Abstract
Objectives: The objective of this study was to evaluate the prevalence of different Oral Mucosal diseases in Anxiety and Depression patients. Material and Methods: A hospital based observational Study was conducted in the department of Psychiatry and department of Oral Medicine and Radiology. Patients who were diagnosed with Anxiety or Depression by the psychiatrists using Hamilton Anxiety and Depression scale were subjected to complete oral examination to check for oral diseases like Oral Lichen Planus (OLP), Recurrent Aphthous Stomatitis (RAS), and Burning Mouth Syndrome (BMS). Equal number of control group subjects were also included. Results: In this study statistically significant increase in the oral diseases in patients with anxiety and depression than the control group was recorded. Oral diseases were significantly higher in anxiety patients (20.86%) than in depression (9.04%) and control group patients (5.17%). In anxiety patients, the prevalence of RAS was 12%, OLP was 5.7%, and BMS was 2.87%. In depression patients, the prevalence of RAS was 4.02%, OLP was 2.01% and BMS was 3.01%. In control group the prevalence was 2.2%, 1.33% and 1.62% in RAS, OLP and BMS respectively. RAS and OLP were significantly higher in the younger age group (18-49) and BMS was seen between the age group of 50-77 years in both study and control groups. Conclusions: The results of the present study showed a positive association between psychological alterations and changes in the oral mucosa, particularly conditions like OLP, RAS and BMS. Thus psychogenic factors like anxiety and depression may act as a risk factor that could influence the initiation and development of oral mucosal diseases. Hence psychological management should be taken into consideration when treating patients with these oral diseases. Key words:Lichen planus, anxiety, depression, burning mouth syndrome, recurrent aphthous stomatitis.
Highlights
Psychiatric disorders are considerably increasing in last few years and represent a major public health problem
The results of the present study showed a positive association between psychological alterations and changes in the oral mucosa, conditions like Oral Lichen Planus (OLP), Recurrent Aphthous Stomatitis (RAS) and Burning Mouth Syndrome (BMS)
Psychogenic factors like anxiety and depression may act as a risk factor that could influence the initiation and development of oral mucosal diseases
Summary
Psychiatric disorders are considerably increasing in last few years and represent a major public health problem. Anxiety and Depression are one of the most prevalent psychiatric diseases. These diseases causes physical and pathological changes in the body, oral cavity not being a exception. Psychogenic diseases like anxiety and depression causes physiologic changes resulting in the development of oral mucosal diseases like OLP, RAS, BMS. The occurrence of these oral conditions in psychiatric patient has not been studied in a pool of unexplored population of Karnataka or in India as a whole; often the oral health of such patients is undervalued. There is increasing need of understanding the distribution of these conditions in patients having psychiatric disorders
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