Oral health status of hospitalized amyotrophic lateral sclerosis patients: a single-centre observational study.
Identifieur interne : 000080 ( Main/Exploration ); précédent : 000079; suivant : 000081Oral health status of hospitalized amyotrophic lateral sclerosis patients: a single-centre observational study.
Auteurs : Rena Nakayama [Japon] ; Akira Nishiyama [Japon] ; Chiharu Matsuda [Japon] ; Yuki Nakayama [Japon] ; Chiyoko Hakuta [Japon] ; Masahiko Shimada [Japon]Source :
- Acta odontologica Scandinavica [ 1502-3850 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Caries dentaires (étiologie), Femelle (MeSH), Humains (MeSH), Indice parodontal (MeSH), Japon (MeSH), Mâle (MeSH), Salivation (physiologie), Salive (métabolisme), Santé buccodentaire (statistiques et données numériques), Sclérose latérale amyotrophique (complications), Sclérose latérale amyotrophique (physiopathologie), Sujet âgé (MeSH), Trachéostomie (MeSH), Ventilation à pression positive (MeSH), État de santé (MeSH), Études transversales (MeSH).
- MESH :
- métabolisme : Salive.
- physiologie : Salivation.
- physiopathologie : Sclérose latérale amyotrophique.
- statistiques et données numériques : Santé buccodentaire.
- étiologie : Caries dentaires.
- complications : Adulte, Adulte d'âge moyen, Femelle, Humains, Indice parodontal, Japon, Mâle, Sclérose latérale amyotrophique, Sujet âgé, Trachéostomie, Ventilation à pression positive, État de santé, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Amyotrophic Lateral Sclerosis (complications), Amyotrophic Lateral Sclerosis (physiopathology), Cross-Sectional Studies (MeSH), Dental Caries (etiology), Female (MeSH), Health Status (MeSH), Humans (MeSH), Japan (MeSH), Male (MeSH), Middle Aged (MeSH), Oral Health (statistics & numerical data), Periodontal Index (MeSH), Positive-Pressure Respiration (MeSH), Saliva (metabolism), Salivation (physiology), Tracheostomy (MeSH).
- MESH :
- complications : Amyotrophic Lateral Sclerosis.
- etiology : Dental Caries.
- metabolism : Saliva.
- physiology : Salivation.
- physiopathology : Amyotrophic Lateral Sclerosis.
- statistics & numerical data : Oral Health.
- Adult, Aged, Cross-Sectional Studies, Female, Health Status, Humans, Japan, Male, Middle Aged, Periodontal Index, Positive-Pressure Respiration, Tracheostomy.
Abstract
OBJECTIVE
To assess the intraoral conditions and oral function of patients with amyotrophic lateral sclerosis (ALS).
MATERIAL AND METHODS
This single-centre, cross-sectional observational study included 50 ALS patients, who were treated with tracheostomy positive-pressure ventilation (TPPV) while hospitalized. The disease duration, TPPV duration, current number of teeth, number of occlusal units, number of decayed/missing/filled teeth, community periodontal index, bleeding on probing, dental calculus, maximum mouth opening, salivation rate, tongue anomalies (atrophy or hypertrophy) and tongue coating were determined for each patient. Differences in intraoral conditions according to disease duration or TPPV duration were statistically analysed.
RESULTS
The maximum mouth opening was low in the included patients, with a mean distance of 13.7 ± 7.4 mm. Furthermore, the maximum mouth opening showed a significant negative correlation with both disease duration and TPPV duration. No statistically significant differences were found between any other intraoral parameters and disease duration or TPPV duration.
CONCLUSIONS
Severe dental disease is uncommon among hospitalized ALS patients who receive oral care by nurses; however, mouth opening is very restricted in these patients. Early intervention for restricted mouth opening, directed by a dentist or dental hygienist, is essential in this population.
