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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Dental Diseases, Schizophrenia

Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Schizophrenia, Psychiatric institutions, Epidemiology, Schizophrenic disorder, Oral Health