TY - JOUR

T1 - Oral health

T2 - something to worry about in individuals with acquired brain injury?

AU - Kothari, Simple F.

AU - Nascimento, Gustavo G.

AU - Jakobsen, Mille Bugslag

AU - Nielsen, Jørgen Feldbæk

AU - Kothari, Mohit

PY - 2020

Y1 - 2020

N2 - Objectives: To investigate the oral health status in patients with acquired brain injury (ABI) admitted at neurorehabilitation setting. Methods: 132 individuals with ABI were examined within their first week of admission. Individuals’ socio-behavioral history, length of stay in acute care etc. were recorded. Comprehensive clinical oral examination consisting of acute conditions [dental plaque, bleeding on probing (BOP)] and chronic conditions [periodontal status, tooth loss] were recorded. Results: The average length of stay in acute care was 41 days before admission at neurorehabilitation. It was observed that 42% and 50% of the patients with ABI had visible plaque and active BOP in >60% of all examined sites respectively. All patients suffered from periodontitis and 74% had severe periodontitis (Stage III), indicating a chronic inflammatory destruction of the supporting tissues. Each participant had at least two decayed teeth, five filled and five extracted teeth. Conclusions: Presence of dental plaque and BOP, an acute condition, speculates that poor oral health worsened while patients were at acute care setting. Majority of individuals had severe periodontitis indicating chronic poor oral health. Thus, indicating the need of not only planning treatment strategies while hospitalization but also uplifting the prevention of oral diseases much earlier in life.

AB - Objectives: To investigate the oral health status in patients with acquired brain injury (ABI) admitted at neurorehabilitation setting. Methods: 132 individuals with ABI were examined within their first week of admission. Individuals’ socio-behavioral history, length of stay in acute care etc. were recorded. Comprehensive clinical oral examination consisting of acute conditions [dental plaque, bleeding on probing (BOP)] and chronic conditions [periodontal status, tooth loss] were recorded. Results: The average length of stay in acute care was 41 days before admission at neurorehabilitation. It was observed that 42% and 50% of the patients with ABI had visible plaque and active BOP in >60% of all examined sites respectively. All patients suffered from periodontitis and 74% had severe periodontitis (Stage III), indicating a chronic inflammatory destruction of the supporting tissues. Each participant had at least two decayed teeth, five filled and five extracted teeth. Conclusions: Presence of dental plaque and BOP, an acute condition, speculates that poor oral health worsened while patients were at acute care setting. Majority of individuals had severe periodontitis indicating chronic poor oral health. Thus, indicating the need of not only planning treatment strategies while hospitalization but also uplifting the prevention of oral diseases much earlier in life.

KW - Acquired brain injury

KW - Hospitalization

KW - Neurorehabilitation

KW - Oral health

KW - periodontitis

KW - stroke

KW - hospitalization

KW - oral health

KW - neuro-rehabilitation

KW - DYSPHAGIA

KW - RISK-FACTORS

KW - PREVALENCE

KW - CARE

KW - PERIODONTITIS

KW - STROKE RISK

KW - ASSOCIATION

UR - http://www.scopus.com/inward/record.url?scp=85088529825&partnerID=8YFLogxK

U2 - 10.1080/02699052.2020.1795720

DO - 10.1080/02699052.2020.1795720

M3 - Journal article

C2 - 32703052

VL - 34

SP - 1264

EP - 1269

JO - Brain Injury

JF - Brain Injury

SN - 0269-9052

IS - 9

ER -