Abstract
ABSTRACT Objective: To determine the oral health conditions of the elderly patients hospitalized and restricted to the bed and to correlate with the development of infections at a distance, especially pneumonia. To verify if the daily follow-up of the dental surgeon improves oral health and reduces the occurrence of respiratory infection in hospitalized elderly patients. Methods: Quasi-experimental study with hospitalized and bed restricted elderly, two simple randomized groups, one group was evaluated and monitored daily by the dental surgeon, the other group was evaluated and received guidance on health care and oral hygiene and of dental prostheses. Results: Both groups presented poor health and oral hygiene and prosthetic conditions. There was improvement in the oral health conditions of both groups. Seven percent of the patients developed pneumonia during the period of hospital stay and the oral health of these patients were considered regular or bad. Conclusion: The performance of the dental surgeon promoted improvements in the oral health of both groups in the first evaluation, with no statistical difference between the group that received daily follow-up and the group that received guidelines, so it was concluded that oral health care should be a behavior of the team multidisciplinary, dentistry should intervene if the changes interfere in the clinical condition of the patient and offer training and support to the multidisciplinary team that is in the first line of care with hospitalized patients.
Highlights
Respiratory diseases are responsible for significant morbidity and mortality in population [1,2,3]
Health institutions committed to comprehensive care to inpatients must be attentive to the oral health conditions, which constitutes an integral part of overall health
The role of the surgeon-dentist promoted improvements in oral health of patients, with no statistical difference between the group that received daily tracking and guidance group, showing that the guidelines and basic oral health care can be assigned to a multidisciplinary team
Summary
Respiratory diseases are responsible for significant morbidity and mortality in population [1,2,3]. The upper respiratory tract are in intimate contact with the oral cavity through the oropharynx. The saliva is responsible for the cleaning and protection of teeth and oral mucosa, and helps maintain the balance of the oral flora This balance can be upset quickly when the lack of oral hygiene promotes the accumulation of bacterial biofilm and periodontal disease, causing contamination of the oropharynx and spread to other sites, especially When the natural defense mechanisms are disturbed. This situation is common in the elderly, especially when they lose autonomy to the self-care [1,2]
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