title: Oral mucosal diseases in anxiety and depression patients: Hospital based observational study from south India.
abstract: OBJECTIVE
  The objective of this study was to evaluate the prevalence of different Oral Mucosal diseases in Anxiety and Depression patients.
  
  
  METHODS
  A hospital based observational Study was conducted in the department of Psychiatry and department of Oral Medicine and Radiology. Patients who were diagnosed with Anxiety or Depression by the psychiatrists using Hamilton Anxiety and Depression scale were subjected to complete oral examination to check for oral diseases like Oral Lichen Planus (OLP), Recurrent Aphthous Stomatitis (RAS), and Burning Mouth Syndrome (BMS). Equal number of control group subjects were also included.
  
  
  RESULTS
  In this study statistically significant increase in the oral diseases in patients with anxiety and depression than the control group was recorded. Oral diseases were significantly higher in anxiety patients (20.86%) than in depression (9.04%) and control group patients (5.17%). In anxiety patients, the prevalence of RAS was 12%, OLP was 5.7%, and BMS was 2.87%. In depression patients, the prevalence of RAS was 4.02%, OLP was 2.01% and BMS was 3.01%. In control group the prevalence was 2.2%, 1.33% and 1.62% in RAS, OLP and BMS respectively. RAS and OLP were significantly higher in the younger age group (18-49) and BMS was seen between the age group of 50-77 years in both study and control groups.
  
  
  CONCLUSIONS
  The results of the present study showed a positive association between psychological alterations and changes in the oral mucosa, particularly conditions like OLP, RAS and BMS. Thus psychogenic factors like anxiety and depression may act as a risk factor that could influence the initiation and development of oral mucosal diseases. Hence psychological management should be taken into consideration when treating patients with these oral diseases. Key words:Lichen planus, anxiety, depression, burning mouth syndrome, recurrent aphthous stomatitis.
authors: MDS, Senior lecturer, Department of Oral Medicine and Radiology, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad, Satara (District), Maharashtra (State), India.
authors: Kandagal V
authors: KV
authors: Suresh
authors: MDS, Senior Professor. Department of Oral Medicine and Radiology, Yenepoya Dental College and Hospital, Yenepoya university, Mangalore (District), Karnataka (State), India.
authors: Prashanth
authors: P
authors: Shenai
authors: Senior Professor and HOD. Department of Oral Medicine and Radiology, Yenepoya Dental College and Hospital, Yenepoya university, Mangalore (District), Karnataka (State), India.
authors: Laxmikanth
authors: L
authors: Chatra
authors: MDS, Senior lecturer. Department of Orthodontics and Dentifacial Orthopaedics, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad, Satara (District), Maharashtra (State), India.
authors: Yusuf-Ahammed A
authors: YA
authors: Ronad
authors: MDS, Senior lecturer. Department of Oral Medicine and Radiology, PSM College of Dental Science and Research, Thrisshur (District), Kerala, India.
authors: Naduvakattu
authors: N
authors: Bilahari
authors: MDS, Senior lecturer. Department of Oral pathology and microbiology, College of Dental Sciences, Davangere, Karanataka (State), India.
authors: Redder C
authors: RC
authors: Pramod
authors: MDS, Senior lecturer. Department of Oral Medicine and Radiology, Amrita School of Dentistry, Kochi, Kerala (State), India.
authors: Sreeja P
authors: SP
authors: Kumar