scholarly journals Professional oral care in end-of-life patients with advanced cancers in a hospice ward: improvement of oral conditions

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Ting-Ying Wu ◽  
Hsiu-Yueh Liu ◽  
Chien-Yi Wu ◽  
Hung-Cheng Chen ◽  
Shun-Te Huang ◽  
...  
Keyword(s):  
Oral Health ◽  
End Of Life ◽  
Assessment Tool ◽  
Oral Care ◽  
Health Assessment ◽  
Oral Infections ◽  
Oral Assessment ◽  
Oral Dryness ◽  
Oral Symptoms ◽  
Oral Conditions

Abstract Background In end-of-life patients with advanced cancers, oral examination, oral care, and oral re-examination are crucial. Although oral symptoms are among the major complaints of end-of-life patients, few studies have focused on oral care in these patients. In this study, the association between oral symptoms and oral dryness among end-of-life patients was examined, and improvement of oral conditions after oral care interventions by a professional dentist was quantified. Methods This prospective intervention study included 27 terminally ill patients with advanced cancers in a hospice ward. Professional oral care was administered every morning, and the improvement of oral conditions was assessed by comparing oral conditions before and after the intervention. Oral assessment was performed using the Oral Health Assessment Tool (OHAT) and Oral Assessment Guide. Oral dryness was evaluated through Clinical Diagnosis Classification of oral dryness and an oral moisture device. Oral cleanliness was evaluated using a bacterial counter, and tongue smears were collected for Candida examination; furthermore, oral function was recorded. Results The presence of oral mucositis was closely associated with severe oral dryness (odds ratio [OR] = 14.93; 95% confidence interval [CI]: 1.95–114.38). The level of oral debris retention was significantly related to the degree of oral dryness (OR = 15.97; 95% CI: 2.06–123.72). The group with higher scores (OHAT > 8), which represent poor oral conditions, showed severe oral dryness (OR = 17.97; 95% CI: 1.45–223.46). Total OHAT scores (median: 7 vs 2) and those of other subgroups (lip, tongue, gums and tissues, saliva, and oral cleanliness showed a significant decrease after the intervention. Furthermore, the occurrence of mucositis (47.1% vs 0%), candidiasis rate (68.8% vs 43.8%), oral dryness self-sensation (63.6% vs 9.1%), and severe oral debris (52.9% vs 11.8%) decreased significantly. Conclusions Proper oral care can improve oral health and hygiene, reduce the rate of mucositis, reduce the sensation of oral dryness, increase oral moisture, and reduce the chances of oral infections among end-of-life patients. Daily oral care is necessary and can alleviate oral discomfort, increase food intake, and increase the chances of communication between end-of-life patients and their families.

scholarly journals Professional oral care in end-of-life patients with advanced cancers in a hospice ward: Improvement of oral conditions

2019 ◽  
Author(s):  
Ting-Ying Wu ◽  
Hsiu-Yueh Liu ◽  
Chien-Yi Wu ◽  
Hung-Cheng Chen ◽  
Shun-Te Huang ◽  
...  
Keyword(s):  
Oral Health ◽  
End Of Life ◽  
Assessment Tool ◽  
Oral Care ◽  
Health Assessment ◽  
Oral Infections ◽  
Oral Assessment ◽  
Oral Dryness ◽  
Oral Symptoms ◽  
Oral Conditions

