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首页> 外文期刊>Community dental health >Periodontal health and treatment needs among hospitalized chronic psychiatric patients in Istanbul, Turkey.
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Periodontal health and treatment needs among hospitalized chronic psychiatric patients in Istanbul, Turkey.

机译：土耳其伊斯坦布尔的住院慢性精神病患者的牙周健康和治疗需求。

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OBJECTIVE: The aim of the study was to evaluate the periodontal health and treatment needs of chronically hospitalized psychiatric patients in Istanbul, Turkey. METHOD: The subjects' periodontal health was recorded by the CPI (Community Periodontal Index) method. RESULTS: Of the 330 patients examined, 179 (52.5%) were males and 151 (47.5%) females. The mean age of the patients was 49.2 +/- 11.7 years. The majority (61.8%) was diagnosed with schizophrenia and 30.6% diagnosed with mental retardation. The mean length of hospitalization was 16.0 +/- 10.9 years. Healthy periodontal tissues (CPI 0) were found in 8.8% of the subjects. Bleeding on probing (CPI 1) was recorded in 6.3%, and dental calculus (CPI 2) in 51.8% of the subjects. These were determined as the worst findings. Altogether, 33% of the subjects had deep periodontal pockets, 14.2% with at least one 4- to 5-mm pocket (CPI 3), and 18.8% with at least one 6-mm pocket (CPI 4). The stepwise logistic regression analysis, between the final CPI score and seven variables including age, gender, psychiatric diagnosis, length of hospitalization, degree of helplessness, tooth brushing habits and smoking, showed that irregular tooth brushing habits and male gender were significant contributors to having a final CPI score of 2 or more. The regression analysis also showed that tooth brushing habits remained as an explanatory variable in CPI 0 coded subjects; helplessness and psychiatric diagnosis (mental retardation) in CPI 2; tooth brushing habits and psychiatric diagnosis (schizophrenia) in CPI 3; and only helplessness in CPI 4. CONCLUSION: The present study underlines a considerable need for prevention and treatment of periodontal disease among chronic psychiatric patients in Istanbul. Efforts need to be focused above all on raising this population's awareness of the importance of oral hygiene and on early diagnosis of periodontal problems.
机译：目的：本研究旨在评估土耳其伊斯坦布尔长期住院的精神病患者的牙周健康状况和治疗需求。方法：采用CPI（社区牙周指数）方法记录受试者的牙周健康状况。结果：在接受检查的330名患者中，男性为179名（52.5％），女性为151名（47.5％）。患者的平均年龄为49.2 +/- 11.7岁。多数（61.8％）被诊断为精神分裂症，30.6％被诊断为智力低下。平均住院时间为16.0 +/- 10.9年。在8.8％的受试者中发现了健康的牙周组织（CPI 0）。 6.3％的受试者记录了探查出血（CPI 1），51.8％的受试者记录了牙结石（CPI 2）。这些被认为是最糟糕的发现。总共有33％的受试者有深层牙周袋，有14.2％的人至少有一个4到5毫米的口袋（CPI 3），有18.8％的人有至少一个6毫米的口袋（CPI 4）。在最终CPI得分与年龄，性别，精神病学诊断，住院时间，无助程度，刷牙习惯和吸烟等七个变量之间进行的逐步logistic回归分析表明，不规律的刷牙习惯和男性是导致患牙的重要因素最终CPI得分为2或更高。回归分析还显示，刷牙习惯仍然是CPI 0编码受试者的一个解释变量。 CPI 2中的无助和精神病诊断（智力低下）; CPI 3中的刷牙习惯和精神病学诊断（精神分裂症）;结论：这项研究强调了伊斯坦布尔的慢性精神病患者对牙周疾病的预防和治疗的巨大需求。首先，必须将努力的重点放在提高该人群对口腔卫生重要性的认识以及对牙周问题的早期诊断上。

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