Oral Hygiene and Gingivitis Among Schizophrenic Patients at Karangkembang Regional General Hospital: A Cross-Sectional Study
Abstract
Schizophrenia is a chronic mental disorder that can affect an individual's ability to maintain oral hygiene. This condition may lead to dental and oral health problems, such as gingivitis. An examination conducted in August 2024 on 30 patients with schizophrenia showed that 93% of them experienced gingivitis, indicating a high prevalence of gingivitis among patients with schizophrenia. This study aims to determine the relationship between oral hygiene and gingivitis in patients with schizophrenia at Karangkembang Regional Public Hospital, Lamongan Regency, in 2025. This research uses an analytical survey with a cross-sectional design involving 77 patients with schizophrenia. Data were collected through oral examinations to assess the patients’ oral hygiene and gingival condition. Data analysis was conducted using the Spearman rank correlation test to determine the relationship between oral hygiene and gingivitis in patients with schizophrenia, with a significance level (α) = 0.05. If the analysis result shows a ρ-value < 0.05, then H1 is accepted. If the ρ-value > 0.05, then H1 is rejected. The result of the Spearman rank test showed a ρ-value of 0.000. This value is smaller than the predetermined significance level (α = 0.05), thus H1 is accepted. This means there is a relationship between oral hygiene and gingivitis in patients with schizophrenia at Karangkembang Regional Public Hospital, Lamongan Regency, in 2025. The correlation coefficient (ρ) is 0.531, indicating a strong relationship between oral hygiene and gingivitis in patients with schizophrenia.
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References
[1] World Health Organization, Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030. Geneva, Switzerland: WHO, 2022.
[2] A. M. Johnson, A. Kenny, L. Ramjan, T. Raeburn, and A. George, “Oral health knowledge, attitudes, and practices of people living with mental illness: A mixed-methods systematic review,” BMC Public Health, vol. 24, no. 1, pp. 1–25, 2024, doi: 10.1186/s12889-024-19713-1.
[3] Z. G. Pontoluli, J. A. Khoman, and V. N. S. Wowor, “Kebersihan gigi mulut dan kejadian gingivitis pada anak sekolah dasar,” e-GIGI, vol. 9, no. 1, pp. 21–28, 2021, doi: 10.35790/eg.9.1.2021.32366.
[4] A. Isnurhakim, B. Suhartono, and R. Putranto, “Comparison for Carica papaya and gengigel leaves extraction for gingivitis healing effectiveness in orthodontic application,” Medali Journal, vol. 3, no. 1, pp. 29–33, 2021, doi: 10.30659/medali.v3i1.17055.
[5] S. Restuning, T. Widyastuti, and U. Utami, Epidemiologi Dental. Yogyakarta, Indonesia: PT Nasya Expanding Management, 2023.
[6] R. A. Aghasizadeh Sherbaf, G. M. Kaposvári, K. Nagy, Z. P. Álmos, Z. Baráth, and D. Matusovits, “Oral health status and factors related to oral health in patients with schizophrenia: A matched case-control observational study,” Journal of Clinical Medicine, vol. 13, no. 6, p. 1584, 2024, doi: 10.3390/jcm13061584.
[7] D. G. Nayak, U. Ashita, and M. CP, Textbook of Periodontology and Oral Implantology, 2nd ed. New Delhi, India: Reed Elsevier India Pvt. Ltd., 2021.
[8] Dukungan Keluarga pada Pasien Skizofrenia, W. Freska, Dukungan Keluarga pada Pasien Skizofrenia. Indonesia: CV Mitra Edukasi Negeri, 2022.
[9] Pengantar Psikologi Abnormal, W. C. B. Pati, Pengantar Psikologi Abnormal: Definisi, Teori, dan Intervensi. Indonesia: PT Nasya Expanding Management, 2022.
[10] K.-F. Hu, P. S. Ho, Y.-H. Chou, J.-H. Tsai, C.-H. R. Lin, and H.-Y. Chuang, “Periodontal disease and effects of antipsychotic medications in patients newly diagnosed with schizophrenia: A population-based retrospective cohort,” Epidemiology and Psychiatric Sciences, vol. 29, pp. 1–8, 2020, doi: 10.1017/S204579601900043X.
[11] R. A. Aghasizadeh Sherbaf et al., “Oral health status and factors related to oral health in patients with schizophrenia,” Journal of Clinical Medicine, vol. 13, no. 6, pp. 1–13, 2024, doi: 10.3390/jcm13061584.
[12] E. U. Nwizu, B. N. Nweze, I. N. Nwaoziri, N. K. Onyejaka, E. A. Akaji, and N. P. Uguru, “Oral health status of outpatients with mental disorders in a specialist tertiary hospital in Enugu State, Nigeria,” BMC Oral Health, vol. 25, no. 1, pp. 1–7, 2025, doi: 10.1186/s12903-025-05636-9.
[13] H. Boy, E. Veriza, and N. Valentina, “Asuhan kesehatan gigi dan mulut pada pasien skizofrenia di ruang rawat inap RS Jiwa Daerah Provinsi Jambi,” Jurnal Kesehatan Gigi, vol. 7, no. 2, pp. 102–107, 2020, doi: 10.31983/jkg.v7i2.6534.
[14] Kementerian Kesehatan Republik Indonesia, Survei Kesehatan Indonesia (SKI) 2023 dalam Angka. Jakarta, Indonesia: Kemenkes RI, 2023.
