University named after I. N. Ulyanov (Department of Propaedeutics of Dental Diseases and New Technologies, Professor of Department)
employee
Cheboksary, Cheboksary, Russian Federation
UDK 616 Патология. Клиническая медицина
According to the literature, in a mentally healthy population, the main cause of tooth extraction is complications of caries and periodontitis, mainly in elderly and senile patients. In patients with psychiatric pathology, many authors note the high prevalence of dental diseases and emphasize the need for tooth extraction. The aim of the investigation was to study the structure of dental diseases requiring tooth extraction in psychiatric hospital patients. Material and methods of research. Information was copied from 1812 dental records of patients who were on inpatient treatment at the V.N. Bekhterev RCPB in the period from 2014 to 2016 at the age of 16 to 82 years (879 men and 933 women). The main reason for hospitalization of most patients was the diagnosis of schizophrenia (59%). The statistical software package SPSS 13.0 (1999) was used for statistical processing of the results. The results of the study. During the study period, the dental surgeons of the RCPB received 1812 patients who had 2187 teeth removed. Mostly, the tooth extraction operation was performed for chronic periodontitis (47.2%). The greatest number of removals for periodontitis was observed in elderly patients (57.1%). The smallest number of teeth removed due to periodontitis was observed in the group of middle-aged patients (45–59 years) and amounted to 36.3% of the total number of teeth removed. This is due to the predominance of chronic periodontitis in these patients, which is comparable to the indicators in patients without psychiatric pathology. In the group of elderly and senile patients, tooth extraction surgery for chronic periodontitis was performed in 49.3% of cases. Conclusions. The main reason for tooth extraction in mentally ill patients was chronic periodontitis and its exacerbation – 47.2%. The average age of these patients was 59.16 ± 14.33 years in men and 52.91 ± 11.85 years in women. The predominance of chronic periodontitis in the structure of the causes of tooth extraction in patients of the middle age group indicates an early clinical manifestation of inflammatory and destructive changes in the periodontium.
patients with psychiatric pathology, the cause of tooth extraction, chronic periodontitis, complications of caries, dental status
1. Alesia K., Khalil H.S. Reasons for and patterns relating to the extraction of permanent teeth in a subset of the Saudi population // Clin Cosmet Investig Dent. - 2013;5:51-56. DOI:https://doi.org/10.2147/CCIDE.S49403.
2. Cunha M.A., Santos dos T.R., Vasconcelos M., Lucas S.D., Guimarães M. 15-year time-series study of tooth extraction in Brazil Medicine // Medicine (Baltimore). - 2015;94(47):19-24. DOI:https://doi.org/10.1097/MD.0000000000001924.
3. Dyonne L.M., Broers L.D., Lange J., Naichuan S., Jongh A. Reasons for Tooth Removal in Adults: A Systematic Review // Int Dent J. - 2022;72(1):52-57. DOI:https://doi.org/10.1016/j.identj.2021.01.011.
4. Lee C.Y., Chang Y.Y., Shieh T.Y., Chang C.S. Reasons for permanent tooth extractions in Taiwan Asia-Pacific // J Public Heal. - 2015;27(2):2350-2357. DOI:https://doi.org/10.1177/1010539512448814.
5. Mc Caul L.K., Jenkins W.M., Kay E.J. The reasons for the extraction of various tooth types in Scotland: a 15-year follow up // Dent. - 2001;29(6):401-407. DOI:https://doi.org/10.1016/s0300-5712(01)00036-7.