Abstract Background: In end-of-life patients with advanced cancers, oral examination, oral care, and oral re-examination are crucial. Although oral symptoms are among the major complaints of end-of-life patients, few studies have focused on oral care in these patients. In this study, the association between oral symptoms and oral dryness among end-of-life patients was examined, and improvement of oral conditions after oral care interventions by a professional dentist was quantified. Methods: This prospective intervention study included 27 terminally ill patients with advanced cancers in a hospice ward. Professional oral care was administered every morning, and the improvement of oral conditions was assessed by comparing oral conditions before and after the intervention. Oral assessment was performed using the Oral Health Assessment Tool (OHAT) and Oral Assessment Guide. Oral dryness was evaluated through Clinical Diagnosis Classification of oral dryness and an oral moisture device. Oral cleanliness was evaluated using a bacterial counter, and tongue smears were collected for Candida examination; furthermore, oral function was recorded. Results: The presence of oral mucositis was closely associated with severe oral dryness (odds ratio [OR] = 14.93; 95% confidence interval [CI]: 1.95–114.38). The level of oral debris retention was significantly related to the degree of oral dryness (OR = 15.97; 95% CI: 2.06–123.72). The group with higher scores (OHAT > 8), which represent poor oral conditions, showed severe oral dryness (OR = 17.97; 95% CI: 1.45–223.46). Total OHAT scores (median: 7 vs 2) and those of other subgroups (lip, tongue, gums and tissues, saliva, and oral cleanliness showed a significant decrease after the intervention. Furthermore, the occurrence of mucositis (47.1% vs 0%), candidiasis rate (68.8% vs 43.8%), oral dryness self-sensation (63.6% vs 9.1%), and severe oral debris (52.9% vs 11.8%) decreased significantly. Conclusions: Proper oral care can improve oral health and hygiene, reduce the rate of mucositis, reduce the sensation of oral dryness, increase oral moisture, and reduce the chances of oral infections among end-of-life patients. Daily oral care is necessary and can alleviate oral discomfort, increase food intake, and increase the chances of communication between end-of-life patients and their families.

scholarly journals Professional oral care in end-of-life patients with advanced cancers in a hospice ward: Improvement of oral conditions

2020 ◽  
Author(s):  
Ting-Ying Wu ◽  
Hsiu-Yueh Liu ◽  
Chien-Yi Wu ◽  
Hung-Cheng Chen ◽  
Shun-Te Huang ◽  
...  
Keyword(s):  
Oral Health ◽  
End Of Life ◽  
Assessment Tool ◽  
Oral Care ◽  
Health Assessment ◽  
Oral Infections ◽  
Oral Assessment ◽  
Oral Dryness ◽  
Oral Symptoms ◽  
Oral Conditions

Abstract Background: In end-of-life patients with advanced cancers, oral examination, oral care, and oral re-examination are crucial. Although oral symptoms are among the major complaints of end-of-life patients, few studies have focused on oral care in these patients. In this study, the association between oral symptoms and oral dryness among end-of-life patients was examined, and improvement of oral conditions after oral care interventions by a professional dentist was quantified. Methods: This prospective intervention study included 27 terminally ill patients with advanced cancers in a hospice ward. Professional oral care was administered every morning, and the improvement of oral conditions was assessed by comparing oral conditions before and after the intervention. Oral assessment was performed using the Oral Health Assessment Tool (OHAT) and Oral Assessment Guide. Oral dryness was evaluated through Clinical Diagnosis Classification of oral dryness and an oral moisture device. Oral cleanliness was evaluated using a bacterial counter, and tongue smears were collected for Candida examination; furthermore, oral function was recorded. Results: The presence of oral mucositis was closely associated with severe oral dryness (odds ratio [OR] = 14.93; 95% confidence interval [CI]: 1.95–114.38). The level of oral debris retention was significantly related to the degree of oral dryness (OR = 15.97; 95% CI: 2.06–123.72). The group with higher scores (OHAT > 8), which represent poor oral conditions, showed severe oral dryness (OR = 17.97; 95% CI: 1.45–223.46). Total OHAT scores (median: 7 vs 2) and those of other subgroups (lip, tongue, gums and tissues, saliva, and oral cleanliness showed a significant decrease after the intervention. Furthermore, the occurrence of mucositis (47.1% vs 0%), candidiasis rate (68.8% vs 43.8%), oral dryness self-sensation (63.6% vs 9.1%), and severe oral debris (52.9% vs 11.8%) decreased significantly.Conclusions: Proper oral care can improve oral health and hygiene, reduce the rate of mucositis, reduce the sensation of oral dryness, increase oral moisture, and reduce the chances of oral infections among end-of-life patients. Daily oral care is necessary and can alleviate oral discomfort, increase food intake, and increase the chances of communication between end-of-life patients and their families.

