ArticleDentistry journal2024
Investigating the Relationship between Oral Health and Severe Mental Illness: Analysis of NHANES 1999-2016.
Article in Dentistry journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Oral health care challenges in individuals with severe mental illness: a qualitative meta-synthesis.Frontiers in oral health · 2025Pooled it
- Prioritization of Oral Health among Safety-Net Behavioral Health Professionals: An Explanatory Sequential Mixed Methods Study.Community mental health journal · 2026Article
- Silent Inflammation: A Critical Narrative Review of the Relationship Between Periodontal Disease and Psychosis-The Role of Oxidative Stress and Iatrogenic Comorbidities.Antioxidants (Basel, Switzerland) · 2026Review
- Oral health and mental health: lived experiences of stigma and discrimination for Australians with mental health conditions.BMC oral health · 2026Article
- Self-efficacy and oral health-related quality of life among immigrants in Southeast Iran: a cross-sectional study.BMC oral health · 2025Article
- Evaluation of primary oral health-related factors predicting depression before and after the COVID-19 pandemic using KNHANES data.BMC public health · 2025Article
- Editorial: The association between oral health and mental health.Frontiers in oral health · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo explore whether: (i) people with severe mental illness (SMI) experience worse oral health than the general population, and (ii) the risk factors for poor oral health in people with SMI.
methodsCross-sectional data were extracted from the National Health and Nutrition Examination Survey (1999-2016), including on self-rated oral health, oral pain, tooth loss, periodontitis stage, and number of decayed, missing, and filled teeth. Candidate risk factors for poor oral health included demographic characteristics, lifestyle factors, physical health comorbidities, and dental hygiene behaviours. Ordinal logistic regression and zero-inflated negative binomial models were used to explore predictors of oral health outcomes.
resultsThere were 53,348 cases included in the analysis, including 718 people with SMI. In the fully adjusted model, people with SMI were more likely to suffer from tooth loss (OR 1.60, 95% CI: 1.34-1.92). In people with SMI, risk factors identified for poor oral health outcomes were older age, white ethnicity, lower income, smoking history, and diabetes. Engaging in physical activity and daily use of dental floss were associated with better oral health outcomes.
conclusionsPeople with SMI experience higher rates of tooth loss than the general population, and certain subgroups are particularly at risk. Performing regular physical exercise and flossing may lower the risk of poor oral health, while smoking and diabetes may increase the risk. These findings suggest opportunities for targeted prevention and early intervention strategies to mitigate adverse oral health outcomes in people with SMI.
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