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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...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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 |
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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 |
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