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Oral health of people with emotional disorders: A systematic review and meta-analysis

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Abstract

Objectives

This study aims to determine the association between severe mental disorders and oral health among individuals over 18 years of age.

Methods

An electronic search was conducted in six electronic databases and gray literature. Qualitative and quantitative analyses were performed on studies that met the inclusion criteria. The methodology of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal tool. A meta-analysis of proportions with a random effect was carried out. The certainty of evidence was evaluated using the GRADE tool.

Results

After searching the databases, 5,734 references were retrieved, and twenty articles were selected for synthesis. Considering the DMFT index between the groups with mental disorders and the control group, the values of the DMFT index were higher among individuals with schizophrenia [MD = 5.27; 95% CI = 4.13 – 6.42; I2 = 35%] and bipolar disorder [MD = 1.90; 95% CI = 0.87 – 2.93]. Values were lower among individuals with obsessive–compulsive disorder [MD = -0.85; 95% CI = -1.46—0.24]. The risk of bias was considered low for 16 studies, and four were classified with a moderate risk of bias. The certainty of evidence was very low.

Conclusion

Patients with schizophrenia and bipolar disorder exhibit increased frequency in the number of decayed, missing, or filled teeth. There was no effect in relation to periodontal probing depth, plaque index, and TMD, but the evidence is still uncertain for this outcome.

Clinical relevance

These findings underscore the need for a comprehensive health approach.

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Data availability

No datasets were generated or analysed during the current study.

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Acknowledgements

To the Center of Advanced Studies in Systematic Review and Meta-analysis (NARSM) for the support in the construction of the study

Funding

No specific grant was given to this research by funding organizations in the public, private, or not-for-profit sectors.

Author information

Authors and Affiliations

  1. Federal University of Rio Grande Do Norte, Natal, Rio Grande Do Norte, Brazil

    João Pedro Andrade Rangel & Lidiane Oliveira Leão

  2. Language and Hearing Sciences, Federal University of Rio Grande Do Norte, Natal, Rio Grande Do Norte, Brazil

    Allya Francisca Marques Borges

  3. Studies in Orofacial Motricity and Oropharyngeal Dysphagia at Federal, University of Rio Grande Do Norte, Natal, Rio Grande Do Norte, Brazil

    Allya Francisca Marques Borges

  4. Department of Endodontics, Pontifícia Universidade Católica Do Paraná, Curitiba, Paraná, Brazil

    Bianca Marques de Mattos de Araujo

  5. Communication Disorders, Tuiuti University of Paraná, Curitiba, Paraná, Brazil

    José Stechman Neto & Marcelo de Oliveira Rosario

  6. Department of Orthodontics, Pontifícia Universidade Católica Do Paraná, Curitiba, Paraná, Brazil

    Odilon Guariza-Filho

  7. Human Communication Health, Tuiuti University of Paraná, Center for Advanced Studies in Systematic Review and Meta-Analysis – NARSM, Curitiba, Brazil

    Bianca Marques de Mattos de Araujo, José Stechman Neto, Odilon Guariza-Filho, Cristiano Miranda de Araujo & Karinna Veríssimo Meira Taveira

  8. Department of Morphology- Center of Biosciences, Language and Hearing Sciences, Federal University of Rio Grande Do Norte, BR 101- Lagoa, Natal, Rio Grande Do Norte, 59072-970, Brazil

    Karinna Veríssimo Meira Taveira

Authors
  1. João Pedro Andrade Rangel
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  9. Karinna Veríssimo Meira Taveira
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Contributions

J.R, A. B, L.L, B.A, contributed to conception, design, data acquisition, drafted and critically revised the manuscript; J.N, O.F, M.R contributed to the writing and critical review of the study; J.R, B.A, K.T contributed to the writing, evaluation by the GRADE tool and prepared figures; K.T and C.A, coordinated the team, performed the meta-analyses and critically reviewed the article. All authors gave final approval and agree to be accountable for all aspects of the work.

Corresponding author

Correspondence to Karinna Veríssimo Meira Taveira.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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The authors declare no competing interests.

Registration

The protocol for this systematic review was registered at the PROSPERO® website (International Prospective Register of Systematic Review—Center for Reviews and Dissemination University of York) under no. CRD42021276419.

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Rangel, J.P.A., Borges, A.F.M., Leão, L.O. et al. Oral health of people with emotional disorders: A systematic review and meta-analysis. Clin Oral Invest 28, 274 (2024). https://doi.org/10.1007/s00784-024-05642-1

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