Orodental status and medical problems of stroke inpatients undergoing rehabilitation at a rehabilitation hospital in Japan.
OBJECTIVE
Many stroke patients may have oral problems and systemic diseases, but clinical information on treatment provided to stroke patients for dental problems during inpatient rehabilitation is rare. The objective of this study was to research stroke inpatients' requirements for dental treatment and the accompanying risks.


METHODS
We included 165 stroke patients undergoing inpatient rehabilitation at Morinomiya Hospital during the year 2010 and researched the causes of stroke and the patients' orodental status, underlying diseases, antithrombotic drugs prescribed and special considerations or difficulties in the treatment.


RESULTS
Cerebral infarction was the most common causes of stroke. Many patients had hypertension, heart disease or diabetes mellitus, and 54.5% had been prescribed antithrombotic drugs. Dentists diagnosed 57.0% patients with untreated dental cavities. Approximately 30% did not use dentures despite having a requirement. In total, 142 patients underwent dental treatment including periodontal treatment, prosthetic treatment and tooth extraction under management of circulation and haemostasis such as monitoring vital signs and surgical splints in cases of the difficult extraction.


CONCLUSIONS
The current study revealed a high requirement for dental treatment among stroke patients and demonstrated the effectiveness of performing dental treatment during inpatient rehabilitation of these patients.
Department of Dentistry, Morinomiya Hospital, Osaka city, Osaka, Japan.|Department of Dentistry, Bobath Memorial Hospital, Osaka city, Osaka, Japan.
Yoshinao
Y
Asahi
Department of Dentistry, Morinomiya Hospital, Osaka city, Osaka, Japan.|Department of Dentistry, Bobath Memorial Hospital, Osaka city, Osaka, Japan.
Shiro
S
Omichi
Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan.
Takahiro
T
Ono
D000328:Adult; D000368:Aged; D003729:Dental Care; D005260:Female; D006801:Humans; D007297:Inpatients; D007564:Japan; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D012046:Rehabilitation; D012047:Rehabilitation Centers; D020521:Stroke / Q000628:therapy*; D055815:Young Adult
dental treatment; hospitalisation; rehabilitation; stroke