[15] D. Agarwal, A. Kumar, M. B. C., S. Sethi, V. Yadav, R. Shyam, and V. Kumar, “Effectiveness of oral health education on oral hygiene status among schizophrenic patients: A randomized controlled study,” Special Care in Dentistry, vol. 39, no. 3, pp. 255–261, 2019, doi: 10.1111/scd.12373.
[16] M. W. Kuo, S. H. Yeh, H. M. Chang, and P. R. Teng, “Effectiveness of oral health promotion program for persons with severe mental illness: A cluster randomized controlled study,” BMC Oral Health, vol. 20, no. 1, pp. 1–9, 2020, doi: 10.1186/s12903-020-01280-7.
[17] E. Turner, K. Berry, L. Quinlivan, D. Shiers, V. Aggarwal, and J. Palmier-Claus, “Understanding the relationship oral health and psychosis: Qualitative analysis,” BJPsych Open, vol. 9, no. 3, pp. 1–8, 2023, doi: 10.1192/bjo.2023.33.
[18] Y. Lee, C. Suk, S. Shin, and J. Hong, “Salivary cortisol, dehydroepiandrosterone and chromogranin A levels in patients with gingivitis and periodontitis and a novel biomarker for psychological stress,” Frontiers in Endocrinology, vol. 14, pp. 1–12, 2023, doi: 10.3389/fendo.2023.1147739.
[19] M. S. Editha and L. Zubardiah, “Distribusi gingivitis pada pasien skizofrenia (Kajian pada RSJD Dr. Amino Gondohusodo Semarang),” Jurnal Kedokteran Gigi Terpadu, vol. 2, no. 1, pp. 31–36, 2020, doi: 10.25105/jkgt.v2i1.7520.
[20] H. Wirza, H. Febriani, M. Zuhra, and F. Asyura, “Status kebersihan gigi pada pasien skizofrenia di Rumah Sakit Jiwa Aceh Tahun 2023,” Journal of Healthcare Technology and Medicine, vol. 9, no. 2, pp. 1316–1323, 2023.
[21] I. Bariyah, D. Rahayu, A. Karyus, N. Noviansyah, and E. Budiati, “Analisis faktor yang berhubungan dengan kesehatan gigi dan mulut pada pasien skizofrenia,” Jurnal Ilmiah Kesehatan Media Husada, vol. 13, no. 1, pp. 34–48, 2024, doi: 10.33475/jikmh.v13i1.353.
[22] Ismaturrahmi, C. R. Keumala, and F. Asyura, “Hubungan pengetahuan keluarga dalam menjaga kebersihan gigi dan mulut pada pasien gangguan jiwa di wilayah kerja Puskesmas Muara Tiga,” Journal of Healthcare Technology and Medicine, vol. 10, no. 1, pp. 668–676, 2024.
[23] A. M. Johnson et al., “Oral health knowledge, attitudes, and practices of people living with mental illness: A mixed-methods systematic review,” BMC Public Health, vol. 24, no. 1, pp. 1–25, 2024, doi: 10.1186/s12889-024-19713-1.
[24] E. U. Nwizu et al., “Oral health status of outpatients with mental disorders in a specialist tertiary hospital in Enugu State, Nigeria,” BMC Oral Health, vol. 25, no. 1, pp. 1–7, 2025, doi: 10.1186/s12903-025-05636-9.
[25] M. W. Kuo, S. H. Yeh, H. M. Chang, and P. R. Teng, “Effectiveness of oral health promotion program for persons with severe mental illness: A cluster randomized controlled study,” BMC Oral Health, vol. 20, no. 1, pp. 1–9, 2020, doi: 10.1186/s12903-020-01280-7.
[26] Z. G. Pontoluli, J. A. Khoman, and V. N. S. Wowor, “Kebersihan gigi mulut dan kejadian gingivitis pada anak sekolah dasar,” e-GIGI, vol. 9, no. 1, pp. 21–28, 2021, doi: 10.35790/eg.9.1.2021.32366.
[27] A. Faizah and I. Silmina, “Curettage as a follow-up treatment in lower anterior gingivitis cases: Case report,” University Research Colloquium, pp. 1–6, 2021.
[28] R. A. Aghasizadeh Sherbaf et al., “Oral health status and factors related to oral health in patients with schizophrenia: A matched case-control observational study,” Journal of Clinical Medicine, vol. 13, no. 6, p. 1584, 2024, doi: 10.3390/jcm13061584.
[29] I. Bariyah et al., “Analisis faktor yang berhubungan dengan kesehatan gigi dan mulut pada pasien skizofrenia,” Jurnal Ilmiah Kesehatan Media Husada, vol. 13, no. 1, pp. 34–48, 2024, doi: 10.33475/jikmh.v13i1.353.
[30] E. Turner et al., “Understanding the relationship oral health and psychosis: Qualitative analysis,” BJPsych Open, vol. 9, no. 3, pp. 1–8, 2023, doi: 10.1192/bjo.2023.33.
[31] World Medical Association, “World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects,” JAMA, vol. 310, no. 20, pp. 2191–2194, 2021, doi: 10.1001/jama.2013.281053.
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Copyright (c) 2026 Eva Mufida Ikhdati, Kusuma Astuti N. P, Agus Marjianto

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