The Impact of Systematic Oral Care on Oral Health Status in Patients of Intensive Care Units

Background: Oral infections can be a potential source of infection resulting in a variety of systemic diseases, especially in intubated patients in an Intensive Care Unit (ICU). Endotracheal tube (ETT) of the intubated patient’s mouth can be an entry point and place of bacteria colonization that causes ventilator-associated pneumonia which is one of the causes of the patient’s death in ICU. Nurses as caregivers have an important role in providing oral care intervention to maintain oral health and prevent the infection.Objective: This study aimed to analyze the effect of oral care intervention on oral health status of intubated patients in the ICU. Methods: This was a pre-experimental study with one group pre-test post-test design. A consecutive sampling was used to select 18 intubated patients in the ICU of Al Islam hospital in Bandung. Oral health status was evaluated by Beck Oral Assessment Scale (BOAS). Descriptive analysis was used for the univariate analysis and t-test was used for bivariate analysis. Results: The results showed that oral health scores before and after intervention were 11.94 and 13.28 (p=.004). The BOAS subscales had a significant worsening of the lips, gingiva, oral mucosa and saliva (p<.05), while there was an improvement in teeth subscale after oral care intervention (p<.001).Conclusion: The results suggested that the oral health status of intubated patients had worsened, despite routinely oral care intervention using chlorhexidine gluconate. Mucosa care may become an essential part of the oral care intervention for intubated patients. Therefore, additional topical agent is needed to maintain the moisture of the mucosal membrane, so that the oral health status of intubated patients will be better.

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The impact of coronavirus lockdown on oral healthcare and its associated issues of pre-schoolers in China: an online cross-sectional survey

BMC Oral Health ◽

10.1186/s12903-021-01410-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Chang Liu ◽

Shuang Zhang ◽

Chenzheng Zhang ◽

Baojun Tai ◽

Han Jiang ◽

...

Keyword(s):

Preschool Children ◽

Health Status ◽

Oral Health ◽

Online Survey ◽

Oral Health Status ◽

Cross Sectional Survey ◽

Wuhan City ◽

The Future ◽

The Impact ◽

Children’S Oral Health

Abstract Background The sudden outbreak of coronavirus disease (COVID-19) epidemic influenced people’s daily life. During lockdown of Wuhan city, the oral health and its associated issues of preschool children were investigated and guidance for dental clinics when the epidemic were controlled in the future were also provided. Methods A national online survey was conducted among preschool children and completed by their caregivers. The questionnaire related to children’s oral health status and care behaviour, caregivers' attitudes. The information was statistically analyzed between Wuhan residents and others residents. Results 4495 valid questionnaires were collected. In oral health status, during Wuhan lockdown, 60.8%, 35.5% and 18.3% children had self-reported dental caries, toothache and halitosis respectively. In oral health attitudes, respondents who would increase attention to oral health was more than that would decrease. In oral hygiene behaviour, compared to non-Wuhan children, the children in Wuhan became more active in brushing their teeth. In utilization of dental services in the future, less Wuhan residents would choose to have dental visit directly, 28.5% Wuhan residents and 34.7% non-Wuhan residents agreed all of procedures could be done if proper protected. Conclusions Oral health status and associated issues of preschool children in Wuhan were significantly different from that of others during lockdown of Wuhan city and in the future. Effective measures should be taken as early as possible to protect children's oral health.

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Assessment of the oral health status of visually impaired students after oral care instructions given to them.

Journal of Indian Dental Association ◽

10.33882/jida.13.24915 ◽

2019 ◽

Author(s):

Bhakti Datar ◽

Amit Kumar ◽

Bhumika Badiyani

Keyword(s):

Health Status ◽

Oral Health ◽

Visually Impaired ◽

Dental Treatment ◽

Statistical Significance ◽

Oral Care ◽

Oral Health Status ◽

Tooth Brushing ◽

Dental Examination ◽

Visually Impaired Students

Good oral care and adapting to proper tooth brushing technique can be a difficult task for the visually impaired individuals. Unlike the normal individuals, visually impaired ones cannot suspect the early dental problem in their oral cavity till it is symptomatic simply because they cannot visualize the intricacies of it. Hence, assessment of the oral health status in the visually impaired individuals and teaching them preventive oral care are extremely important for them. Objective: The study was undertaken to compare and assess the oral health status of the visually impaired students before and after giving them oral care instructions. Materials and Methods: A group of 120 visually impaired students was selected. They were subjected to simple dental examination and were given oral care instructions verbally. Proper tooth-brushing technique was taught to them individually. The subjects were evaluated as per the need of dental restorations, extractions, orthodontic treatment, oral prophylaxis and good dentition subjects needing no dental treatment. The same subjects were re-evaluated after four months under similar guidelines. The data collected from both the phases of dental examination was compared and subjected to analysis. Results: The present study did not show much of improvement of statistical significance though it did not show much of worsening in the oral health status of the visually impaired subjects as well. Summary and conclusion: The study emphasizes the serious need for repetitive and collective efforts with multi-dimensional cross-involvement for the better oral health status of the visually impaired individuals in the society. Key Words: Visually impaired, oral health, instructions, tooth-brushing technique.

