Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke

Cláudia T Mituuti,1 Vinicius C Bianco,2 Cláudia G Bentim,3 Eduardo C de Andrade,1 José H Rubo,2 Giédre Berretin-Felix1 1Speech Language and Hearing Department, 2Department of Prosthodontics, Bauru School of Dentistry/University of São Paulo, Ba...

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Autores principales:	Mituuti CT, Bianco VC, Bentim CG, de Andrade EC, Rubo JH, Berretin-Felix G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	stroke deglutition deglutition disorders mouth rehabilitation aged prosthodontics Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/b183f5eaf4054329906136a7e2d921ca
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spelling	oai:doaj.org-article:b183f5eaf4054329906136a7e2d921ca2021-12-02T03:38:13ZInfluence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke1178-1998https://doaj.org/article/b183f5eaf4054329906136a7e2d921ca2014-12-01T00:00:00Zhttps://www.dovepress.com/influence-of-oral-health-condition-on-swallowing-and-oral-intake-level-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Cláudia T Mituuti,1 Vinicius C Bianco,2 Cláudia G Bentim,3 Eduardo C de Andrade,1 José H Rubo,2 Giédre Berretin-Felix1 1Speech Language and Hearing Department, 2Department of Prosthodontics, Bauru School of Dentistry/University of São Paulo, Bauru, Brazil; 3SORRI-BAURU, Bauru, Brazil Background: According to the literature, the occurrence of dysphagia is high in cases of stroke, and its severity can be enhanced by loss of teeth and the use of poorly fitting prostheses.Objective: To verify that the status of oral health influences the level of oral intake and the degree of swallowing dysfunction in elderly patients with stroke in chronic phase.Methods: Thirty elderly individuals affected by stroke in chronic phase participated. All subjects underwent assessment of their oral condition, with classification from the Functional Oral Intake Scale (FOIS) and nasoendoscopic swallowing assessment to classify the degree of dysphagia. The statistical analysis examined a heterogeneous group (HG, n=30) and two groups designated by the affected body part, right (RHG, n=8) and left (LHG, n=11), excluding totally dentate or edentulous individuals without rehabilitation with more than one episode of stroke.Results: There was a negative correlation between the need for replacement prostheses and the FOIS scale for the HG (P=0.02) and RHG (P=0.01). Differences in FOIS between types of prostheses of the upper dental arch in the LHG (P=0.01) and lower dental arch in the RHG (P=0.04). A negative correlation was found between the number of teeth present and the degree of dysfunction in swallowing liquid in the LHG (P=0.05). There were differences in the performance in swallowing solids between individuals without prosthesis and those with partial prosthesis in the inferior dental arch (P=0.04) for the HG.Conclusion: The need for replacement prostheses, type of prostheses, and the number of teeth of elderly patients poststroke in chronic phase showed an association with the level of oral intake and the degree of oropharyngeal dysphagia. Keywords: deglutition, mouth rehabilitation, aged, prosthodontics, dysphagia, cerebrovascular disordersMituuti CTBianco VCBentim CGde Andrade ECRubo JHBerretin-Felix GDove Medical Pressarticlestrokedeglutitiondeglutition disordersmouth rehabilitationagedprosthodonticsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 29-35 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	stroke deglutition deglutition disorders mouth rehabilitation aged prosthodontics Geriatrics RC952-954.6
spellingShingle	stroke deglutition deglutition disorders mouth rehabilitation aged prosthodontics Geriatrics RC952-954.6 Mituuti CT Bianco VC Bentim CG de Andrade EC Rubo JH Berretin-Felix G Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke
description	Cláudia T Mituuti,1 Vinicius C Bianco,2 Cláudia G Bentim,3 Eduardo C de Andrade,1 José H Rubo,2 Giédre Berretin-Felix1 1Speech Language and Hearing Department, 2Department of Prosthodontics, Bauru School of Dentistry/University of São Paulo, Bauru, Brazil; 3SORRI-BAURU, Bauru, Brazil Background: According to the literature, the occurrence of dysphagia is high in cases of stroke, and its severity can be enhanced by loss of teeth and the use of poorly fitting prostheses.Objective: To verify that the status of oral health influences the level of oral intake and the degree of swallowing dysfunction in elderly patients with stroke in chronic phase.Methods: Thirty elderly individuals affected by stroke in chronic phase participated. All subjects underwent assessment of their oral condition, with classification from the Functional Oral Intake Scale (FOIS) and nasoendoscopic swallowing assessment to classify the degree of dysphagia. The statistical analysis examined a heterogeneous group (HG, n=30) and two groups designated by the affected body part, right (RHG, n=8) and left (LHG, n=11), excluding totally dentate or edentulous individuals without rehabilitation with more than one episode of stroke.Results: There was a negative correlation between the need for replacement prostheses and the FOIS scale for the HG (P=0.02) and RHG (P=0.01). Differences in FOIS between types of prostheses of the upper dental arch in the LHG (P=0.01) and lower dental arch in the RHG (P=0.04). A negative correlation was found between the number of teeth present and the degree of dysfunction in swallowing liquid in the LHG (P=0.05). There were differences in the performance in swallowing solids between individuals without prosthesis and those with partial prosthesis in the inferior dental arch (P=0.04) for the HG.Conclusion: The need for replacement prostheses, type of prostheses, and the number of teeth of elderly patients poststroke in chronic phase showed an association with the level of oral intake and the degree of oropharyngeal dysphagia. Keywords: deglutition, mouth rehabilitation, aged, prosthodontics, dysphagia, cerebrovascular disorders
format	article
author	Mituuti CT Bianco VC Bentim CG de Andrade EC Rubo JH Berretin-Felix G
author_facet	Mituuti CT Bianco VC Bentim CG de Andrade EC Rubo JH Berretin-Felix G
author_sort	Mituuti CT
title	Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke
title_short	Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke
title_full	Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke
title_fullStr	Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke
title_full_unstemmed	Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke
title_sort	influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/b183f5eaf4054329906136a7e2d921ca
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Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke

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