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Query: UMLS:C0038454 (stroke)
 147,016 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This paper reports an evaluation of a residential care practice, which was part of a 'Dysphagia Management' course introduced into a 3-year dental hygiene curriculum in Japan. The clinical practice was performed at a care facility for the elderly people. Dental hygiene interventions, which consisted mainly of professional oral care, were implemented on a client who was bed-bound after suffering from a stroke. As the client had severe tension in muscles around oral cavity, it was difficult for the facility care workers to provide daily oral hygiene care. The goals of the dental hygiene care plan included decreasing tension of oral muscles and reducing periodontal inflammation and halitosis. The dental hygiene interventions were given once a month for 5 months. Evaluation in the fifth month demonstrated relaxation of oral muscles, decrease in plaque accumulation, and improvements in levels of gingival inflammation, indicating the partial achievements of the initial goals. Possibilities for revision of the care plan could call for more active involvement of the facility care workers and client-centered goal setting. This learning experience provided an opportunity for continuing intervention and evaluation of dental hygiene care for the same client. The positive results of our limited interventions further confirmed the importance of professional oral care in organic and functional improvements in oral health for the elderly people.
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PMID:Dental hygiene residential care in a 3-year dental hygiene education programme in Japan: towards dysphagia management based on the dental hygiene process of care. 1761 23

Stroke is a medical emergency and can cause permanent neurological disability and death. Halitosis (bad breath) has been reported in many stroke patients. We speculated that this phenomenon may be present before as well as after a stroke. Moreover, many studies have shown that most of the causes of halitosis are also associated with an increased risk of stroke. Therefore, we hypothesized that the severity of halitosis could be a predictor of stroke. We hope that this hypothesis can be confirmed by further investigations, and that if confirmed it can be used as a tool to monitor disease control and/or early diagnosis and intervention of newly developed diseases related to both halitosis and stroke.
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PMID:Halitosis: could it be a predictor of stroke? 2447 66