title: Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke.
abstract: BACKGROUND
  According to the literature, the occurrence of dysphagia is high in cases of stroke, and its severity can be enhanced by loss of teeth and the use of poorly fitting prostheses.
  
  
  OBJECTIVE
  To verify that the status of oral health influences the level of oral intake and the degree of swallowing dysfunction in elderly patients with stroke in chronic phase.
  
  
  METHODS
  Thirty elderly individuals affected by stroke in chronic phase participated. All subjects underwent assessment of their oral condition, with classification from the Functional Oral Intake Scale (FOIS) and nasoendoscopic swallowing assessment to classify the degree of dysphagia. The statistical analysis examined a heterogeneous group (HG, n=30) and two groups designated by the affected body part, right (RHG, n=8) and left (LHG, n=11), excluding totally dentate or edentulous individuals without rehabilitation with more than one episode of stroke.
  
  
  RESULTS
  There was a negative correlation between the need for replacement prostheses and the FOIS scale for the HG (P=0.02) and RHG (P=0.01). Differences in FOIS between types of prostheses of the upper dental arch in the LHG (P=0.01) and lower dental arch in the RHG (P=0.04). A negative correlation was found between the number of teeth present and the degree of dysfunction in swallowing liquid in the LHG (P=0.05). There were differences in the performance in swallowing solids between individuals without prosthesis and those with partial prosthesis in the inferior dental arch (P=0.04) for the HG.
  
  
  CONCLUSIONS
  The need for replacement prostheses, type of prostheses, and the number of teeth of elderly patients poststroke in chronic phase showed an association with the level of oral intake and the degree of oropharyngeal dysphagia.
authors.affiliation: Speech Language and Hearing Department, Bauru School of Dentistry/University of São Paulo, Bauru, Brazil.
authors.forename: Cláudia T
authors.initials: CT
authors.lastname: Mituuti
authors.affiliation: Department of Prosthodontics, Bauru School of Dentistry/University of São Paulo, Bauru, Brazil.
authors.forename: Vinicius C
authors.initials: VC
authors.lastname: Bianco
authors.affiliation: SORRI-BAURU, Bauru, Brazil.
authors.forename: Cláudia G
authors.initials: CG
authors.lastname: Bentim
authors.affiliation: Speech Language and Hearing Department, Bauru School of Dentistry/University of São Paulo, Bauru, Brazil.
authors.forename: Eduardo C
authors.initials: EC
authors.lastname: de Andrade
authors.affiliation: Department of Prosthodontics, Bauru School of Dentistry/University of São Paulo, Bauru, Brazil.
authors.forename: José H
authors.initials: JH
authors.lastname: Rubo
authors.affiliation: Speech Language and Hearing Department, Bauru School of Dentistry/University of São Paulo, Bauru, Brazil.
authors.forename: Giédre
authors.initials: G
authors.lastname: Berretin-Felix
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D002908:Chronic Disease; D003679:Deglutition / Q000502:physiology; D003680:Deglutition Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D017266:Dental Prosthesis / Q000379:methods*; D003945:Diagnosis, Oral / Q000379:methods; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D009065:Mouth Rehabilitation / Q000379:methods / Q000706:statistics & numerical data; D009909:Oral Health / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care; D012307:Risk Factors; D012720:Severity of Illness Index; D020521:Stroke / Q000150:complications / Q000453:epidemiology / Q000503:physiopathology; D016388:Tooth Loss / Q000150:complications / Q000534:rehabilitation
keywords: aged; cerebrovascular disorders; deglutition; dysphagia; mouth rehabilitation; prosthodontics