Dental treatment needs and treatment frequency of inmates in Basel
DOI:
https://doi.org/10.61872/sdj-2025-01-04PMID:
40052749Keywords:
Prison, dental treatments, DMFT, drugs, diseasesAbstract
The aim of this retrospective descriptive study was to identify the treatment frequency of prisoners and the associated need for dental treatment, as well as to analyse the associations between the DMFT index, general health conditions (mental health) and health behaviour (cigarette smoking). For this purpose, the medical records (secondary data) from 2018-2020 of 317 inmates receiving dental treatment from two Basel prisons were examined, categorized and statistically evaluated using linear regression models (RECORD 1.1, 1.2).
At the time of the medical history, 87.1% of the inmates were taking at least one medication, 47.9% of them psychotropic drugs and 52.7% analgesics. 5.5% had a hepatitis C virus (HCV) infection. Opioid use correlated with HCV infection: 24.5% of opioid users (m/f) were also HCV+. Teeth had to be removed in 58.7% of inmates. The DMFT index was 1.85 times higher in smokers than in non-smokers. With each pack of cigarettes per day, the DMFT index increased 1.44-fold. The DMFT index in prisoners with mental illness was 1.5 times higher.
Possible approaches to improve general and dental health include drug prevention, withdrawal therapy, sports promotion, dental health education and the provision of oral hygiene products. It is recommended that further studies be conducted with comprehensive examinations of inmates.
References
1. Bundesamt für Statistik. Freiheitsentzug: Inhaftierte im Januar 2024. 2024 Apr 29.
2. Baybutt M, Dooris M, Farrier A. Growing health in UK prison settings. Health Promot Int. 2019 Aug 1;34(4):792-802.
3. Stürup-Toft S, O'Moore EJ, Plugge EH. Looking behind the bars: emerging health is-sues for people in pris-on. Br Med Bull. 2018 Mar 1;125(1):15-23.
4. Galli F. Das Magazin zum Straf- und Massnahmenvollzug. prison-info. 2019 Feb 1;44:2.
5. Fiorillo L. Oral Health: The First Step to Well-Being. Medicina (Kaunas). 2019 Oct 7;55(10):676.
6. Tavares M, Lindefjeld Calabi KA, San Martin L. Systemic diseases and oral health. Dent Clin North Am. 2014 Oct;58(4):797-814.
7. Benchimol EI, Smeeth L, Guttmann A, Harron K, Moher D, Petersen I, Sørensen HT, von Elm E, Langan SM; RECORD Working Committee. The REporting of studies Con-ducted using Observational Routinely-collected health Data (RECORD) statement. PLoS Med. 2015 Oct 6;12(10):e1001885.
8. Vainionpää R, Peltokangas A, Leinonen J, Pesonen P, Laitala ML, Anttonen V. Oral health and oral health-related habits of Finnish prisoners. BDJ Open. 2017 Mar 3; 3:17006.
9. Bernard J H. Pulpitis. MSD Manual. 2024 Nov 1;1.
10. Bundesamt für Gesundheit. Sexuell übertragene Infektionen und Hepatitis B/C in der Schweiz im Jahr 2022: eine epidemiologische Übersicht. Bull BAG. 2023 Nov 27;(48):46.
11. Bundesamt für Gesundheit. Hepatitis C in der Schweiz: epidemiologische Situation 2015-2018. Bull BAG. 2019 Nov 4;(45):12-24.
12. Sahrmann P. Risikofaktoren für die Zahngesundheit – Nicht-übertragbare Erkrankun-gen (NCDs). Bericht BAG. 2022 Sep 1;2022/142004650:15-42.
13. Gmel G, Kuendig H, Notari L, Gmel C. Suchtmonitoring Schweiz – Konsum von Alko-hol, Tabak und illegalen Drogen in der Schweiz im Jahr 2016. Sucht Schweiz. 2017;93.
14. Bundesamt für Statistik. Schweizerische Gesundheitsbefragung Tabakkonsum 1992-2022. 2024 Jul 2;1-6.
15. Rouxel P, Duijster D, Tsakos G, Watt RG. Oral health of female prisoners in HMP Hol-loway: implications for oral health promotion in UK prisons. Br Dent J. 2013 Jun;214(12):627-32.
16. Rawlani SM, Chawla R, Rawlani S, Rathi V, Gadge R, Choube S. Oral health status and prevalence of premalignant lesions in prisoners of Central Jail of Amravati, Ma-harashtra, India. Indian J Cancer. 2019 Jul-Sep;56(3):280-281.
17. Tan ECK, Lexomboon D, Sandborgh-Englund G, Haasum Y, Johnell K. Medications That Cause Dry Mouth As an Adverse Effect in Older People: A Systematic Review and Metaanalysis. J Am Geriatr Soc. 2018 Jan;66(1):76-84.
18. Bundesamt für Statistik. Schweizerische Gesundheitsbefragung 2017 Standardtabel-len: Jede zweite Per-son nimmt in der Schweiz wöchentlich Medikamente zu. Me-dienmitteilung. 2019 Mar 28.
19. Falk Ö, Sfendla A, Brändström S, Anckarsäter H, Nilsson T, Kerekes N. Personality and trait aggression profiles of male and female prison inmates. Psychiatry Res. 2017 Apr;250:302-309.
20. Kerekes N, Brändström S, Nilsson T. Imprisoning Yoga: Yoga Practice May Increase the Character Maturi-ty of Male Prison Inmates. Front Psychiatry. 2019 Jun 13;10:406.
21. Amstad F, Suris J, Barrense-Dias Y et al. Gesundheitsförderung für und mit Jugendli-chen und jungen Erwachsenen – Wissenschaftliche Erkenntnisse und Empfehlungen für die Praxis. Gesundheitsförderung Schweiz Bericht. 2022 Nov 1;(9):16.
Statistics
1. R Core Team (2022). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. URL http://www.R-project.org.
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