scholarly journals Professional oral care in end-of-life patients with advanced cancers in a hospice ward: Improvement of oral conditions

2020 ◽  
Author(s):  
Ting-Ying Wu ◽  
Hsiu-Yueh Liu ◽  
Chien-Yi Wu ◽  
Hung-Cheng Chen ◽  
Shun-Te Huang ◽  
...  
Keyword(s):  
Oral Health ◽  
End Of Life ◽  
Assessment Tool ◽  
Oral Care ◽  
Health Assessment ◽  
Oral Infections ◽  
Oral Assessment ◽  
Oral Dryness ◽  
Oral Symptoms ◽  
Oral Conditions

Abstract Background: In end-of-life patients with advanced cancers, oral examination, oral care, and oral re-examination are crucial. Although oral symptoms are among the major complaints of end-of-life patients, few studies have focused on oral care in these patients. In this study, the association between oral symptoms and oral dryness among end-of-life patients was examined, and improvement of oral conditions after oral care interventions by a professional dentist was quantified.Methods: This prospective intervention study included 27 terminally ill patients with advanced cancers in a hospice ward. Professional oral care was administered every morning, and the improvement of oral conditions was assessed by comparing oral conditions before and after the intervention. Oral assessment was performed using the Oral Health Assessment Tool (OHAT) and Oral Assessment Guide. Oral dryness was evaluated through Clinical Diagnosis Classification of oral dryness and an oral moisture device. Oral cleanliness was evaluated using a bacterial counter, and tongue smears were collected for Candida examination; furthermore, oral function was recorded.Results: The presence of oral mucositis was closely associated with severe oral dryness (odds ratio [OR] = 14.93; 95% confidence interval [CI]: 1.95–114.38). The level of oral debris retention was significantly related to the degree of oral dryness (OR = 15.97; 95% CI: 2.06–123.72). The group with higher scores (OHAT > 8), which represent poor oral conditions, showed severe oral dryness (OR = 17.97; 95% CI: 1.45–223.46). Total OHAT scores (median: 7 vs 2) and those of other subgroups (lip, tongue, gums and tissues, saliva, and oral cleanliness showed a significant decrease after the intervention. Furthermore, the occurrence of mucositis (47.1% vs 0%), candidiasis rate (68.8% vs 43.8%), oral dryness self-sensation (63.6% vs 9.1%), and severe oral debris (52.9% vs 11.8%) decreased significantly.Conclusions: Proper oral care can improve oral health and hygiene, reduce the rate of mucositis, reduce the sensation of oral dryness, increase oral moisture, and reduce the chances of oral infections among end-of-life patients. Daily oral care is necessary and can alleviate oral discomfort, increase food intake, and increase the chances of communication between end-of-life patients and their families.

Oral Health and Nutrition

2020 ◽  
Author(s):  
Carole. A. Palmer ◽  
Zhangmuge Cheng
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Periodontal Diseases ◽  
Oral Disease ◽  
Oral Diseases ◽  
Oral Infections ◽  
Surgeon General ◽  
Optimal Health ◽  
Health And Disease ◽  
Oral Conditions

Oral diseases are among the most prevalent diseases affecting global health. In his report on the crisis in oral disease in America, the Surgeon General warned that one cannot be truly healthy without oral health. Oral health means freedom from all oral health problems; tooth decay (dental caries), periodontal diseases, tooth loss, oral-facial pain, oral cancer and the effects of its treatment, oral infections, craniofacial birth defects and more. The relationships between oral conditions and systemic health and disease are many and synergistic, and most involve dietary and/or systemic nutritional factors. Diet and nutrition can play important roles in the etiology, prevention, and/or management of oral conditions, as they do in overall health and disease. Today, all health professionals and educators need to be aware of and consider oral issues and their possible diet/nutritional implications as a component of optimal health care and education. This review article provides a brief overview of how diet and nutrition impact and are impacted by oral conditions, and offers general guidelines and resources for providing meaningful interventions throughout the life cycle. This review contains 3 figures, 3 tables, and 57 references Key Words: biofilm, cariogenic, dental caries, dental plaque, ECC-early childhood caries, lactobacillus, mucositis, non-cariogenic, periodontal disease, Streptococcus mutans

