Oral health certifies the general well-being. Poor oral health becomes prominent in mental illness.

1. SCHIZOPHRENIA
AND DENTAL
DISORDERS
PRESENTED BY,
TAHOORA TASKEEN L
UNDERGRADUATE STUDENT
SAVEETHA DENTAL COLLEGE AND HOSPITALS
SAVEETHA INSTITUTE OF MEDICAL AND TECHNICAL SCIENCES
CHENNAI-600077

2. Schizophrenia and
dental disorders
Definition & types01
Clinical manifestation02
Treatments03
Related Dental disorders04

3. Schizophrenia
Psychotic disorder

4. Definition
Schizophrenia is a chronic heterogeneous
syndrome of disorganized and bizarre
thoughts, delusions, hallucinations,
inappropriate affect, cognitive deficits,
and impaired psychosocial functioning. It
literally means “ fragmented mind”.
KURT SCHEIDER described 11 symptoms,
collectively called “First Rank Symptoms”.

5. TYPES
CATATONIC
DISORGANIZED
PARANOID
RESIDUAL
UNDIFFERENTIATED

6. CATATONIC
Motor symptoms are significantly noticed. The
patient either demonstrate immobility or
purposeless mobility. The patient either becomes
silent or become loud and shout.
DISORGANISED
The patient tends to have disorganized speech and
behavior. Hallucinations and delusions are not well
formed and fragmented. The patient has bizarre
mannerisms and grimacing.
PARANOID
It is the common type of schizophrenia. Patients
are usually preoccupied with auditory
hallucination or delusion. Cognitive function is
usually preserved.
RESIDUAL
The patient does not have acute psychosis. Largely
negative symptoms are seen, such as flat affect, social
withdrawal and loose associations. Hallucination and
delusions are not that prominent.
UNDIFFERENTIATED
The patient meets the criteria for diagnosis of
schizophrenia but does not meet the criteria for
specific type, or the patient may meet the criteria for
multiple types of schizophrenia.

7. Genetics
Imbalance in
neurotransmitters
Changes in brain
structure
CAUSES

8. Clinical manifestation
FUNCTIONAL IMPAIRMENT
Performance, interpersonal
relationship & self-care
deterioration
Reduced speech
Lack of emotional and
facial expression
Avolition
Anhedonia
Social withdrawal
Autism
NEGATIVE SYMPTOMS
Hallucinations
Delusions
Disorganization
POSITIVE SYMPTOMS
Depression
Aggression
Suicidality
MOOD SYMPTOMS
Memory
Attention
Distress
Verbal fluency
COGNITIVE
NOTE:
Hallucination : Involving hearing or seeing
things that do not exist.
Delusions : False belief that are not based
on reality.
Avolition : Diminished ability to begin and
sustain activities
Anhedonia : Lack of pleasure.
.

9. Treatments
Treatment usual life long and often involves a combination of medication,
psychotherapy and coordinated care services .
Antipsychotic:
Reduces or improves the symptoms of certain psychiatric conditions.
Ant-tremor:
Help to control tremor, shaking and unsteadiness.
MEDICATION
Support group , Rehabiliation, Cognitive therapy, psychoeducation ,
family therapy, behavior therapy, group psychotherapy.
THERAPIES

10. INTERWININGOFSCHIZOPHRENIA WITH
ORAL HEALTH
Oral health has everything to do
with caring for yourselves..
Strong connection exists
between one’s oral health and
mental health.

11. Sideeffects of antipsychotic drugson oralhealth
Oral dyskinesia-decreased ability to chew or
swallow.
Dry mouth/ xerostomia
can lead to choking or dysphagia, difficulty in
speaking, dental decay, bad breath, burning sensation,
candidiasis; red tongue, bleeding gums, difficulty to
keep dentures in mouth.
Rampant dental decay due to poor oral hygiene.
Clozapine leads to induced hypersalivation.
Tardive dyskinesia- abnormal involuntary movements
of tongue such as tongue thrusting/protrusions, lip
smacking, puckering of lips, chewing movements and
cheek puffing.

12. Delusion and oral health
Focusing on the oral cavityDelusional thinking
Excoriation of gingiva .
Burning of oral tissues e.g. Cigarette.
Placement of transmitters in teeth.
Self mutilation-Cheek biting, lip biting.

13. “Oral health certifies the general well
being of an individual.”
Poor Oral health becomes prominent in mental illness
hence a dentist must be aware that a schizophrenic
person will have an advanced dental disorder which can
be associated with increased risk of systemic
comorbidity as well.
To know more info relevant to dentistry and health do follow me @tatas_dent

14. Thank YouYou don’t have to struggle in silence…
PRESENTED BY,
TAHOORA TASKEEN L
UNDERGRADUATE STUDENT