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The Impact of Dental Neglect on Oral Health Among 16-30-Year-Olds in Dhulikhel, Kavrepalanchok, Nepal

Journal of Nepalese Society of Periodontology and Oral Implantology ◽

10.3126/jnspoi.v5i1.38192 ◽

2021 ◽

Vol 5 (1) ◽

pp. 45-48

Author(s):

Swagat Kumar Mahanta ◽

Manoj Humagain ◽

Chandan Upadhyaya ◽

Dilip Prajapati ◽

Ritesh Srii

Keyword(s):

Health Promotion ◽

Health Status ◽

Oral Health ◽

Oral Hygiene ◽

Health Status Disparities ◽

Sampling Technique ◽

Oral Health Status ◽

Cross Sectional ◽

The Impact ◽

Dental Neglect

Introduction: Oral health status is linked to oral health behaviour and dental neglect can be an important parameter for assessment of oral health status. Such evaluation will help in providing and planning appropriate health promotion activities to target population. Objective: To assess socio-demographic variations in Dental Neglect (DN) and to determine the association between DN and oral health. Methods: Analytical cross-sectional study done at dental hospital in Dhulikhel from September-November 2020. A sample of 327 aged 16-30 years were selected by convenience sampling technique. Demographic details along with DN were collected through the DN questionnaire. Both self-reported oral health and oral health status were assessed. Oral health status was determined by using the Oral Hygiene Index-simplified (OHI-S) and the Decayed Missing Filled index (DMFT). Results: Majority 170 (52%) of the sample were from high DN group. A total of 187 (57.2%) of the participants rated their oral health status as all right. Higher number of participants were seen in the fair group of oral hygiene status. Significant correlations were found between education and OHI-S scores. Mean DMFT score was 3.6±1.6 which had higher mean Decayed (D) component as compared to the Missing (M) and Filled (F) components in the index. Conclusion: Dental neglect is present among the study population and is associated with self-reported oral health status. Disparities were observed between the socio-demographic variables and DN. The DN Scale can be used in dental health promotion and also in evaluation of health promotion interventions.

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THE LINK BETWEEN ORAL HEALTH AND DIABETES COMPLICATIONS

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v5i8.2073 ◽

2021 ◽

Vol 5 (8) ◽

Author(s):

Khaled Hassan

Keyword(s):

Health Status ◽

Oral Health ◽

Diabetes Complications ◽

Dental Health ◽

Canadian Community Health Survey ◽

Oral Health Status ◽

Multinomial Regression ◽

Community Health Survey ◽

The Impact ◽

Chronic Problem

Background: Although oral health is linked to diabetes, the likelihood of developing acute or chronic diabetic issues as a result of this link remains unknown in Ontario, Canada's most populous province. The impact of self-reported dental health on the chance of developing acute and chronic problems in a group of previously diagnosed diabetics is investigated in this study. Methodology: Diabetics (n = 5183) who took part in the Canadian Community Health Survey in 2003 and 2007–08 were studied retrospectively. Until March 31, 2016, self-reported oral health status was connected to health interactions in electronic medical records. After self-reporting oral health status, multinomial regression models were used to assess the likelihood of the first acute or chronic problem. Keywords: Population health, Acute, Oral health, diabetes complications, periodontal disease, Chronic.

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Evaluation of Oral Health Status and Oral Care of Patients with Rheumatoid Arthritis

International Journal of Dentistry ◽

10.1155/2020/8896766 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Małgorzata Radwan-Oczko ◽

Irena Duś-Ilnicka ◽

Pamela Richards ◽

Anna Marie Thomsen ◽

Claus Rasmussen

Keyword(s):

Rheumatoid Arthritis ◽

Health Status ◽

Oral Health ◽

Oral Cavity ◽

Mutual Influence ◽

Oral Care ◽

Oral Health Status ◽

Gingival Bleeding ◽

Periodontal Infection ◽

Two Factors

Objective. Rheumatoid arthritis (RA) and periodontal disease (PD) are common chronic, immunoinflammatory, destructive, and progressive diseases; however, the correlations between those two are not yet widely discussed. The purpose of this study was to evaluate the relationship between the selected demographic and clinical parameters of RA patients and oral health status parameters, on the basis of self-assessment. Materials and Methods. Three hundred patients under treatment were included in the study. Questionnaires were completed by 164 out of 300 patients. Results. A total of 100 females and 64 males took part in the study, with a mean age of 65 ± 11.1 years. In younger patients, the disease activity score (DAS28) was higher, and it was associated with pain or discomfort in the oral cavity and with difficulties in toothbrushing. Discomfort or pain in the oral cavity was to a significant extent associated with the poor gingival state, gingival bleeding, and difficulties in biting or chewing. Conclusions. In RA patients, difficulties in biting or chewing, discomfort or pain in oral cavity, feeling of the presence of movable teeth, and gingival bleeding are indications of periodontal infection. Maintaining awareness of oral health and RA is a key issue in the simultaneous management of proper oral care and RA due to the mutual influence of those two factors.

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