scholarly journals Measurement properties of oral health assessments for non-dental healthcare professionals in older people: a systematic review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Babette Everaars ◽  
Linet F. Weening-Verbree ◽  
Katarina Jerković-Ćosić ◽  
Linda Schoonmade ◽  
Nienke Bleijenberg ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Methodological Quality ◽  
Healthcare Professionals ◽  
Assessment Tool ◽  
Quality Criteria ◽  
Measurement Properties ◽  
Measurement Property ◽  
Oral Assessment ◽  
Health Assessments

Abstract Background Regular inspection of the oral cavity is required for prevention, early diagnosis and risk reduction of oral- and general health-related problems. Assessments to inspect the oral cavity have been designed for non-dental healthcare professionals, like nurses. The purpose of this systematic review was to evaluate the content and the measurement properties of oral health assessments for use by non-dental healthcare professionals in assessing older peoples’ oral health, in order to provide recommendations for practice, policy, and research. Methods A systematic search in PubMed, EMBASE.com, and Cinahl (via Ebsco) has been performed. Search terms referring to ‘oral health assessments’, ‘non-dental healthcare professionals’ and ‘older people (60+)’ were used. Two reviewers individually performed title/abstract, and full-text screening for eligibility. The included studies have investigated at least one measurement property (validity/reliability) and were evaluated on their methodological quality using “The Consensus-based Standards for the selection of health Measurement Instruments” (COSMIN) checklist. The measurement properties were then scored using quality criteria (positive/negative/indeterminate). Results Out of 879 hits, 18 studies were included in this review. Five studies showed good methodological quality on at least one measurement property and 14 studies showed poor methodological quality on some of their measurement properties. None of the studies assessed all measurement properties of the COSMIN. In total eight oral health assessments were found: the Revised Oral Assessment Guide (ROAG); the Minimum Data Set (MDS), with oral health component; the Oral Health Assessment Tool (OHAT); The Holistic Reliable Oral Assessment Tool (THROAT); Dental Hygiene Registration (DHR); Mucosal Plaque Score (MPS); The Brief Oral Health Screening Examination (BOHSE) and the Oral Assessment Sheet (OAS). Most frequently assessed items were: lips, mucosa membrane, tongue, gums, teeth, denture, saliva, and oral hygiene. Conclusion Taken into account the scarce evidence of the proposed assessments, the OHAT and ROAG are most complete in their included oral health items and are of best methodological quality in combination with positive quality criteria on their measurement properties. Non-dental healthcare professionals, policymakers and researchers should be aware of the methodological limitations of the available oral health assessments and realize that the quality of the measurement properties remains uncertain.

Development of a German version of the Oral Health Assessment Tool

2019 ◽  
Vol 32 (1) ◽  
pp. 165-172 ◽  
Author(s):  
Anna-Luisa Klotz ◽  
Melania Zajac ◽  
Judith Ehret ◽  
Alexander Jochen Hassel ◽  
Peter Rammelsberg ◽  
...  
Keyword(s):  
Oral Health ◽  
Assessment Tool ◽  
Health Assessment ◽  
German Version

scholarly journals Oral health care for the critically ill: a narrative review

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Lewis Winning ◽  
Fionnuala T. Lundy ◽  
Bronagh Blackwood ◽  
Daniel F. McAuley ◽  
Ikhlas El Karim
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Critically Ill ◽  
Oral Care ◽  
Health Assessment ◽  
Oral Health Care ◽  
Oral Bacteria ◽  
Narrative Review ◽  
Care Plans ◽  
Care Practices

