Abstract：
OBJECTIVE: This study aims to determine the association between severe mental disorders and oral health among individuals over 18 years of age.
METHODS: An electronic search was conducted in six electronic databases and gray literature. Qualitative and quantitative analyses were performed on studies that met the inclusion criteria. The methodology of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal tool. A meta-analysis of proportions with a random effect was carried out. The certainty of evidence was evaluated using the GRADE tool.
RESULTS: After searching the databases, 5,734 references were retrieved, and twenty articles were selected for synthesis. Considering the DMFT index between the groups with mental disorders and the control group, the values of the DMFT index were higher among individuals with schizophrenia [MD = 5.27; 95% CI = 4.13 - 6.42; I2 = 35%] and bipolar disorder [MD = 1.90; 95% CI = 0.87 - 2.93]. Values were lower among individuals with obsessive-compulsive disorder [MD = -0.85; 95% CI = -1.46-0.24]. The risk of bias was considered low for 16 studies, and four were classified with a moderate risk of bias. The certainty of evidence was very low.
CONCLUSIONS: Patients with schizophrenia and bipolar disorder exhibit increased frequency in the number of decayed, missing, or filled teeth. There was no effect in relation to periodontal probing depth, plaque index, and TMD, but the evidence is still uncertain for this outcome.
CONCLUSIONS: These findings underscore the need for a comprehensive health approach.
METHODS: An electronic search was conducted in six electronic databases and gray literature. Qualitative and quantitative analyses were performed on studies that met the inclusion criteria. The methodology of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal tool. A meta-analysis of proportions with a random effect was carried out. The certainty of evidence was evaluated using the GRADE tool.
RESULTS: After searching the databases, 5,734 references were retrieved, and twenty articles were selected for synthesis. Considering the DMFT index between the groups with mental disorders and the control group, the values of the DMFT index were higher among individuals with schizophrenia [MD = 5.27; 95% CI = 4.13 - 6.42; I2 = 35%] and bipolar disorder [MD = 1.90; 95% CI = 0.87 - 2.93]. Values were lower among individuals with obsessive-compulsive disorder [MD = -0.85; 95% CI = -1.46-0.24]. The risk of bias was considered low for 16 studies, and four were classified with a moderate risk of bias. The certainty of evidence was very low.
CONCLUSIONS: Patients with schizophrenia and bipolar disorder exhibit increased frequency in the number of decayed, missing, or filled teeth. There was no effect in relation to periodontal probing depth, plaque index, and TMD, but the evidence is still uncertain for this outcome.
CONCLUSIONS: These findings underscore the need for a comprehensive health approach.
摘要：
目的：本研究旨在确定18岁以上人群中严重精神障碍与口腔健康之间的关系。
方法：在六个电子数据库和灰色文献中进行了电子搜索。对符合纳入标准的研究进行了定性和定量分析。使用JoannaBriggs研究所关键评估工具评估了纳入研究的方法。对具有随机效应的比例进行了荟萃分析。使用GRADE工具评估证据的确定性。
结果：搜索数据库后，检索到5,734个参考文献，并选择了20篇文章进行合成。考虑到精神障碍患者与对照组之间的DMFT指数，在精神分裂症患者[MD=5.27;95%CI=4.13~6.42;I2=35%]和双相情感障碍患者[MD=1.90;95%CI=0.87~2.93]中,DMFT指数值较高.强迫症患者的数值较低[MD=-0.85;95%CI=-1.46-0.24]。16项研究的偏倚风险被认为较低，其中4人被归类为中度偏倚风险.证据的确定性很低。
结论：精神分裂症和双相情感障碍患者的衰变频率增加，失踪,或填充牙齿。牙周探查深度没有影响，菌斑指数,还有TMD,但是这个结果的证据仍然不确定。
结论：这些发现强调了全面健康方法的必要性。
方法：在六个电子数据库和灰色文献中进行了电子搜索。对符合纳入标准的研究进行了定性和定量分析。使用JoannaBriggs研究所关键评估工具评估了纳入研究的方法。对具有随机效应的比例进行了荟萃分析。使用GRADE工具评估证据的确定性。
结果：搜索数据库后，检索到5,734个参考文献，并选择了20篇文章进行合成。考虑到精神障碍患者与对照组之间的DMFT指数，在精神分裂症患者[MD=5.27;95%CI=4.13~6.42;I2=35%]和双相情感障碍患者[MD=1.90;95%CI=0.87~2.93]中,DMFT指数值较高.强迫症患者的数值较低[MD=-0.85;95%CI=-1.46-0.24]。16项研究的偏倚风险被认为较低，其中4人被归类为中度偏倚风险.证据的确定性很低。
结论：精神分裂症和双相情感障碍患者的衰变频率增加，失踪,或填充牙齿。牙周探查深度没有影响，菌斑指数,还有TMD,但是这个结果的证据仍然不确定。
结论：这些发现强调了全面健康方法的必要性。