6. Antonenko A.I., Bebik S.I., Marenchenko V.N. Chastota udaleniya zubov po povodu oslozhnennogo kariesa i parodontita. Vestnik stomatologii. 2009;2:49-51. [A.I. Antonenko, S.I. Bebik, V.N. Marenchenko. Frequency of tooth extraction due to complicated caries and periodontitis. Bulletin of Dentistry. 2009;2:49-51. (In Russ.)]. https://cyberleninka.ru/article/n/chastota-udaleniya-zubov-po-povodu-oslozhnennogo-kariesa-i-parodontita
7. Il'ina R.Yu., Urakova E.V. Sostoyanie kostnoy tkani al'veolyarnogo otrostka pri hronicheskoy generalizovannom parodontite u psihicheski bol'nyh. Prakticheskaya medicina. 2012;8(64):86-90. [R.Yu. Ilina, E.V. Urakova. The state of the bone tissue of the alveolar process in chronic generalized periodontitis in mentally ill patients. Practical medicine. 2012;8(64):86-90. (In Russ.)]. https://cyberleninka.ru/article/n/sostoyanie-kostnoy-tkani-alveolyarnogo-otrostka-pri-hronicheskom-generalizovannom-parodontite-u-psihicheski-bolnyh
8. Iordanishvili A.K., Slugina A.G., Lapina N.V., Serikov A.A. Prichiny utraty zubov u vzroslyh lyudey raznyh vozrastnyh grupp. Kubanskiy nauchnyy medicinskiy vestnik. 2015;4(153):82-87. [A.K. Iordanishvili, A.G. Slugina, N.V. Lapina, A.A. Serikov. Causes of tooth loss in adults of different age groups. Kuban Scientific Medical Bulletin. 2015;4(153):82-87. (In Russ.)]. https://cyberleninka.ru/article/n/prichiny-utraty-zubov-u-vzroslyh-lyudey-raznyh-vozrastnyh-grupp
9. Kostina I.N., Nikolaeva A.A. Problemy stomatologicheskogo zdorov'ya: kolichestvo i prichiny udaleniya zubov. Problemy stomatologii. 2009;5:50-52. [I.N. Kostina, A.A. Nikolaeva. Dental health problems: number and reasons for tooth extraction. Actual problems in dentistry. 2009;5:50-52. (In Russ.)]. https://cyberleninka.ru/article/n/problemy-stomatologicheskogo-zdorovya-kolichestvo-i-prichiny-udaleniya-zubov
10. Mitronin A.V., Cygankov B.D., Butaeva S.A. Shizofreniya kak faktor riska razvitiya osnovnyh stomatologicheskih zabolevaniy. Izvestiya DGPU. Estestvennye i tochnye nauki. 2013;2(23):1-3. [A.V. Mitronin, B.D. Cygankov, S.A. Butaeva. Schizophrenia as a risk factor for the development of major dental diseases. News of the DSPU. Natural and exact sciences. 2013;2(23):1-3. (In Russ.)]. https://cyberleninka.ru/article/n/shizofreniya-kak-faktor-riska-razvitiya-osnovnyh-stomatologicheskih-zabolevaniy
11. Podsevatkin D.V., Podsevatkin V.G., Blinov D.S., Podsevatkina S.V., Kiryuhina S.V. Analiz dinamiki i struktury zabolevaemosti psihicheskimi rasstroystvami v Respublike Mordoviya. Vestnik novyh medicinskih tehnologiy. 2014;3:166-168. [D.V. Podsevatkin, V.G. Podsevatkin, D.S. Blinov, S.V. Podsevatkina, S.V. Kiryuhina. Analysis of the dynamics and structure of the incidence of mental disorders in the Republic of Mordovia. Bulletin of new medical technologies. 2014;3:166-168. (In Russ.)]. https://cyberleninka.ru/article/n/analiz-dinamiki-i-struktury-zabolevaemosti-psihicheskimi-rasstroystvami-v-respublike-mordoviya
12. Rasulova M.A. Chastota vstrechaemosti vospalitel'nyh zabolevaniy parodonta u psihicheskih bol'nyh. Biomedicina (Baku). 2017;3:46-51. [M.A. Rasulova. Frequency of occurrence of inflammatory periodontal diseases in mental patients. Biomedicine (Baku). 2017;3:46-51. (In Russ.)]. https://cyberleninka.ru/article/n/chastota-vstrechaemosti-vospalitelnyh-zabolevaniy-parodonta-u-psihicheskih-bolnyh
13. Rasulova M.A., Mamedov R.M. Stomatologicheskiy status pacientov s psihicheskimi rasstroystvami. Kazanskiy medicinskiy zhurnal. 2019;3:434-438. [M.A. Rasulova, R.M. Mamedov. Dental status of patients with mental disorders. Kazan Medical Journal. 2019;3:434-438. (In Russ.)]. DOI:https://doi.org/10.17816/KMJ2019-434.
