Guideline Recommendations for Oral Care After Acquired Brain Injury: Protocol for a Systematic Review

Gurgel-Juarez, Nalia; Perrier, Marie-France; Hoffmann, Tammy; Lannin, Natasha A.; Jolliffe, Laura; Lee, Rachel; Brosseau, Lucie; Flowers, Heather

doi:10.2196/17249

Cited by 2 publications

(2 citation statements)

References 47 publications

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“…Oral hygiene is often neglected due to a patients’ physical or cognitive difficulties. In this way, patients are reliant on nursing staff and caregivers to maintain their good oral hygiene [ 15 ]. Oral care could be improved with more training opportunities for nursing staff and caregivers, assessing patients’ remaining abilities on admission, and using protocols to guide proper oral care [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Oral health status and its associated factors among post-stroke inpatients: a cross-sectional study in Hungary

et al. 2022

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Background Post-stroke inpatients are at risk of poor oral health for a number of reasons. The aim of this study was to assess the oral health status of post-stroke patients and also to explore the factors that may influence it. Methods This cross-sectional study was organised at National Institute for Medical Rehabilitation in Hungary. Altogether 410 post-stroke patients were enrolled in the survey. Personal medical history and functional assessment was obtained from the final medical reports of the patients. The clinical examination and data collection were conducted according to the World Health Organization (2013) criteria. Socio-demographic background and behaviours related to oral health were assessed using a questionnaire. The dental status was explained by the number of Decayed, Missing and Filled Teeth (DMFT). The association of socio-demographic factors, stroke and functional assessment with oral health status and behaviour was evaluated. Chi-square test, Fisher’s exact test, Welch test, Mann–Whitney U test, Kruskal–Wallis test, ANOVA model and correlation analysis were used to analyse our data. The level of significance was set at p < 0.05. Results Mean age of stroke patients was 59.21(Standard Deviation [SD] 14.74) years. Mean DMFT score was 20.13 (8.08), including 3.28 (4.24) decayed teeth, 15.02 (10.29) missing teeth and 1.83 (2.94) filled teeth score. Factors that influenced the oral health status were gender, age, occupational status, level of education, type and risk factors for stroke. Significant correlation was found between the Functional Independence Measure and oral health-related behaviours with patients brushing their teeth once a month showing the lowest value. Conclusion According to the results, low socio-demographic and economic status, low level of education and the Functional Independence Measure score, unemployment, the combination of risk factors for stroke and residual dysfunctions are associated with poor oral health status. The data indicate that a series of changes are needed, for special attention and care in oral health for patients who have had a stroke. Based on the findings of this research, a new model of prevention and care can be developed, with an interdisciplinary collaboration, to promote the quality of life of these individuals.

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Section: Introductionmentioning

confidence: 99%

Oral health status and its associated factors among post-stroke inpatients: a cross-sectional study in Hungary

et al. 2022

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“…As a result, dental caries and periodontal diseases can be seen (2). Stroke patients, who cannot perform their self -care because of their physical and/or cognitive status, are dependent on their nurses or caregivers (17). Some previous studies have shown that more than two -thirds of the patients had difficulty in brushing teeth in a way in relation to the severity of stroke.…”

Section: Oral Health Problems In Stroke Patientsmentioning

confidence: 99%

Hemiplegia and oral health

ILHANLI¹,

ILHANLI²,

Çelenk³

2023

J Exp Clin Med

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Oral health problems are often neglected due to other problems that are thought to be more vital in stroke patients. However, oral health is a significant quality of life determinant and needs to be protected in stroke patients as well as general population. Moreover, problems such as hemiparesis, hemiplegia, dysphagia, balance and coordination disorder and cognitive dysfunction due to strokes have a very negative impact on the self -care and/or care support of the caregivers. In this study, we aimed to search a large number of health databases and make a compilation on oral health problems, impact on quality of life and solutions in stroke patients. Keywords ‘oral, dental, health, care, hygiene, dental, prosthesis, denture, tooth brushing, stroke, cerebrovascular and cardiovascular’ and combinations of these words were searched in the literature. Studies involving at least one subject for oral health in stroke patients were included in the review. In the literature, it was seen that the oral health of the stroke patients was discussed more about mastication, swallowing, dysphagia, nutrition, hygiene, prosthesis and quality of life. It was concluded that there are no sufficient assessment and care guides that can be used by stroke patients or caregivers, and the information of dentists, patients and caregivers about special care for stroke patients was not sufficient.

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Guideline Recommendations for Oral Care After Acquired Brain Injury: Protocol for a Systematic Review

Cited by 2 publications

References 47 publications

Oral health status and its associated factors among post-stroke inpatients: a cross-sectional study in Hungary

Oral health status and its associated factors among post-stroke inpatients: a cross-sectional study in Hungary

Hemiplegia and oral health

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