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Oral care post stroke: a scoping review
1Aging, Rehabilitation and Geriatric Care, Lawson Health Research Institute, St. Joseph's Parkwood Hospital, London, ON, Canada.
Journal of Oral Rehabilitation
|September 23, 2014
Summary
Oral health care (OHC) is crucial post-stroke but challenging due to physical and cognitive deficits. This review highlights limited specialized OHC, inadequate professional knowledge, and the need for better education and protocols for stroke survivors.
Area of Science:
- Neuroscience
- Public Health
- Gerontology
Background:
- Post-stroke health issues can stem from or worsen with neglected oral health care (OHC).
- Physical impairments (hemiparesis, hemiplegia) and cognitive deficits complicate OHC for stroke survivors.
Purpose of the Study:
- To conduct a scoping review and summarize the current knowledge on oral health care (OHC) in the stroke population.
- Identify gaps in research, practice, and education regarding OHC for individuals post-stroke.
Main Methods:
- A comprehensive literature search was performed across multiple databases (MEDLINE, CINAHL, EMBASE).
- Keywords included "oral health," "dental care," "stroke," and related terms.
- Included English articles from 1970-2013 focusing on OHC in stroke patients, with clinical trials requiring ≥50% stroke participants.
Main Results:
- Sixty articles were included, focusing on OHC importance, current research, and practice.
- Key OHC concerns include mastication, dysphagia, nutrition, hygiene, prostheses, and quality of life.
- Limited specialized care, assessment tools, guidelines, and protocols exist for stroke-related OHC.
Conclusions:
- There is a significant need for specialized OHC interventions and tailored protocols for stroke survivors.
- Inadequate knowledge among dental professionals and nurses necessitates improved education for healthcare providers, patients, and caregivers.
- Enhancing OHC for stroke patients is vital for improving their overall health outcomes and quality of life.
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