Nothing to smile about

Maria Luca,1 Antonina Luca,2 Carmelo Maria Augusto Vittorio Grasso,3 Carmela Calandra1 1Department of Medical and Surgery Specialties, Psychiatry Unit, University Hospital “Policlinico-Vittorio Emanuele” of Catania, Sicily, Italy; 2Department “GF Ingrassia”,...

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Autores principales:	Luca M, Luca A, Grasso CMAV, Calandra C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/90996c4563804d198435916d85527a39
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spelling	oai:doaj.org-article:90996c4563804d198435916d85527a392021-12-02T00:47:05ZNothing to smile about1178-2021https://doaj.org/article/90996c4563804d198435916d85527a392014-10-01T00:00:00Zhttp://www.dovepress.com/nothing-to-smile-about-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Maria Luca,1 Antonina Luca,2 Carmelo Maria Augusto Vittorio Grasso,3 Carmela Calandra1 1Department of Medical and Surgery Specialties, Psychiatry Unit, University Hospital “Policlinico-Vittorio Emanuele” of Catania, Sicily, Italy; 2Department “GF Ingrassia”, Section of Neuroscience, University Hospital “Policlinico-Vittorio Emanuele” of Catania, Sicily, Italy; 3Department of Medical and Surgery Specialties, Dental Unit, University Hospital “Policlinico-Vittorio Emanuele” of Catania, Sicily, Italy Background: Several studies have demonstrated the high incidence of periodontal disorders among patients suffering from mental illnesses, probably because of self-care impairment, the difficult financial conditions, and the lack of motivation. The primary aim of this study was to evaluate the impact of depression and alexithymia on periodontal status. Due to the influence of personality traits on behavior in general, the secondary aim of our study was to investigate the possible impact of personality disorders on dental status.Methods: Patients with major depression (DP) referred to our psychiatry unit and healthy individuals (controls) were consecutively enrolled during the period April 2012–September 2012. All the participants to the study underwent a psychiatric evaluation (through questionnaires investigating the presence of depression, anxiety, personality disorders, and alexithymia) and a dental examination through the following indexes: plaque index, gingival index, simplified oral hygiene index, periodontal index.Results: Fifty DP (aged 56.7±15.2 years) and 40 controls (aged 56.1±15.9 years) were enrolled in the study. DP showed a worse oral hygiene status. In particular, statistically significant differences were found when comparing DP and controls in terms of plaque index, simplified oral hygiene index, gingival index, periodontal index, and oral health impact profile. In addition, periodontal health was found to be negatively related to the severity of depression and the presence of alexithymia. The strength of association between depression and dental indexes was reduced after adjusting for the other psychiatric variables (alexithymia and personality disorders) and was confirmed only for oral health impact profile. Conclusion: Psychiatric variables seem to affect the patients’ periodontal status; due to the high frequency of dental problems, patients suffering from mental illnesses should be referred to the oral health services for evaluation.Keywords: depression, alexithymia, oral health, dental health, oral health-related quality of life, dental indexesLuca MLuca AGrasso CMAVCalandra CDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2014, Iss default, Pp 1999-2008 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Luca M Luca A Grasso CMAV Calandra C Nothing to smile about
description	Maria Luca,1 Antonina Luca,2 Carmelo Maria Augusto Vittorio Grasso,3 Carmela Calandra1 1Department of Medical and Surgery Specialties, Psychiatry Unit, University Hospital “Policlinico-Vittorio Emanuele” of Catania, Sicily, Italy; 2Department “GF Ingrassia”, Section of Neuroscience, University Hospital “Policlinico-Vittorio Emanuele” of Catania, Sicily, Italy; 3Department of Medical and Surgery Specialties, Dental Unit, University Hospital “Policlinico-Vittorio Emanuele” of Catania, Sicily, Italy Background: Several studies have demonstrated the high incidence of periodontal disorders among patients suffering from mental illnesses, probably because of self-care impairment, the difficult financial conditions, and the lack of motivation. The primary aim of this study was to evaluate the impact of depression and alexithymia on periodontal status. Due to the influence of personality traits on behavior in general, the secondary aim of our study was to investigate the possible impact of personality disorders on dental status.Methods: Patients with major depression (DP) referred to our psychiatry unit and healthy individuals (controls) were consecutively enrolled during the period April 2012–September 2012. All the participants to the study underwent a psychiatric evaluation (through questionnaires investigating the presence of depression, anxiety, personality disorders, and alexithymia) and a dental examination through the following indexes: plaque index, gingival index, simplified oral hygiene index, periodontal index.Results: Fifty DP (aged 56.7±15.2 years) and 40 controls (aged 56.1±15.9 years) were enrolled in the study. DP showed a worse oral hygiene status. In particular, statistically significant differences were found when comparing DP and controls in terms of plaque index, simplified oral hygiene index, gingival index, periodontal index, and oral health impact profile. In addition, periodontal health was found to be negatively related to the severity of depression and the presence of alexithymia. The strength of association between depression and dental indexes was reduced after adjusting for the other psychiatric variables (alexithymia and personality disorders) and was confirmed only for oral health impact profile. Conclusion: Psychiatric variables seem to affect the patients’ periodontal status; due to the high frequency of dental problems, patients suffering from mental illnesses should be referred to the oral health services for evaluation.Keywords: depression, alexithymia, oral health, dental health, oral health-related quality of life, dental indexes
format	article
author	Luca M Luca A Grasso CMAV Calandra C
author_facet	Luca M Luca A Grasso CMAV Calandra C
author_sort	Luca M
title	Nothing to smile about
title_short	Nothing to smile about
title_full	Nothing to smile about
title_fullStr	Nothing to smile about
title_full_unstemmed	Nothing to smile about
title_sort	nothing to smile about
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/90996c4563804d198435916d85527a39
work_keys_str_mv	AT lucam nothingtosmileabout AT lucaa nothingtosmileabout AT grassocmav nothingtosmileabout AT calandrac nothingtosmileabout
_version_	1718403512013946880

Nothing to smile about

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