Oral health status in patients with acquired brain injury: a systematic review

Publication date: Available online 11 November 2016
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Author(s): Mohit Kothari, Rajath Sasidharan Pillai, Simple Futarmal Kothari, Rubens Spin-Neto, Abhishek Kumar, Jørgen Feldbæk Nielsen
ObjectiveTo undertake a systematic review on the current knowledge and future perspectives regarding the status of various oral health factors, including social and behavioral aspects in patients with acquired brain injury (ABI).Study designA structured search strategy was applied to PubMed, Embase, and Scopus electronic databases until January 2016 to identify studies presenting the assessment of the oral health status of patients afflicted with any kind of ABI. The search strategy was restricted to English-language publications, enrolling patients above 18 years. Studies on the association of oral health conditions and brain injury were excluded. No study was excluded based on their qualitative analysis.ResultsA total of 27 studies were reviewed. Stroke was the most commonly studied ABI. Stroke patients had higher number of missing teeth, poorer plaque and gingival index scores and higher colonization of Candida albicans in saliva, all of which significantly reduced after intervention. Oral health related quality (OHrQoL) of life was poorer in patients compared to the population.ConclusionStroke was the most predominant brain injury condition studied in the literature with few publications focusing on other form of brain injury diseases. Overall, oral health has been noted to be poor in patients with ABI, but oral hygiene, and OHrQoL, has been found to be improved when oral hygiene interventions are provided to the patients.



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