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Oral health status of adult dysphagic patients that undergo endoscopic gastrostomy for long term enteral feeding

2022Journal article Open access
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dc.contributor.authorLopes, Sara
dc.contributor.authorTavares, Vitor
dc.contributor.authorMascarenhas, Paulo
dc.contributor.authorLopes, Marta
dc.contributor.authorCardote, Carolina
dc.contributor.authorGodinho, Catarina
dc.contributor.authorOliveira, Cátia
dc.contributor.authorSantos, Carla Adriana
dc.contributor.authorOom, Madalena
dc.contributor.authorGrillo-Evangelista, José
dc.contributor.authorFonseca, Jorge
dc.date.accessioned2022-05-11T12:37:51Z
dc.date.available2022-05-11T12:37:51Z
dc.date.issued2022
dc.description.abstractBackground: 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.pt_PT
dc.description.abstractMethods: 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.pt_PT
dc.description.abstractResults: 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.pt_PT
dc.description.abstractConclusions: 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationLopes S, Tavares V, Mascarenhas P, Lopes M, Cardote C, Godinho C, Oliveira C, Santos CA, Oom M, Grillo-Evangelista J, Fonseca J. Oral Health Status of Adult Dysphagic Patients That Undergo Endoscopic Gastrostomy for Long Term Enteral Feeding. International Journal of Environmental Research and Public Health. 2022; 19(8):4827. https://doi.org/10.3390/ijerph19084827pt_PT
dc.identifier.doi10.3390/ijerph19084827pt_PT
dc.identifier.issn1660-4601
dc.identifier.urihttp://hdl.handle.net/10400.26/40503
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://doi.org/10.3390/ijerph19084827pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectDysphagiapt_PT
dc.subjectEnteral feedingpt_PT
dc.subjectPercutaneous endoscopic gastrostomypt_PT
dc.subjectOral healthpt_PT
dc.titleOral health status of adult dysphagic patients that undergo endoscopic gastrostomy for long term enteral feedingpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage4827pt_PT
oaire.citation.titleInternational Journal of Environmental Research and Public Healthpt_PT
oaire.citation.volume19(8)pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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