Clinical trial NCT04191200: Oral Status of Patients Suffering From SCHIZophrenia Followed at Charles Perrens Hospital
Official title: Etat BUCCO-dentaire de Patients Atteints de SCHIZophrénie et de Troubles Schizo-affectif Suivis au Centre Hospitalier de Charles Perrens
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Dental Diseases
Schizophrenia
Keywords: Schizophrenia
Psychiatric institutions
Epidemiology
Schizophrenic disorder
Oral Health
Lead sponsor: Centre Hospitalier Charles Perrens, Bordeaux
Sponsor class: OTHER_GOV
First posted: 2019-12-09
Enrollment: 51
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Schizophrenic adults and adults with schizoaffective disorders at the Charles Perrens Hospital.

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Measure of the number of caries, fillings and teeth missing
timeFrame: 1 day
measure: Evaluation of oral hygiene
timeFrame: 1 day
measure: Assessement of temporo mandibular dysfunction
timeFrame: 1 day
measure: Assessing of mouth dryness
timeFrame: 1 day
Secondary outcomes:
measure: Link between quality of life and oral health: survey
timeFrame: 1 day
measure: Social security coverage
timeFrame: 1 day
measure: Reason for primary appointment
timeFrame: 1 day
measure: Measurement of dental anxiety
timeFrame: 1 day
Other outcomes:
Locations:
city: Bordeaux
country: France
facility: Centre Hospitalier CHARLES PERRENS
Study officials:
References:
citation: Denis F. [The oral health of patients in psychiatric institutions and related comorbidities]. Soins Psychiatr. 2014 Jan-Feb;(290):40-4. French.
citation: 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
citation: 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.
citation: 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.