Introduction: The problems of oral health of people diagnosed with depression are not adequately recognized, either in developed or developing countries. Social stigma, lack of self-interest, or even inadequate approaches of dental doctors towards the unique situation of this group of people this lead to excessive oral health problems.
Methods: The bibliographic database PubMed/Medline, Google Scholar, and Whiley online library were searched using the following text and MeSH as separate key terms and in combination: depression and oral health/dental caries/periodontal disease/tooth loss/utilization of oral health services/and barriers. The content of documents was analysed using qualitative methodology.
Results: Twenty-six original studies were included in the review. Level/severity of depression, medication and medical comorbidity are the most important medical barriers influencing the oral health of people diagnosed with depression. Dental fear and anxiety are mostly combined with low oral hygiene and bad oral health. Socioeconomic status, dental insurance, bad habits and education also have important roles in the oral health status of people diagnosed with depression.
Conclusion: Including individuals with depression and oral health problems in national health programs, creating specific prevention programs, or subsidizing the cost of treatment are some of the recommendations suggested as solutions.
Uvod: Težave z ustnim zdravjem pri ljudeh z diagnozo depresije niso ustrezno prepoznane niti v razvitih državah niti v državah v razvoju. Družbena zaznamovanost, pomanjkanje zanimanja zase ali celo neustrezen pristop zobozdravnikov do edinstvene situacije pri tej skupini ljudi povzročajo čezmerne težave z zdravjem ustne votline.
Metode: Bibliografska podatkovna zbirka PubMed/Medline, Googlov učenjak in spletna knjižnica Whiley so bili preiskani z uporabo naslednjega besedila in izrazov MeSH kot ločenih ključnih izrazov in v kombinaciji: depresija in ustno zdravje/zobni karies/parodontalna bolezen/izguba zob/uporaba zobozdravstvenih storitev/in ovire. Vsebina dokumentov je bila analizirana s kvalitativno metodologijo.
Rezultati: V pregled je bilo vključenih 26 izvirnih študij. Stopnja/resnost depresije, zdravila in pridružene bolezni so najpomembnejše zdravstvene ovire, ki vplivajo na ustno zdravje ljudi z diagnozo depresije. Tesnoba in strah pred zobozdravstvenimi posegi sta večinoma povezana s slabo ustno higieno in slabim zdravjem ustne votline. Pri ustnem zdravju ljudi z diagnozo depresije imajo pomembno vlogo tudi socialno-ekonomski status, zobozdravstveno zavarovanje, slabe navade in izobrazba.
Sklep: Vključitev posameznikov z depresijo in težavami z ustnim zdravjem v nacionalne zdravstvene programe, oblikovanje posebnih preventivnih programov ali zagotavljanje ugodnejših cen storitev so nekatera priporočila, ki so bila predlagana kot rešitev.
Keywords: barriers; depression; oral health; oral health services.
© 2020 Miloš Stepović, Dalibor Stajić, Zlata Rajković, Milena Maričić, Marija Sekulić, published by Sciendo.