DOI: 10.1080/00016357.2017.1420228
PubMed: 29278008
Affiliations:
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Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo </wicri:regionArea><wicri:noRegion>Tokyo </wicri:noRegion></affiliation></author><author><name sortKey="Nishiyama, Akira" sort="Nishiyama, Akira" uniqKey="Nishiyama A" first="Akira" last="Nishiyama">Akira Nishiyama</name><affiliation wicri:level="1"><nlm:affiliation>a Orofacial Pain Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo , Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>a Orofacial Pain Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo </wicri:regionArea><wicri:noRegion>Tokyo </wicri:noRegion></affiliation></author><author><name sortKey="Matsuda, Chiharu" sort="Matsuda, Chiharu" uniqKey="Matsuda C" first="Chiharu" last="Matsuda">Chiharu Matsuda</name><affiliation wicri:level="1"><nlm:affiliation>b ALS Nursing Care Project , Tokyo Metropolitan Institute of Medical Science , Tokyo , Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>b ALS Nursing Care Project , Tokyo Metropolitan Institute of Medical Science , Tokyo </wicri:regionArea><wicri:noRegion>Tokyo </wicri:noRegion></affiliation></author><author><name sortKey="Nakayama, Yuki" sort="Nakayama, Yuki" uniqKey="Nakayama Y" first="Yuki" last="Nakayama">Yuki Nakayama</name><affiliation wicri:level="1"><nlm:affiliation>b ALS Nursing Care Project , Tokyo Metropolitan Institute of Medical Science , Tokyo , Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>b ALS Nursing Care Project , Tokyo Metropolitan Institute of Medical Science , Tokyo </wicri:regionArea><wicri:noRegion>Tokyo </wicri:noRegion></affiliation></author><author><name sortKey="Hakuta, Chiyoko" sort="Hakuta, Chiyoko" uniqKey="Hakuta C" first="Chiyoko" last="Hakuta">Chiyoko Hakuta</name><affiliation wicri:level="1"><nlm:affiliation>c Oral Health Sciences for Community Welfare, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo , Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>c Oral Health Sciences for Community Welfare, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo </wicri:regionArea><wicri:noRegion>Tokyo </wicri:noRegion></affiliation></author><author><name sortKey="Shimada, Masahiko" sort="Shimada, Masahiko" uniqKey="Shimada M" first="Masahiko" last="Shimada">Masahiko Shimada</name><affiliation wicri:level="1"><nlm:affiliation>a Orofacial Pain Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo , Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>a Orofacial Pain Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo </wicri:regionArea><wicri:noRegion>Tokyo </wicri:noRegion></affiliation></author></analytic><series><title level="j">Acta odontologica Scandinavica</title><idno type="eISSN">1502-3850</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Amyotrophic Lateral Sclerosis (complications)</term><term>Amyotrophic Lateral Sclerosis (physiopathology)</term><term>Cross-Sectional Studies (MeSH)</term><term>Dental Caries (etiology)</term><term>Female (MeSH)</term><term>Health Status (MeSH)</term><term>Humans (MeSH)</term><term>Japan (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Oral Health (statistics & numerical data)</term><term>Periodontal Index (MeSH)</term><term>Positive-Pressure Respiration (MeSH)</term><term>Saliva (metabolism)</term><term>Salivation (physiology)</term><term>Tracheostomy (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Caries dentaires (étiologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Indice parodontal (MeSH)</term><term>Japon (MeSH)</term><term>Mâle (MeSH)</term><term>Salivation (physiologie)</term><term>Salive (métabolisme)</term><term>Santé buccodentaire (statistiques et données numériques)</term><term>Sclérose latérale amyotrophique (complications)</term><term>Sclérose latérale amyotrophique (physiopathologie)</term><term>Sujet âgé (MeSH)</term><term>Trachéostomie (MeSH)</term><term>Ventilation à pression positive (MeSH)</term><term>État de santé (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Amyotrophic Lateral Sclerosis</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dental Caries</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Salive</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Salivation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Salivation</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Sclérose latérale amyotrophique</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Amyotrophic Lateral Sclerosis</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Oral Health</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Santé buccodentaire</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Caries dentaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Status</term><term>Humans</term><term>Japan</term><term>Male</term><term>Middle Aged</term><term>Periodontal Index</term><term>Positive-Pressure Respiration</term><term>Tracheostomy</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Indice parodontal</term><term>Japon</term><term>Mâle</term><term>Sclérose latérale amyotrophique</term><term>Sujet âgé</term><term>Trachéostomie</term><term>Ventilation à pression positive</term><term>État de santé</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To assess the intraoral conditions and oral function of patients with amyotrophic lateral sclerosis (ALS).</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>This single-centre, cross-sectional observational study included 50 ALS patients, who were treated with tracheostomy positive-pressure ventilation (TPPV) while hospitalized. The disease duration, TPPV duration, current number of teeth, number of occlusal units, number of decayed/missing/filled teeth, community periodontal index, bleeding on probing, dental calculus, maximum mouth opening, salivation rate, tongue anomalies (atrophy or hypertrophy) and tongue coating were determined for each patient. Differences in intraoral conditions according to disease duration or TPPV duration were statistically analysed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The maximum mouth opening was low in the included patients, with a mean distance of 13.7 ± 7.4 mm. Furthermore, the maximum mouth opening showed a significant negative correlation with both disease duration and TPPV duration. No statistically significant differences were found between any other intraoral parameters and disease duration or TPPV duration.