Open Access 21-07-2023 | Gingival Diseases
Periodontal Health and Psychiatric Disorders
Published in: Current Oral Health Reports | Issue 3/2023
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Purpose of Review
People with mental illness are vulnerable to periodontal diseases. Explanations include the direct effects of the psychiatric illness, side effects of psychotropic medication, lifestyle (e.g., alcohol, tobacco, and other substance use), shared risk factors, and difficulties with activities of daily living and access to dental care.
Recent Findings
Latest findings confirm the bi-directional relationship between periodontal disease and both psychiatric illness and substance use disorders (SUDs). On one hand, individuals with psychiatric illness and SUDs are at increased risk of developing periodontal disease, the strongest association being for SUDs and severe mental illnesses. On the other hand, periodontal disease may contribute to the development or exacerbation of psychiatric illness and SUDs through the systemic effects of chronic inflammation.
Summary
There are complex and bi-directional interactions between dental pathology and psychiatric illnesses/ SUDs that include a wide range of interconnected biological, behavioral, and psychosocial factors.