Multilingual Support:

Concerns

Oral health care considerations for patients with a history of psychiatric disorders

Oral side effects associated with medications used for psychiatric disorders

Notice: Object of class WP_Post could not be converted to int in /mnt/ice-mss-dev/wp-includes/post-template.php on line 195 Notice: Object of class WP_Post could not be converted to int in /mnt/ice-mss-dev/wp-includes/post-template.php on line 198

Oral health care considerations for patients with a history of psychiatric disorders:

  • Poorly controlled patients may be uncooperative, agitated, or irritated and may even show some degree of hostility.
  • Address oral side effects (see below) from medications.
  • Address possible substance abuse.
  • Address possible self mutilation .
  • Do not use codeine or erythromycin in patients taking selective serotonin reuptake inhibitors (SSRIs).
  • Avoid levonordefrin and limit the use of epinephrine to 0.054 mg (3 carpules of 100:000 conc.) in patients taking tricyclic antidepressants.
  • Use narcotics judiciously in patients taking monoamine oxidase inhibitors (MAOIs).

Oral side effects associated with medications used for psychiatric disorders:

Antidepressants Bruxism, gingivitis, glossitis, dysgeusia, sialadenitis, stomatitis, tongue discoloration, tongue edema, xerostomia
Antipsychotics Bruxism, gingivitis, glossitis, dysgeusia, dysphagia, sialorrhea, stomatitis, tongue discoloration, tongue edema, xerostomia
Benzodiazepines Gingivitis, dysgeusia, sialadenitis, sialorrhea, xerostomia
Mood stabilizers Glossitis, dysgeusia, sialadenitis, stomatitis, xerostomia
Selective serotonin
reuptake inhibitors (SSRIs)
Bruxism, gingivitis, glossitis, dysgeusia, dysphagia, sialorrhea, stomatitis, tongue discoloration, tongue edema, xerostomia

OK