Effect of a collaborative transdisciplinary team approach on oral health status in acute stroke patients

2019 ◽  
Vol 46 (12) ◽  
pp. 1170-1176 ◽  
Author(s):  
Michiyo Obana ◽  
Junichi Furuya ◽  
Chiaki Matsubara ◽  
Haruka Tohara ◽  
Motoki Inaji ◽  
...  
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Acute Stroke ◽  
Oral Health Status ◽  
Team Approach ◽  
Stroke Patients

scholarly journals Comprehensive Evaluation of the Oral Health Status, Salivary Gland Function, and Oxidative Stress in the Saliva of Patients with Subacute Phase of Stroke: A Case-Control Study

2020 ◽  
Vol 9 (7) ◽  
pp. 2252 ◽  
Author(s):  
Piotr Gerreth ◽  
Mateusz Maciejczyk ◽  
Anna Zalewska ◽  
Karolina Gerreth ◽  
Katarzyna Hojan
Keyword(s):  
Salivary Gland ◽  
Health Status ◽  
Oral Health ◽  
Oxidative Damage ◽  
Oral Health Status ◽  
Study Group ◽  
Lipid Hydroperoxides ◽  
Stroke Patients ◽  
Subacute Phase ◽  
Oxidative Damage To Proteins

This is the first study to assess, comprehensively, the oral health status; salivary glands’ function and enzymatic and non-enzymatic antioxidant defense; and oxidative damage to proteins and lipids in the non-stimulated (NWS) and stimulated (SWS) whole saliva of stroke patients. The study included 30 patients in the subacute phase of the stroke and an age and gender-matched control group. We showed that the activity of antioxidant enzymes (catalase and salivary peroxidase) was significantly higher in both NWS and SWS of stroke patients, similarly to uric acid concentration. However, in the study group, the reduced glutathione (GSH) concentration in SWS decreased. The contents of protein glycooxidation products (advanced glycation end products (AGE) and protein oxidation products (AOPP)) and lipid hydroperoxides were significantly higher in NWS and SWS of stroke patients. In the study group there was also a decrease in stimulated saliva secretion and total protein content. Interestingly, products of protein and lipid oxidation correlate negatively with SWS flow. The ROC analysis showed that salivary GSH with 100% specificity and 100% sensitivity differentiates the analyzed groups (AUC = 1.0). To sum up, in subacute stroke patients there are redox imbalances and oxidative damage to proteins and lipids in non-stimulated and stimulated saliva. Stroke patients also suffer from salivary gland dysfunction.

scholarly journals Is an Oral Health Status a Predictor of Functional Improvement in Ischemic Stroke Patients Undergoing Comprehensive Rehabilitation Treatment?

2021 ◽  
Vol 11 (3) ◽  
pp. 338
Author(s):  
Piotr Gerreth ◽  
Karolina Gerreth ◽  
Mateusz Maciejczyk ◽  
Anna Zalewska ◽  
Katarzyna Hojan
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Functional Independence ◽  
Oral Health Status ◽  
World Health ◽  
Functional Improvement ◽  
Patient Specific ◽  
Stroke Patients ◽  
Rehabilitation Team ◽  
Comprehensive Rehabilitation

The study’s aim was a clinical observation concerning the influence of oral health on functional status in stroke patients undergoing neurorehabilitation. This pilot cross-sectional clinical study was performed in 60 subacute phase stroke patients during 12 weeks of treatment. The program was patient-specific and consisted of neurodevelopmental treatment by a comprehensive rehabilitation team. The functional assessment was performed using the Barthel index (BI), Berg balance scale (BBS), functional independence measure (FIM), and Addenbrooke’s cognitive examination III (ACE III) scales. Oral health was assessed according to World Health Organization (WHO) criteria, and it was presented using DMFT, DMFS, gingival index (GI), and plaque index (PlI). Significant improvement in many functional scales was noticed. However, important differences in most dental parameters without relevant changes in GI and PlI after the study were not observed. Reverse interdependence (p < 0.05) was shown between physical functioning (BI, FIM, or BBS) with GI and PlI results, and most dental parameters correlated with ACE III. Using multivariate regression analysis, we showed that ACE III and BI are predictive variables for DMFT, just as FIM is for DS (p < 0.05). The present research revealed that poor oral health status in patients after stroke might be associated with inpatient rehabilitation results.

The Oral Health Status of American Indian/Alaska Native Preschool Children: A Crisis in Indian Country

2001 ◽  
Author(s):  
Candace M. Jones ◽  
Kathy Phipps ◽  
Nancy Reifel ◽  
Betty Skipper ◽  
Patrick Blahut
Keyword(s):  
Preschool Children ◽  
Health Status ◽  
Oral Health ◽  
American Indian ◽  
Alaska Native ◽  
Oral Health Status ◽  
Indian Country

Does non-institutionalized elders have a better oral health status compared to institutionalized ones? A systematic review and meta-analysis

2020 ◽  
Vol 25 (6) ◽  
pp. 2177-2192 ◽  
Author(s):  
Ilky Pollansky Silva e Farias ◽  
Simone Alves de Sousa ◽  
Leopoldina de Fátima Dantas de Almeida ◽  
Bianca Marques Santiago ◽  
Antonio Carlos Pereira ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Status ◽  
Oral Health ◽  
Dental Caries ◽  
Meta Analysis ◽  
Oral Health Status ◽  
Cochrane Library ◽  
Caries Experience ◽  
Institutionalized Elderly ◽  
Periodontal Status

Abstract This systematic review compared the oral health status between institutionalized and non-institutionalized elders. The following electronic databases were searched: PubMed (Medline), Scopus, Web of Science, Lilacs and Cochrane Library, in a comprehensive and unrestricted manner. Electronic searches retrieved 1687 articles, which were analyzed with regards to respective eligibility criteria. After reading titles and abstracts, five studies were included and analyzed with respect their methodological quality. Oral status of institutionalized and non-institutionalized elderly was compared through meta-analysis. Included articles involved a cross-sectional design, which investigated 1936 individuals aged 60 years and over, being 999 Institutionalized and 937 non-institutionalized elders. Studies have investigated the prevalence of edentulous individuals, the dental caries experience and the periodontal status. Meta-analysis revealed that institutionalized elderly have greater prevalence of edentulous (OR = 2.28, 95%CI = 1.68-3.07) and higher number of decayed teeth (MD = 0.88, 95%CI = 0.71-1.05) and missed teeth (MD = 4.58, 95%CI = 1.89-7.27). Poor periodontal status did not differ significantly between groups. Compared to non-institutionalized, institutionalized elders have worse dental caries experience.

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