Oral alterations os patients hospitalized in an Intensive Care Unit – Literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i4.40957

Keywords:

Intensive Care Units; Dentists; Oral health; Oral diagnosis.

Abstract

The objective of this article was to carry out a literature review on oral lesions in patients admitted to the Intensive Care Unit (ICU). Scientific articles were selected in the databases: PUBMED and LILACS, written in English or Portuguese, published from 2000 to 2023. Opinion articles and clinical cases were excluded. The terms used for the search were: “intensive care unit”, “COVID-19” AND “oral diagnosis” OR “oral health”. The results describe that patients admitted to the ICU are routinely admitted with a poor oral condition, which can be aggravated during the hospitalization time and contribute to the worsening of the individual's prognosis. Several studies have already demonstrated the importance of oral hygiene in the prevention of nosocomial pneumonia, but few describe the oral condition of patients in the ICU. Among the clinical findings of oral health in ICU patients are accumulation of oral biofilm and tongue coating, periodontal disease, candidiasis, ulcers, dental abscesses and residual roots. The presence of oral lesions in hospitalized patients demonstrates the importance of Hospital Dentistry's role in the prevention, diagnosis and treatment of these lesions, which worsen the patient's quality of life and can be a gateway to secondary infections. In addition, more research is needed to describe the oral alterations of hospitalized patients and their possible correlation with the individual's general health.

References

Albuquerque, B. N., Araújo, M. M., Silva, T. A., Cota, L. O. M., Cortelli, S. C. & Costa, F. O. (2018). Periodontal Condition and immunological aspects of individual hospitalized in the Intensive Care Unit. Braz Dent J, 29 (3), 301-308.

Austríaco-Leite, H. L., Ferreira-Lopes, F ; Alves, M. S. C. S. & Diniz-Souza, L. C. (2018). Avaliação odontológica de pacientes em unidade de terapia intensiva (UTI) pediátrica. Rev Ces Odont, 31 (2), 6-14.

Baeder, F. M., Cabral, G. M. P., Prokopowitsch, I., Araki, A. T., Duarte, D. A. & Santos, M. T. B. R. (2012). Condição Odontológica em Pacientes Internados em Unidade de Terapia Intensiva. Pesq Bras Odontoped Clin Integ, 12 (4), 517-520.

Cabrera, M. A. S., Mesas, A. E., Rossato, L. A. & Andrade, S. M (2007). Fluxo salivar e uso de drogas psicoativas em idosos. Rev Assoc Med Bras, 53 (2), 178-181.

Carrilho-neto, A., De Paula Ramos, S., Sant´ana, A. C. P. & Passanezi, E. (2011). Oral health status among hospitalized patients. Int J Dent Hyg, 9 (8), 21-29.

Carvalho, G. A. O., de Souza, J. R, Câmara, J. V. F., Ribeiro, A. O. P & Pierote, J. J. A. (2020). A importância do Cirurgião-dentista em Unidade de Tratamento Intensivo: revisão de literatura. Research, Society and Development, 9 (8), 107-111.

Cruz, M. K.; Morais, T. M. N & Trevisani, D. M (2014). Clinical assessment of the oral cavity of patients hospitalized in an Intensive Care Unit of an emergency hospital. Rev Bras Ter Int, 26 (4), 379-383.

De Carvalho, L. F. C. S., Kitakawa, D. & Cabral, L. A.G. (2021). Oral lesions of herpes zoster in Covid-19 patients or truly associated to the disease?. Oral Dis, 3 (3), 774-775.

Dennesen, P., Van der Ven, A., Vlasveld, M., Lokker, L., Ramsay, G., Kessels, A., Van den Kejibus, P., Amerongen, A. N. & Veerman, E. (2003). Inadequate salivary flow and poor oral mucosal status in intubated Intensive Care Unit patients. Crit Care Med, 31 (3), 781-786.

dos Santos, J. A., Normando, A. G. C., da Silva, R, L. C., de Paula, R. M., Cembranel, A. C., Santos-Silva, A. R. & Guerra, E. N. S. (2020). Oral mucosal lesions in a COVID-19 patient: New signs or secondary manifestations?. Int J Infect Dis, 97, 326-328.

El-Solh, A.A., Pietrantoni, C., Bhat, A., Okada, A., Zambon, J., Aquilina A. & Berbaty, E. (2004). Colonization of dental plaques: a reservoir of respiratory pathogens for hospital-acquired pneumonia in institutionalized elders. Chest, 126 (5), 1575-1582.

Fitch, J. A, Munro, C. L, Vidro, C. A & Pellegrini, J. M. (1999). Oral care in the adult Intensive Care Unit. Am J Crit Care, 8, 314-318.

Franco, J. B; Camargo, A. R & Peres, M. P. S. M (2020). Cuidados Odontológicos na era do COVID-19: recomendações para procedimentos odontológicos e profissionais. Rev Assoc Paul Cir Dent, 72 (1), 18-21.

Franco, J. B., Ribas, P. F., Valente Júnior, L. A. S., Matias, D. T., Varotto, B. L. R., Hamza, C. R., Araújo, J. F. & de Melo Peres, M. P. S. (2020). Hospital Dentistry and Dental Care for Patients with Special Needs: Dental approach during COVID-19 Pandemic. Braz Dent Sci, 23 (2), 1-9.

