PDF(Pubmed)
Abstract：
Evidence reveals that people with mental illnesses have a greater risk of experiencing oral diseases such as dry mouth and dental caries and have greater oral treatment needs. This is related to multifactorial causes such as factors related to the condition itself, symptoms, side effects of polypharmacy, and a lack of accessibility to dental services. This article aims to provide a summary of the reported prevalence of the most common mental illnesses in Saudi Arabia (SA), such as schizophrenia, obsessive-compulsive disorder (OCD), bipolar disorders, and dementia. The article further aims to review the negative impacts of anti-psychotic medications on oral health and the role of dentists toward people with mental illnesses. PubMed, Scopus, and Google Scholar were searched using the following keywords: special care dentistry, schizophrenia, OCD, bipolar disorder, and dementia. The main inclusion criteria were any studies describing \"dental management of patients with mental illnesses\" and \"dental management of patients treated with anti-psychotic medications.\" Thematic analysis was used to summarize the findings of the included studies into main headings. Forty-eight articles/studies discussed dentistry, people with mental illnesses, and/or the negative impacts of psychotic medication on oral health. All studies were published between 1991 and 2021. In SA, the number of people with mental illnesses is increasing. Therefore, it is crucial for the dental team to understand the negative impacts of anti-psychotic medications on oral health, such as dry mouth and the increased risk of dental caries. This necessitates the need for regular dental visits and patient education on how they can mitigate the side effects of anti-psychotic medications on oral and general health.
摘要：
有证据表明，患有精神疾病的人患口腔疾病的风险更大，例如口干和龋齿，并且有更大的口腔治疗需求。这与多因素原因有关，例如与病情本身有关的因素，症状,多重用药的副作用，缺乏牙科服务。本文旨在总结沙特阿拉伯（SA）最常见的精神疾病的报告患病率，比如精神分裂症，强迫症（强迫症），双相情感障碍,和痴呆症。本文进一步旨在回顾抗精神病药物对口腔健康的负面影响以及牙医对精神疾病患者的作用。PubMed,Scopus,和谷歌学者使用以下关键词进行搜索：特殊护理牙科，精神分裂症,强迫症,双相情感障碍,和痴呆症。主要纳入标准是描述“精神疾病患者的牙科管理”和“抗精神病药物治疗患者的牙科管理”的任何研究。“主题分析用于将纳入研究的结果总结为主要标题。48篇文章/研究讨论了牙科，患有精神疾病的人，和/或精神病药物对口腔健康的负面影响。所有研究均在1991年至2021年之间发表。在SA，患有精神疾病的人数正在增加。因此,对于牙科团队来说，了解抗精神病药物对口腔健康的负面影响至关重要，如口干和龋齿风险增加。这就需要定期牙科就诊和对患者进行教育，以了解他们如何减轻抗精神病药物对口腔和一般健康的副作用。