Abstract Background The link between oral bacteria and respiratory infections is well documented. Dental plaque has the potential to be colonized by respiratory pathogens and this, together with microaspiration of oral bacteria, can lead to pneumonia particularly in the elderly and critically ill. The provision of adequate oral care is therefore essential for the maintenance of good oral health and the prevention of respiratory complications. Main body Numerous oral care practices are utilised for intubated patients, with a clear lack of consensus on the best approach for oral care. This narrative review aims to explore the oral-lung connection and discuss in detail current oral care practices to identify shortcomings and offer suggestions for future research. The importance of adequate oral care has been recognised in guideline interventions for the prevention of pneumonia, but practices differ and controversy exists particularly regarding the use of chlorhexidine. The oral health assessment is also an important but often overlooked element of oral care that needs to be considered. Oral care plans should ideally be implemented on the basis of an individual oral health assessment. An oral health assessment prior to provision of oral care should identify patient needs and facilitate targeted oral care interventions. Conclusion Oral health is an important consideration in the management of the critically ill. Studies have suggested benefit in the reduction of respiratory complication such as Ventilator Associated Pneumonia associated with effective oral health care practices. However, at present there is no consensus as to the best way of providing optimal oral health care in the critically ill. Further research is needed to standardise oral health assessment and care practices to enable development of evidenced based personalised oral care for the critically ill.

scholarly journals Herbal Materials Used in Management of Oral Conditions in Nairobi, Kenya

2014 ◽  
Vol 8 (1) ◽  
pp. 36-42 ◽  
Author(s):  
FW Ngari ◽  
RN Wanjau ◽  
EN Njagi ◽  
NK Gikonyo
Keyword(s):  
Oral Health ◽  
Medicinal Plants ◽  
Oral Care ◽  
Care Practice ◽  
Oral Diseases ◽  
Medical Practitioners ◽  
Standard Questionnaire ◽  
Informal Discussion ◽  
Materials Used ◽  
Oral Conditions

ABSTRACT Aim This study was carried out to document the medicinal plants used in management of oral health and diseases by traditional medical practitioners in Nairobi County, Kenya. Methods An ethnomedicinal survey was conducted using a standard questionnaire and informal discussion to collect information from traditional medical practitioners, traders and vendors of medicinal plants used in oral care practice. Results This study identified 35 species from 24 families, commonly used by the traditional medical practitioners in Nairobi to manage oral health and diseases in Nairobi County. Conclusion There are various plants that are used by traditional medical practitioners to manage oral diseases either singly or in combination.

Initial Development of a Self-administered Oral Health Assessment Tool

2018 ◽  
Author(s):  
Emily Yanca ◽  
Margherita Fontana ◽  
John R. Girdwood ◽  
Luke Aiura ◽  
Alison Dickson ◽  
...  
Keyword(s):  
Oral Health ◽  
Assessment Tool ◽  
Health Assessment ◽  
Initial Development

Oral Health Status of the Visually Impaired Children – A South Indian Study

2010 ◽  
Vol 34 (3) ◽  
pp. 213-216 ◽  
Author(s):  
Vabitha Shetty ◽  
Amitha Hegde ◽  
Srikala Bhandary ◽  
Kavita Rai
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Visually Impaired ◽  
Health Assessment ◽  
Oral Health Status ◽  
Caries Experience ◽  
South Indian ◽  
Oral Conditions ◽  
Impaired Children ◽  
Visually Impaired Children

Oral health is an important aspect of health for all children, and is all the more important for children with special health needs. The oral health of children who are visually impaired can be disadvantaged, since they are often unable to adequately apply the techniques necessary to control plaque. Purpose: The purpose of the present study was to evaluate the oral health status of visually impaired children. Method: A modified WHO oral health assessment form was used to assess oral conditions, oral hygiene status, caries experience and gingival status. Results and conclusion: The children exhibited suboptimal levels of oral health with majority of the children showing a high caries prevalence as well as moderate to severe gingivitis.

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