The Effect of Professional Oral Care on the Oral Health Status of Critical Trauma Patients Using Ventilators

Ma-I Choi, Sun-Young Han, Hyun-Sun Jeon, Eun-Sil Choi, Seung-Eun Won, Ye-Ji Lee, Chi-Yun Baek and So-Jung Mun
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Ma-I Choi: Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju 26493, Korea
Sun-Young Han: Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju 26493, Korea
Hyun-Sun Jeon: Department of Dental Hygiene, Yeoju Institute of Technology, Yeoju 12652, Korea
Eun-Sil Choi: Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju 26493, Korea
Seung-Eun Won: Dental Life Science Research Institute, The Seoul National University Dental Hospital, Seoul 03722, Korea
Ye-Ji Lee: Dental Hygiene, NYU College of Dentistry, 345 E. 24th Street, New York, NY 10010, USA
Chi-Yun Baek: Department of Nursing, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju 26426, Korea
So-Jung Mun: Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju 26493, Korea

IJERPH, 2022, vol. 19, issue 10, 1-10

Abstract: Background: Oral care reduces the incidence of ventilator-associated pneumonia. In addition, it is important that critically ill patients to maintain their oral health in order to restore their quality of life and to receive adequate nutrition after recovery. Objective: The purpose of this study was to evaluate the effect of professional oral hygiene care (POHC) on the oral health status of patients using a ventilator. Methods: Fifty-seven ventilated trauma patients were admitted to a tertiary medical institution. For 5 days, the dental hygienist performed POHC every 24 h along with routine oral hygiene care (ROHC) every 8 h for the experimental group (Exp.) ( n = 29), whereas only ROHC was provided the control group (Cont.) ( n = 28). Oral health status was evaluated using a modified bedside oral exam (MBOE). Results: There was no significant difference between the two groups in the total MBOE score up to 48 h after admission. However, the difference between the two groups was significant for MBOE (F = 16.10, p = 0 .000), gingiva (F = 6.02, p = 0.018), buccal mucosa (F = 4.21, p = 0.046), and dental plaque score after 72 h (F = 13.15, p = 0.000). Conclusion: This study confirms the importance of POHC in improving the oral health.

Keywords: critically ill patients; dental hygiene; dental plaque; inpatient; oral health status; oral hygiene care; ventilator-associated pneumonia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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