213 The Development of an Oral Health Nursing Tool in Patients with a Psychotic Disorder Appendix E. Content of the brochure with awareness screener for MHNs (translated from Dutch). Introduction: The Importance of Good Oral Health Good oral health is important for quality of life. Those with healthy teeth and gums can eat and drink better, have less bad breath, feel more confident, appear more well-groomed, and have a lower risk of diseases such as diabetes and cardiovascular conditions. A healthy mouth also facilitates better speech and social interaction, which positively affects overall physical and mental well-being. Patients with psychotic vulnerability are at increased risk of oral health issues for several reasons. These may include a lack of knowledge and understanding, motivational deficits, inadequate dental care, fear of the dentist, high dental costs, limited access to healthcare, or side effects of antipsychotic medication such as dry mouth. Patients with psychotic vulnerability often struggle to take care of their oral health independently. Frequently, dental care is not part of their daily routine, embarrassment plays a role, and patients are hesitant to discuss these issues. Prevention is key. This involves not only avoiding problems but also minimizing damage by early detection of factors that could lead to harm. Nurses have a responsibility here, and it is important that they pay attention to this aspect of care. This brochure is written in general terms. The intention is for nurses to translate the content into tailored advice for individual patients. Psychological and Social Complaints | Stigma Oral health is a significant aspect of quality of life, influencing comfort, appearance, and social acceptance. Given that many psychiatric issues are related to self-esteem and self-confidence, oral health quality is a particularly important factor for patients with psychotic vulnerability. Poor oral health can disrupt self-identity and the ability to form relationships with others. The interplay between oral health and psychotic vulnerability is seen in the literature as a negative spiral. In this downward spiral, psychotic vulnerability affects oral care behaviour, leading to poor oral health, which then negatively impacts mental health. 6
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