Cargando…

Oral Health Status of Adult Dysphagic Patients That Undergo Endoscopic Gastrostomy for Long Term Enteral Feeding

Background: Endoscopic Gastrostomy (PEG) is required to maintain a feeding route when neurological or cancer dysphagia impact oral intake. This study aimed to evaluate the oral health and oral changes of PEG-patients without oral feeding for three months. Methods: Prospective observational study, wi...

Descripción completa

Detalles Bibliográficos
Autores principales: Lopes, Sara, Tavares, Vitor, Mascarenhas, Paulo, Lopes, Marta, Cardote, Carolina, Godinho, Catarina, Oliveira, Cátia, Santos, Carla Adriana, Oom, Madalena, Grillo-Evangelista, José, Fonseca, Jorge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9028949/
https://www.ncbi.nlm.nih.gov/pubmed/35457695
http://dx.doi.org/10.3390/ijerph19084827
_version_ 1784691754325245952
author Lopes, Sara
Tavares, Vitor
Mascarenhas, Paulo
Lopes, Marta
Cardote, Carolina
Godinho, Catarina
Oliveira, Cátia
Santos, Carla Adriana
Oom, Madalena
Grillo-Evangelista, José
Fonseca, Jorge
author_facet Lopes, Sara
Tavares, Vitor
Mascarenhas, Paulo
Lopes, Marta
Cardote, Carolina
Godinho, Catarina
Oliveira, Cátia
Santos, Carla Adriana
Oom, Madalena
Grillo-Evangelista, José
Fonseca, Jorge
author_sort Lopes, Sara
collection PubMed
description Background: Endoscopic Gastrostomy (PEG) is required to maintain a feeding route when neurological or cancer dysphagia impact oral intake. This study aimed to evaluate the oral health and oral changes of PEG-patients without oral feeding for three months. Methods: Prospective observational study, with a PEG-patients convenience sample. Data were obtained before PEG (T0) and 3 months after gastrostomy (T1). Initial oral hygiene habits were collected through a questionnaire. Intra-oral evaluation was performed using: Plaque Index (IP), Gingival Index (IG), Decayed, Missing and Filled Teeth Index (DMF), Community Periodontal Index (CPI), and Attachment Loss (AL). T0 and T1 were compared to evaluate oral health evolution. Results: Thirty-nine patients aged 65.3 ± 17.4 years were included. Initial (T0) oral health was worse than expectable. Between assessments period, oral indexes suffered a general deterioration with statistical relevance to the DMF. The frequency of deep periodontal pockets and attachment loss remained stable. Conclusions: PEG-patients presented poor oral health and insufficient oral hygiene habits, even before gastrostomy. After three months of PEG feeding, oral health suffered a general deterioration. This outcome was probably associated with the absence of oral feeding activity, which is beneficial to oral homeostasis, and further reduced oral hygiene. Improved oral daily care and dental appointments should become part of the PEG-patients follow-up.
format Online
Article
Text
id pubmed-9028949
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-90289492022-04-23 Oral Health Status of Adult Dysphagic Patients That Undergo Endoscopic Gastrostomy for Long Term Enteral Feeding Lopes, Sara Tavares, Vitor Mascarenhas, Paulo Lopes, Marta Cardote, Carolina Godinho, Catarina Oliveira, Cátia Santos, Carla Adriana Oom, Madalena Grillo-Evangelista, José Fonseca, Jorge Int J Environ Res Public Health Article Background: Endoscopic Gastrostomy (PEG) is required to maintain a feeding route when neurological or cancer dysphagia impact oral intake. This study aimed to evaluate the oral health and oral changes of PEG-patients without oral feeding for three months. Methods: Prospective observational study, with a PEG-patients convenience sample. Data were obtained before PEG (T0) and 3 months after gastrostomy (T1). Initial oral hygiene habits were collected through a questionnaire. Intra-oral evaluation was performed using: Plaque Index (IP), Gingival Index (IG), Decayed, Missing and Filled Teeth Index (DMF), Community Periodontal Index (CPI), and Attachment Loss (AL). T0 and T1 were compared to evaluate oral health evolution. Results: Thirty-nine patients aged 65.3 ± 17.4 years were included. Initial (T0) oral health was worse than expectable. Between assessments period, oral indexes suffered a general deterioration with statistical relevance to the DMF. The frequency of deep periodontal pockets and attachment loss remained stable. Conclusions: PEG-patients presented poor oral health and insufficient oral hygiene habits, even before gastrostomy. After three months of PEG feeding, oral health suffered a general deterioration. This outcome was probably associated with the absence of oral feeding activity, which is beneficial to oral homeostasis, and further reduced oral hygiene. Improved oral daily care and dental appointments should become part of the PEG-patients follow-up. MDPI 2022-04-15 /pmc/articles/PMC9028949/ /pubmed/35457695 http://dx.doi.org/10.3390/ijerph19084827 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lopes, Sara
Tavares, Vitor
Mascarenhas, Paulo
Lopes, Marta
Cardote, Carolina
Godinho, Catarina
Oliveira, Cátia
Santos, Carla Adriana
Oom, Madalena
Grillo-Evangelista, José
Fonseca, Jorge
Oral Health Status of Adult Dysphagic Patients That Undergo Endoscopic Gastrostomy for Long Term Enteral Feeding
title Oral Health Status of Adult Dysphagic Patients That Undergo Endoscopic Gastrostomy for Long Term Enteral Feeding
title_full Oral Health Status of Adult Dysphagic Patients That Undergo Endoscopic Gastrostomy for Long Term Enteral Feeding
title_fullStr Oral Health Status of Adult Dysphagic Patients That Undergo Endoscopic Gastrostomy for Long Term Enteral Feeding
title_full_unstemmed Oral Health Status of Adult Dysphagic Patients That Undergo Endoscopic Gastrostomy for Long Term Enteral Feeding
title_short Oral Health Status of Adult Dysphagic Patients That Undergo Endoscopic Gastrostomy for Long Term Enteral Feeding
title_sort oral health status of adult dysphagic patients that undergo endoscopic gastrostomy for long term enteral feeding
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9028949/
https://www.ncbi.nlm.nih.gov/pubmed/35457695
http://dx.doi.org/10.3390/ijerph19084827
work_keys_str_mv AT lopessara oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding
AT tavaresvitor oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding
AT mascarenhaspaulo oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding
AT lopesmarta oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding
AT cardotecarolina oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding
AT godinhocatarina oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding
AT oliveiracatia oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding
AT santoscarlaadriana oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding
AT oommadalena oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding
AT grilloevangelistajose oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding
AT fonsecajorge oralhealthstatusofadultdysphagicpatientsthatundergoendoscopicgastrostomyforlongtermenteralfeeding