Impact of dental care on the oral health of in patients with trauma sequelae
DOI:
https://doi.org/10.33448/rsd-v10i8.16864Keywords:
Oral Health; Oral hygiene; Cognitive dysfunction; Craniocerebral trauma.Abstract
This study aims to assess oral health before and after dental care to adult patients restricted to bed with trauma sequelae, admitted to the Instituto Doutor José Frota (IJF) hospital, located in the city of Fortaleza, in the state of Ceará. This is a longitudinal study with adult patients with motor and cognitive disabilities, diagnosis of traumatic brain injury, spinal cord trauma, and exogenous intoxication. We evaluated 39 patients, using the World Health Organization (WHO) dental caries index and Bedside oral exam (BOE) before and after dental care. After two dental consultations, there was a reduction of 46% of decayed teeth, poor oral health decreased by 11% and 29.6% of the BOE index, and good oral health increased by 57%. Although dental care in bed is challenging, it has proved effective, improving the health of the oral mucosa, perioral and dental surfaces and, consequently, reducing the likelihood of changes in oral health.
References
Agnelli, P. B. (2015). Variation of the CPOD index in Brazil from 1980 to 2010. Rev. Bras. Odontol, 72 (1), 10-15.
Aktan, G. G, & Eser, I. (2017). Examination of intensive care unit patients' oral health. International Journal of Nursing Practice, 23(6), 1-9. 10.1111 / ijn.12592.
Alves, C.; Andion J.; Brandão, M.; & Menezes, R (2007). Mecanismos patogênicos da doença periodontal associada ao diabetes mellitus. Arquivos Brasileiros de Endocrinologia & Metabologia, 51, 1050-1057, 2007. dx.doi.org/10.1590/S0004-27302007000700005.
Blum, D. F. C., Munaretto, J., Baeder, F. M., Gomez, J., Castro, C. P. P., & Bona, A. D. (2017). Influence of the presence of professionals in dentistry and protocols for oral health care in the nursing team of the intensive care unit. Survey study. Rev. Bras. Ter. Intensive, 29 (3), 391-393.
Brazil (2009). National Health Surveillance Agency. Patient Safety in Health Services: Hand Hygiene / National Health Surveillance Agency. Brasília: Anvisa.
Brazil (2011). Ministry of Health. Health Surveillance Secretariat. Health Situation Analysis Department. Saúde Brasil 2010: A Health Situation Analysis of selected evidence of the impact of health surveillance actions. Brasília / DF.
Brazil (2013). Ministry of Health. Office of the Minister.
Brazil (2018). Ministry of Health. Department of Health Care. Department of Primary Care. Oral health in the Unified Health System [electronic resource] / Ministry of Health, Department of Health Care, Department of Primary Care. Ministry of Health.
Celik, G. G., & Eser I. (2017). Examination of intensive care unit patients' oral health. Int J Nurs Pract. Dec;23(6): 1-19. 10.1111/ijn.12592.
Carvalho, I. C. C. M., & Saraiva, I. S (2015). Perfil das vítimas de trauma atendidas pelo serviço de atendimento móvel de urgência. R. Interd., 8(1):137-148.
Fernando, S. A., Gray, T. J., & Gottlieb, T. (2017). Healthcare-acquired infections: prevention strategies. Internal Medicine Journal, 17(12):1341-1351, https://doi.org/10.1111/imj.13642.
Government of the State of Espírito Santo (2018). Emergency Care for Trauma Victims - Clinical Guidelines. State Health Secretariat of Espírito Santo, 1-62.
Khan, H. A., Baig, F. K., & Mehboob R. (2015). Nosocomial infections and their control strategies. Asian Pac J Trop Biomed, 5(7): 509–514. https://doi.org/10.1016/j.apjtb.2015.05.001.
Khan, H. A., Baig, F. K., & Mehboob R. (2017). Nosocomial infections: Epidemiology, prevention, control and surveillance. Pac J Trop Biomed.,7(5): 478–482. https://doi.org/10.1016/j.apjtb.2017.01.019.
Lertpimonchai, A., Rattanasiri, S., Vallibhakara, A. S., Attia, J., & Thakkinstian, A. (2017). The association between oral hygiene and periodontitis: a systematic review and meta-analysis. Int Dent J., 67(6), 332-343. 10.1111/idj.12317.