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Severe dental disease is uncommon among hospitalized ALS patients who receive oral care by nurses; however, mouth opening is very restricted in these patients. Early intervention for restricted mouth opening, directed by a dentist or dental hygienist, is essential in this population.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">29278008</PMID><DateCompleted><Year>2018</Year><Month>09</Month><Day>12</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1502-3850</ISSN><JournalIssue CitedMedium="Internet"><Volume>76</Volume><Issue>4</Issue><PubDate><Year>2018</Year><Month>May</Month></PubDate></JournalIssue><Title>Acta odontologica Scandinavica</Title><ISOAbbreviation>Acta Odontol Scand</ISOAbbreviation></Journal><ArticleTitle>Oral health status of hospitalized amyotrophic lateral sclerosis patients: a single-centre observational study.</ArticleTitle><Pagination><MedlinePgn>294-298</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/00016357.2017.1420228</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the intraoral conditions and oral function of patients with amyotrophic lateral sclerosis (ALS).</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">This single-centre, cross-sectional observational study included 50 ALS patients, who were treated with tracheostomy positive-pressure ventilation (TPPV) while hospitalized. The disease duration, TPPV duration, current number of teeth, number of occlusal units, number of decayed/missing/filled teeth, community periodontal index, bleeding on probing, dental calculus, maximum mouth opening, salivation rate, tongue anomalies (atrophy or hypertrophy) and tongue coating were determined for each patient. Differences in intraoral conditions according to disease duration or TPPV duration were statistically analysed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The maximum mouth opening was low in the included patients, with a mean distance of 13.7 ± 7.4 mm. Furthermore, the maximum mouth opening showed a significant negative correlation with both disease duration and TPPV duration. No statistically significant differences were found between any other intraoral parameters and disease duration or TPPV duration.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Severe dental disease is uncommon among hospitalized ALS patients who receive oral care by nurses; however, mouth opening is very restricted in these patients. Early intervention for restricted mouth opening, directed by a dentist or dental hygienist, is essential in this population.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nakayama</LastName><ForeName>Rena</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>a Orofacial Pain Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo , Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nishiyama</LastName><ForeName>Akira</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>a Orofacial Pain Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo , Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matsuda</LastName><ForeName>Chiharu</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>b ALS Nursing Care Project , Tokyo Metropolitan Institute of Medical Science , Tokyo , Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nakayama</LastName><ForeName>Yuki</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>b ALS Nursing Care Project , Tokyo Metropolitan Institute of Medical Science , Tokyo , Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hakuta</LastName><ForeName>Chiyoko</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>c Oral Health Sciences for Community Welfare, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo , Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shimada</LastName><ForeName>Masahiko</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>a Orofacial Pain Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences , Tokyo Medical and Dental University , Tokyo , Japan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>12</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Acta Odontol Scand</MedlineTA><NlmUniqueID>0370344</NlmUniqueID><ISSNLinking>0001-6357</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000690" MajorTopicYN="N">Amyotrophic Lateral Sclerosis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003731" MajorTopicYN="N">Dental Caries</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006304" MajorTopicYN="Y">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007564" MajorTopicYN="N">Japan</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009909" MajorTopicYN="N">Oral Health</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010512" MajorTopicYN="N">Periodontal Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011175" MajorTopicYN="N">Positive-Pressure Respiration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012463" MajorTopicYN="N">Saliva</DescriptorName><QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012472" MajorTopicYN="N">Salivation</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014139" MajorTopicYN="N">Tracheostomy</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Community periodontal index</Keyword><Keyword MajorTopicYN="N">maximum mouth opening</Keyword><Keyword MajorTopicYN="N">oral health</Keyword><Keyword MajorTopicYN="N">salivation rate</Keyword><Keyword MajorTopicYN="N">tracheostomy positive-pressure ventilation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>12</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>9</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>12</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29278008</ArticleId><ArticleId IdType="doi">10.1080/00016357.2017.1420228</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Nakayama, Rena" sort="Nakayama, Rena" uniqKey="Nakayama R" first="Rena" last="Nakayama">Rena Nakayama</name></noRegion><name sortKey="Hakuta, Chiyoko" sort="Hakuta, Chiyoko" uniqKey="Hakuta C" first="Chiyoko" last="Hakuta">Chiyoko Hakuta</name><name sortKey="Matsuda, Chiharu" sort="Matsuda, Chiharu" uniqKey="Matsuda C" first="Chiharu" last="Matsuda">Chiharu Matsuda</name><name sortKey="Nakayama, Yuki" sort="Nakayama, Yuki" uniqKey="Nakayama Y" first="Yuki" last="Nakayama">Yuki Nakayama</name><name sortKey="Nishiyama, Akira" sort="Nishiyama, Akira" uniqKey="Nishiyama A" first="Akira" last="Nishiyama">Akira Nishiyama</name><name sortKey="Shimada, Masahiko" sort="Shimada, Masahiko" uniqKey="Shimada M" first="Masahiko" last="Shimada">Masahiko Shimada</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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