Oral Status of Patients Suffering From SCHIZophrenia Followed at Charles Perrens Hospital (BUCCOSCHIZ)

Etat BUCCO-dentaire de Patients Atteints de SCHIZophrénie et de Troubles Schizo-affectif Suivis au Centre Hospitalier de Charles Perrens

The aim of the study is to describe the oral health status of patients suffering from schizophrenia and schizoaffective disorders in a psychiatric institute in France.

Study Overview

• Status: Completed
• Conditions: Schizophrenia; Dental Diseases

Detailed Description

Schizophrenia concerns 21 million people in the world and 600 000 in France according to the World Health Organization. This pathology decreases the patient's quality of life and one patient out of two will try to commit suicide and 10% will die. Oral health is an important factor for general well being. The litterature shows that schizophrenic patients tend to visit less dental surgeries than the general population. Patients will often visit the surgery in emergency and dentist often choses to extract instead of a restorative solution. Thus, schizophrenic subjects are 3,4 more likely to become edentulous compared to the general population.

This is a cross-sectional epidemiological study on patients suffering from schizophrenia and and schizoaffective disorders in a psychiatric institution. A dental assessment will be conducted to provide clinical data on oral health. (DMFT, hygiene, mouth dryness, prosthesis) and a survey of their diet, medication, oral quality of life, social security coverage and patients view regarding dental care (Anxiety and Healthcare renunciation).

This is an observational study (oral examination and survey), so no treatment will be compared. The oral health status will be evaluated during one single oral examination and survey during the patient's stay at hospital.

• Study Type: Observational
• Enrollment (Actual): 51

Contacts and Locations

Study Locations

• France
  • Bordeaux, France, 33076
    • Centre Hospitalier Charles PERRENS

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Schizophrenic adults and adults with schizoaffective disorders at the Charles Perrens Hospital.

Description

Inclusion Criteria:

• Schizophrenic patients and patients with schizoaffective disorders at the Charles Perrens Hospital
• Willing to participate in the study
• 18 years old and above

Exclusion Criteria:

• Patients mentally unable to participate or refusing to participate in this study.
• Patient hospitalized under duress
• Minor
• Patients unable to read, speak or write French

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Measure of the number of caries, fillings and teeth missing	The main outcome will be to measure the number of caries, fillings and teeth missing as stated in the DMFT Index.	1 day
Evaluation of oral hygiene	Oral hygiene will be measured with the simplified oral hygiene index (OHI-S)	1 day
Assessement of temporo mandibular dysfunction	Number of patients suffering from temporo mandibular dysfunction (for patients who have replied yes to the 3Q/TMD screening).	1 day
Assessing of mouth dryness	Assessing mouth dryness through the Xerostomia Inventory survey.	1 day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Link between quality of life and oral health: survey	- Assessment of the link between quality of life and oral health through the GOHAI survey.	1 day
Social security coverage	Number of patients and kind of social security coverage	1 day
Reason for primary appointment	Assessment for primary reason appointment and dental anxiety measured through the modified dental anxiety scale (MDAS).	1 day
Measurement of dental anxiety	Measurement of dental anxiety through the modified dental anxiety scale (MDAS).	1 day

Collaborators and Investigators

• Sponsor: Centre Hospitalier Charles Perrens, Bordeaux

Publications and helpful links

General Publications

• Denis F. [The oral health of patients in psychiatric institutions and related comorbidities]. Soins Psychiatr. 2014 Jan-Feb;(290):40-4. French.
• Curien R. & al; Evaluation de l'influence des psychotropes sur la santé bucco-dentaire chez une population de patients hospitalisés en secteur psychiatrique. Information Dentaire. 88 : (2006): 439-441
• Bertaud-Gounot V, Kovess-Masfety V, Perrus C, Trohel G, Richard F. Oral health status and treatment needs among psychiatric inpatients in Rennes, France: a cross-sectional study. BMC Psychiatry. 2013 Sep 21;13:227. doi: 10.1186/1471-244X-13-227.
• Catteau C, Blaizot A, Duhamel A, Delzenne A, Devillers A, Frimat P. [Dental status and related factors in an occupational health service in Northern France]. Sante Publique. 2013 Nov-Dec;25(6):747-55. French.

Study record dates

Study Major Dates

• Study Start (ACTUAL): September 24, 2019
• Primary Completion (ACTUAL): December 31, 2019
• Study Completion (ACTUAL): December 31, 2019

Study Registration Dates

• First Submitted: November 28, 2019
• First Submitted That Met QC Criteria: December 6, 2019
• First Posted (ACTUAL): December 9, 2019

Study Record Updates

• Last Update Posted (ACTUAL): April 30, 2020
• Last Update Submitted That Met QC Criteria: April 29, 2020
• Last Verified: December 1, 2019

More Information

Terms related to this study

• Keywords: Schizophrenia; Epidemiology; Oral Health; Schizophrenic disorder; Psychiatric institutions
• Additional Relevant MeSH Terms: Mental Disorders; Schizophrenia Spectrum and Other Psychotic Disorders; Schizophrenia; Stomatognathic Diseases
• Other Study ID Numbers: BUCCOSCHIZ2019