The dental status of patients with neuropsychiatric disorders who underwent dental debridement under general anaesthesia

Abstract

Aim. To study the dental status of patients with neuropsychiatric disorders in dental debridement under general anaesthesia.

Methods. A comparison of the prevalence of oral pathology among patients depending on gender, age, and nosological group was performed. It was studied the dependence of the prevalence of both acute and chronic forms of dental pathology on the type of background disease and compared the frequency of dental pathology depending on the background disease.

Results. 50.8% of patients were male and 63.82% were female. All patients had poor oral hygiene and lack of knowledge about personal hygiene practices. Dentin caries (K01.2) was in 39 (30.5%) patients, irreversible pulpitis (K04.0) — in 31 (24.2%) patients, and chronic forms of periodontitis and their exacerbation (K04.5) — in 99 (77.3%) patients. In our study, most patients with neuropsychiatric disorders (35.9%) had Cerebral palsy (G80), 28.1% had mental retardation (F70–F73), and 10.2% had schizophrenia (F20). Irreversible pulpitis (K04.0) was statistically significantly more common in patients diagnosed with cerebral palsy (G80) — 21.7%, while in patients with mental retardation (F70–F73) only in 5.6% (p=0.007). The prevalence of periodontitis was highest in patients with mental retardation (F70–F73) — 86.1%, medium in patients with schizophrenia (F20) — 46.2% and lowest in other diseases (39.4%); the differences were statistically significant (p=0.001).

Conclusion. We identified characteristics of the dental status, intensity and prevalence of dental diseases in patients with neuropsychiatric disorders in dental debridement under general anaesthesia.

Keywords

dental status / neuropsychiatric disorders / maxillofacial diseases / dental debridement / general anaesthesia

References

[1] Vafin A.Yu., Sherputovskiy V.G., Shishmareva E.I. et al. Statistika zdorovʹya naseleniya zdravookhraneniya (po materialam Respubliki Tatarstan za 2011–2015 gg.). (Statistics of population health and healthcare (based on materials from the Republic of Tatarstan for 2011–2015).) Teaching Aid. Kazan. 2016. https://library.icdc.ru/index.php/component/k2/item/6984-statistika-zdorovya-naseleniya-i-zdravookhraneniya-po-materia lam-respubliki-tatarstan-za-2011-2015-gody (access date: 05.12.2019). (In Russ.)

[2] Вафин А.Ю., Шерпутовский В.Г., Шишмарё­ва Е.И. и др. Статистика здоровья населения здравоохранения (по материалам Республики Татарстан за 2011–2015 гг.). https://library.icdc.ru/index.php/component/k2/item/6984-statistika-zdorovya-naseleniya-i-zdravookhraneniya-po-materialam-respubliki-tatarstan-za-2011-2015-gody (дата обращения: 05.12.2019).

[3] Stosh V.I., Rabinovich S.A., Morozova N.V. Ob­shchee obezbolivanie i sedatsiya v detskoy stomatologii. Rukovodstvo dlya vrachey. (General anesthesia and sedation in pediatric dentistry.) 2007; 177 р. (In Russ.)

[4] Стош В.И., Рабинович С.А., Морозова Н.В. и др. Общее обезболивание и седация в детской стоматологии. Руководство для врачей. М.: ГЭОТАР-Медиа. 2007; 177 с.

[5] Makeeva I.M., Akimova I.V., Turkina A.Yu. et al. Sana­tsiya polosti rta v usloviyakh kombinirovannoy anestezii. (Dental debridement under conditions of combined anesthesia.) M.: MEDpress-iform. 2006; 32 р. (In Russ.)

[6] Макеева И.М., Акимова И.В., Туркина А.Ю., Шафранский А.П. Санация полости рта в условиях комбинированной анестезии. М.: МЕДпресс-информ. 2006; 32 с.

[7] Abramov A.A. Algoritmy raboty vracha-stomatologa pri okazanii ambulatornoy sto-matologicheskoy pomoshchi detyam i podrostkam pod obshchim obezbolivaniem. (Algorithms for the work of a dentist in providing outpatient dental care for children and adolescents under general anesthesia.) Saint Petersburg. 2005; 4–5. (In Russ.)

[8] Абрамов А.А. Алгоритмы работы врача-стоматолога при оказании амбулаторной стоматологической помощи детям и подросткам под общим обез­боливанием. СПб. 2005; 4–5.

[9] Shaikhutdinova A.I., Gilyazeva V.V. Analysis of the effectiveness of rehabilitation measures for dental caries. Kazanskiy meditsinskiy zhurnal. 2012; 93 (2): 235–237. (In Russ.) DOI: 10.17816/KMJ2297.

[10] Шайхутдинова А.И., Гилязева В.В. Анализ эффективности реабилитационных мероприятий при кариесе зубов. Казанский мед. ж. 2012; 93 (2): 235–237. DOI: 10.17816/KMJ2297.

[11] Glantz S.A. Pri­mer of biostatistics. 4th ed. San Francisco: University of California. 1998; 459 p. (Russ. Ed.: Mediko-biologiches­kaya statistika. Ed. by N.E. Buzikashvili, D.V. Samoylova. Moscow: Praktika. 1998; 459 p.) (In Russ.)

[12] Гланц С. Медико-биологическая статистика. Пер. с англ. М.: Практика. 1998; 459 с.

[13] Campbell M.J., Machin D., Walters S.J. Medical statistics: a textbook for the health sciences. 4th ed. John Wiley & Sons, Ltd. 2007; 331 p.

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Abdrashitova A.B., Gainullina D.K.