Comprehensive oral-health assessment of individuals with acquired brain-injury in neuro-rehabilitation setting.
To perform a detailed clinical oral health assessment and oral-health-related social and behavioural aspect assessment in individuals with acquired brain injury (ABI).



Prospective observational study.



Thirteen individuals with ABI were recruited. Individual's social and behavioural history, bed-side oral examination score (BOE), tooth condition and periodontal status (bleeding, plaque and clinical attachment loss) were thoroughly examined. The entire examination took up to 60 minutes, using proper dental armamentarium.



All evaluated individuals were diagnosed with chronic generalized periodontitis. A relationship between active periodontal disease and severe BOE score was observed (p = 0.01). Significant interaction between severe BOE scores (≥ 15 or ≥ 14) and periodontal disease severity of ≥ 2 mm (p = 0.01) was observed. The same interaction was seen between severe BOE scores and the combination of 75% extent and 2 mm severity (p = 0.01). Severity and activity of periodontitis showed dependence on individual brushing frequency (p = 0.03 and p = 0.05, respectively).



Individuals with ABI had a poor status across a range of oral-, dental- and periodontal-related parameters. Further structured studies are required to define evidence-based assessment approaches for such clinical reality.
a Hammel Neurorehabilitation Centre and University Research Clinic.|b Department of Clinical Medicine.
Mohit
M
Kothari
c Section of Oral Radiology, Institute of Odontology and Oral Health , Aarhus University , Aarhus , Denmark.
Rubens
R
Spin-Neto
a Hammel Neurorehabilitation Centre and University Research Clinic.|b Department of Clinical Medicine.
Jørgen Feldbæk
JF
Nielsen
D000328:Adult; D001930:Brain Injuries / Q000150:complications* / Q000534:rehabilitation; D003729:Dental Care; D003945:Diagnosis, Oral; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D010518:Periodontitis / Q000150:complications / Q000175:diagnosis*; D011446:Prospective Studies; D012720:Severity of Illness Index; D055815:Young Adult
Acquired brain injury; oral health; oral hygiene; periodontal status; periodontitis; systemic diseases