Luo, J., Wu, B., Zhao, Q., Guo, Q., Meng, H., Yu, L. et al (2015). Association between Tooth Loss and Cognitive Function among 3063 Chinese Older Adults: A Community-Based Study. PLoS One, 10(3), 1-11. 10.1371/journal.pone.0120986.
Manger, D., Walshaw, M., Fitzgerald, R., Doughty, J., Wanyonyi, K. L., White, S. et al (2017). Evidence summary: the relationship between oral health and pulmonary disease. Br Dent J., 222(7), 527-533. 10.1038/sj.bdj.2017.315.
Matsuyama, Y., Tsakos, G., Listl, S., Aida, J., & Watt, R.G. (2019). Impact of Dental Diseases on Quality-Adjusted Life Expectancy in US Adults. J Dent Res., 98(5), 510-516. 10.1177/0022034519833353.
Miranda, A. F. (2018). Hospital Dentistry: Inpatient Units, Surgical Center and Intensive Care Unit. Science & Dentistry Magazine, 2 (2), 1-5.
Mitchell, B. G., Russo, P. L., Cheng, A. C., Stewardson, A. J. S., Rosebrock, H., Curtish, S. J. et al (2019). Strategies to reduce non-ventilator-associated hospital-acquired pneumonia: A systematic review. Infect Dis Health, 24(4), 229-239. 10.1016/j.idh.2019.06.002.
Oliveira, A. G. R. C., Unfer, B., Costa, I. C. C., Arcieri, R. M., Guimarães, L. O. O., & Saliba, N. A. (1998). Epidemiological surveys on oral health: analysis of the methodology proposed by the World Health Organization. Rev. Bras. Epidemiol. 1 (2), 177-189.
Paizan, M. L, & Martin, J. F. V. (2009). Associação entre doença periodontal, doença cardiovascular e hipertensão arterial. Rev Bras Hipertens. 16(3):183-185.
Pascoaloti, M. I. M., Moreira, G. E., Rosa, C. F., Fernandes, L. A., & Lima, D. C. (2019). Hospital Dentistry: challenges, importance, integration and humanization of treatment. Rev. Ciênc. Ext., 15 (1): 20-35.
Porter, S. R., Mercadante, V., & Fedele, S. (2017). Oral manifestations of systemic disease. British dental journal, 223(9): 683-691. 10.1038 / sj.bdj.2017.884.
Prendergast,V. (2012). Effects of a standard versus comprehensive oral care protocol among intubated neuroscience ICU patients: Results of a randomized controlled trial. Journal of Neuroscience Nursing, 44(3), 134–146.
Prendergast, V., Kleimanb, C., & Kinga, M. (2013). The Bedside Oral Exam and the Barrow Oral Care Protocol: translating evidence-based oral care into practice. Intensive Crit Care Nurs, 29(5), 282-90.
Quintanilha, R. M. C., Pereira, M. R. R., Oliveira, S. P, Ragon C. S. T, Agostini M., Júnior A. S et al (2020). Oral health status of patients in intensive care unit: a cross-sectional study. Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal), 4(3), 25-31. https://doi.org/10.29327/24816.4.3-5.
Rodrigues, A. L. S., Malachias, R.C., & Pacheco C. M. D. (2017). The importance of oral health in hospitalized patients: a review. Rev. Odontol. Univ. Cid., 29 (3), 243-248.
Spezzia, S. (2019). Desordens neurológicas, autocuidado e doenças periodontais. Braz J Periodontol, 29(2):15-21.
Steffens, J. P., & Marcantonio, R. A. C. (2018). Classification of Periodontal and Peri ‑ implant Diseases and Conditions 2018: Practical guide and Key Points. Dentistry journal of UNESP / Universidade Estadual Paulista (UNESP), 47 (4): 189-197. 10.1590 / 1807-2577.04704.
Wachtel T. L (1985). Epidemiology, classification, initial care, and administrative considerations for critically burned patients. Crit Care Clin,1(1):3-26.
World health organization (2009). WHO Guidelines on Hand Hygiene in Health Care. WHO Library Cataloguing.
Yurdanur, D., & Yagmur, F. A (2016). Recent View and Evidence-Based Approach to Oral Care of Intensive Care Patient. International Journal of Caring Sciences, 9(2):1177-1185.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Maria Patrícia Rogério de Mendonça; Ana Karisse de Carvalho Andrade; Manoel de Jesus Rodrigues Mello; Clarice Maia Soares de Alcântara Pinto; Paulo Goberlânio de Barros Silva; Abrahão Cavalcante Gomes de Souza Carvalho
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
