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Year : 2022  |  Volume : 17  |  Issue : 4  |  Page : 830-837

Knowledge, attitude and practices towards oral health in psychiatric patients attending a tertiary care centre in Northern India

1 Department of Periodontology, MM College of Dental Sciences and Research, Ambala, Haryana, India
2 Department of Psychiatry, MM Institute of Medical Sciences and Research, Ambala, Haryana, India

Correspondence Address:
Dr. Shalu Chandna Bathla
782/13; Urban Estate, Karnal - 132 001, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdmimsu.jdmimsu_40_22

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Background: Dentists frequently treat patients who have noticeable abnormal behavior as well as patients who have psychiatric disorders that are not easily identified. The Psychiatrist usually ignore the oral health and hygiene whereas the Dentist usually ignore the psychological health of the patients. Some patients may be so disturbed that personal hygiene is neglected; leading the patients to neglect oral hygiene and the resultant accumulation of plaque is detrimental to the periodontal tissues. Methods: 237 of the 530 patients presenting to Psychiatry OPD who met the inclusion criteria patients between the age group of 18-60 years, drug-naive patients with a diagnosis of mental illness according to the International classification of diseases – 10. The patients, with co-morbid mental retardation, suffering from neurological conditions, and physical handicap, were excluded from the study sample. The patients requiring emergency treatment due to severity of their psychiatric illness were also excluded. Results: Among the wide range of psychiatric disorder, it was observed that there is a total lack oral health awareness; a slightly better awareness was observed amongst the neurotic disorders; the worst were amongst the psychotic and mood disorders. Conclusions: Poor oral health is the gateway to the overall health. The psychoeducation to the patients and the family member must include the need and awareness towards oral hygiene in addition to the other points. A consultation liaison model must be in place to address these needs of the psychiatric patients as they are hesitant and ignorant towards their oral health.

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