scholarly journals Professional oral health care reduces the duration of hospital stay in patients undergoing orthognathic surgery

2015 ◽  
Vol 4 (1) ◽  
pp. 55-58 ◽  
Author(s):  
HIDEO SHIGEISHI ◽  
MOHAMMAD ZESHAAN RAHMAN ◽  
KOUJI OHTA ◽  
SHIGEHIRO ONO ◽  
MASARU SUGIYAMA ◽  
...  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Nina Beker ◽  
Claar D. van der Maarel-Wierink ◽  
Cees de Baat ◽  
Henne Holstege

Abstract Background Due to improved healthcare, more people reach extreme ages. Oral health in the oldest-old has thus far been poorly described. Here, we investigated self-reported oral health factors, use of professional oral health care, and associations with clinical measures in centenarians considered cognitively healthy. Methods In this observational cohort study, we included 162 (74% female) centenarians from the Dutch 100-plus Study cohort who self-reported to be cognitively healthy, as confirmed by a proxy. Centenarians were questioned about their physical well-being including medication use and their cognitive functioning was evaluated using the Mini-Mental State Examination. Questions regarding oral health included preservation of teeth, oral pain or discomfort, chewing ability, xerostomia, and time since last visit to an oral health care provider. Associations between oral health and clinical measures were investigated with ordinal logistic or linear regression analyses, adjusted for gender, age, and education. Results The majority of the centenarians indicated to have good oral health: 76% felt no oral pain/discomfort, 65% indicated to chew well; while only 18% had symptoms of xerostomia. Of all centenarians, 83% were edentulous and were wearing removable complete maxillary and mandibular dental prostheses, 1% was edentulous with no dental prosthesis, while 16% was dentate with or without removable partial dental prostheses (10 and 6% respectively). Dentate and edentulous centenarians experienced similar levels of oral pain and/or discomfort, chewing ability, xerostomia, and their cognitive functioning was similar. No relationship between cognitive functioning and chewing ability was found. Xerostomia was associated with medication use (p = .001), which mostly regarded medications for cardiovascular diseases, diuretics, anti-coagulants, and antacids. Only 18% of the centenarians visited an oral health care provider during the year prior to the interview, of whom 48% were dentate centenarians. Notably, 49% of the centenarians had not visited an oral health care provider for ≥10 years. Conclusions Most centenarians were edentulous and did not report oral complaints. Less than one-fifth of the centenarians continued to seek regular professional oral health care. Since the proportion of dentates in the oldest-old will increase in the near future, a proactive attitude toward this group is necessary.


2008 ◽  
Vol 87 (6) ◽  
pp. 594-598 ◽  
Author(s):  
A. Ishikawa ◽  
T. Yoneyama ◽  
K. Hirota ◽  
Y. Miyake ◽  
K. Miyatake

Silent aspiration of oropharyngeal pathogenic organisms is a significant risk factor causing pneumonia in the elderly. We hypothesized that regular oral hygiene care will affect the presence of oropharyngeal bacteria. Professional cleaning of the oral cavity and/or the gargling of a disinfectant liquid solution was performed over a five-month period in three facilities for the dependent elderly. Total oropharyngeal bacteria, streptococci, staphylococci, Candida, Pseudomonas, and black-pigmented Bacteroides species were monitored. The levels of these oropharyngeal bacteria decreased or disappeared after weekly professional oral health care, i.e., cleaning of teeth, dentures, tongue, and oral mucous membrane by dental hygienists. After lunch, gargling with povidone iodine was shown to be less effective than professional oral care. These findings indicate that weekly professional mechanical cleaning of the oral cavity, rather than a daily chemical disinfection of the mouth, can be an important strategy to prevent aspiration pneumonia in the dependent elderly.


2014 ◽  
Vol 22 (11) ◽  
pp. 2935-2940 ◽  
Author(s):  
Hirokazu Saito ◽  
Yutaka Watanabe ◽  
Kazumichi Sato ◽  
Hiroaki Ikawa ◽  
Yoshifumi Yoshida ◽  
...  

2007 ◽  
Vol 6 (4) ◽  
pp. 225-231
Author(s):  
Asako Tamaki ◽  
Kayoko Ito ◽  
Akira Toyosato ◽  
Shuichi Nomura

1997 ◽  
Vol 34 (2) ◽  
pp. 125-129 ◽  
Author(s):  
Katsuhiko Hirota ◽  
Takeyoshi Yoneyama ◽  
Masako Ota ◽  
Kenji Hashimoto ◽  
Yoichiro Miyake

2020 ◽  
pp. 175045892093977
Author(s):  
Shinichi Nozaki ◽  
Yasuhiko Tsutsumi ◽  
Yoshito Takasaki ◽  
Hiromasa Yoshikawa ◽  
Toshiaki Shinya ◽  
...  

This study was a prospective, multicentre, cohort study on 685 patients who had undergone oncologic surgery. The patients were divided into two groups according to the presence or absence of postoperative pneumonia. The two groups were compared with respect to their background, index operation, food eaten, oral condition, contents of oral care and dental treatment, laboratory data, and bacterial flora. All postoperative pneumonias occurred in six cases within four days postoperatively. The multivariable logistic regression analysis showed that preoperative serum C-reactive protein was the strongest predictor of postoperative pneumonia. In addition, decreased postoperative Candida albicans colonies was an effective predictor of postoperative pneumonia. For patients with predictors of postoperative pneumonia, perioperative strategies for its prevention should be considered in addition to professional oral health care. This study was approved by the National Hospital Organization’s Central Ethics Review Board and was also approved by the directors of the participating institutions.


Sign in / Sign up

Export Citation Format

Share Document