Fröhlich, H., Hermann, k., Franke, J., Karimi, A., Täger, T., Cebola, R., Katus, H. A., Zugck, C. & Frankenstein, L. (2016). Periodontitis in chronic heart failure. Tex Heart Inst J, 43 (4), 297-304.

Hein, O.V., Birnbaum, J., Wernecke, K., Konertz, W. & Espiões, C. (2006). Prolonged Intensive Care Unit stay in cardiac surgery: risk factors and long-term-survival. Ann Thorac Surg, 81 (3), 880-885.

Hohlstein, P., Gussen, H., Bartneck, M., Warzecha, K.T., Roderburg, C., Buendgens, L., Trautwein, C., Koch, A. & Tacke, F. (2019). Prognostic relevance of altered lymphocyte subpopulations in critical illness and sepsis. J Clin Med, 8 (3), 353-364.

Holmlund, A.; Lampa, E & Lind, L (2017). Oral health and cardiovascular disease risk in a cohort of periodontitis patients. Atherosclerosis, 262, 101-106.

Iser, B. P. M, Silva, I., Raimundo, V. T, Poleto, M. B., Schuelter-Trevisol, F & Bobinski, F. (2000). Suspected Covid-19 case definition: A narrative review of the most frequent signs and symptoms among confirmed cases. Epidemiol Serv Saúde, 29, (3), 1-11.

Marauf, N., Cal, W., Said, K. N., Dass, H., Diab, H., Chinta, V. R., Hssain, A. A., Nicolau, B., Sanz, M & Tamimi, F. (2021). Association between periodontitis and severity of Covid-19 infection: a case-control study. J Clin Periodontol, 48, (4), 483-491.

Miranda, A., de Paula, R. M., Piau, C. G. B. C.., Costa, P. P & Bezerra, A. C. B. (2016). Oral care practices for patients in Intensive Care Units: a pilot survey. Indian. J Crit Care Med, 20 (5), 267.

Na-Zhu., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., Zhao, X., Huang, B., Shi, W. & Lu, R. (2020). A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med, 382 (8), 727-733.

Paju, S & Scannapieco, F. A (2007). Oral biofilms, periodontitis, and pulmonary infections. Oral dis, 13(6), 508-512.

Pereira, A. S., Shitsuka, D. M., Pereira, F. J., Shitsuka, R. et al. (2018). Metodologia do trabalho científico. [e-book]. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_MetodologiaPesquisa-Cientifica.pdf?sequence=1.

Proctor, G. B (2016). The physiology of salivary secretion. Periodontology 2000, 70 (1), 11-25.

Scalco, J. M., Rechi, M., Poleti, M. L & Fernandes, T. M. F. (2018). Evaluation of knowledge of the oral hygiene protocol by the nursing team of the Intensive Care Unit of two hospitals in Londrina/PR. J Health Sci, 20 (2), 122-124.

Scannapieco, F. A.; Stewart, E. M. & Mylotte, J. M (1992). Colonization of dental plaque by respiratory pathogens in medical intensive care patients. Crit Care Med, 20 (6), 740-745.

Silva, D. H. F., De Camargos, J. H., Rodrigues, J. G., Nogueira, L. S., Azevedo, D. A., Carvalho, M. G. & Pinheiro, M. B. (2020). Impacto of oral hygiene in patients undergoing mechanical ventilation in the Covid-19 pandemic. Ver Assoc Med Bras, 66, (SUPPL2), 96-101.

Stramandinoli, R. T., Souza, P. H. C., Westphalen, F. H., Bisinelli, J.C., Ignácio, S. A., Yurgel, L. S. (2010). Prevalência de candidose bucal em pacientes hospitalizados e avaliação dos fatores de risco. RSBO, 7 (1), 66-72.

Terezakis, E., Needleman, I., Kumar, N., Moles, D & Agudo, E. (2011). The impact of hospitalization on oral health: a systematic review. J Clin Periodontol, 38 (7), 628-636.

Tinoco-Araujo, J.E., Araújo, D. F. G., Barbosa, P. G., Santos, P. S. S. & Medeiros, A. M. C. (2013). Invasive candidiasis and oral manifestations in premature newborns. Einstein, 11 (1), 71-78.

Tuon, F.F., Gavrilko, O., de Almeida, S., Sumi, E. R., Alberto, T., Rocha, J. L. & Rosa, E. A. (2017). Prospective, randomised, controlled study evaluating early modification of oral microbiota following admission to the intensive care unit and oral hygiene with chlorhexidine. J Glob Antimicrob Resist, 8, 159-163.

Zaratkiewicz, S.; Teegardin, C. & Whitney, J.D (2012). Retrospective review of the reduction of oral pressure ulcers in mechanically ventilated patients: a change in practice. Crit Care Nurs Q, 35 (3), 247-254.

Published

12/04/2023

How to Cite

STEINLE, Érika C. .; BRAZ, A. J. S. .; SEIXAS, G. F. .; RAMOS, S. de P. .; CARVALHO, E. J. de A. Oral alterations os patients hospitalized in an Intensive Care Unit – Literature review. Research, Society and Development, [S. l.], v. 12, n. 4, p. e19712440957, 2023. DOI: 10.33448/rsd-v12i4.40957. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40957. Acesso em: 27 nov. 2024.

Issue

Section

Health Sciences