When should dental treatment be postponed after a stroke?
Abstract. Objective: Current literature recommends postponing dental treatment until 6-12 months after a stroke, based on the presumed risk of recurrent stroke. The purpose of this study was to suggest that the importance of dental care during this period exceeds the risk of medical complications in this patient population.
What is the role of the dental team in stroke recovery?
Is postponing treatment advised? .....Possibly. − While some dental hygiene textbooks recommend that elective treatment be avoided within 6 months (and up to 12 months) after a stroke or transient ischemic attack, there is little evidence to support this recommendation as being appropriate for all patients/clients.
How can oral health care providers help stroke survivors?
Jul 18, 2012 · Second, they can provide essential oral health care to patients recovering from stroke. 3,4. Collaboration among the team can identify an appropriate oral care plan for stroke survivors. The dental team must become the liaison between the health, social, and voluntary agencies to identify dental care programs within the community.
Is dental treatment necessary after a post-myocardial infarction heart attack?
Dental treatment in patients with a history of myocardial infarction seems complicated … Patients who have suffered a heart attack often require dental treatment. The inflammation of the oral cavity not only reduces the quality of life, but also negatively affects …
How does a stroke affect dental treatment?
As cells die in that part of the brain, it doesn't function as it normally should. Side effects can include paralysis on one side of the face, difficulty swallowing and weakened hands, which can make it more difficult to keep up with oral hygiene. Some people could require help brushing, flossing and rinsing.
Why can't you get your teeth cleaned after a stroke?
Patients who have experienced a recent stroke, TIA, or RIND are at high risk for stroke or stroke recurrence and should not undergo elective dental procedures. Although this risk decreases after six months, it is always present.Feb 1, 2018
Can a dental procedure cause a stroke?
Those who underwent invasive dental work had an increased risk for heart attack or stroke in the four weeks after their procedure, but this risk was "transient," the researchers report.Oct 18, 2010
Can dental anesthesia cause stroke?
An individual who undergoes dental surgery has a higher risk of developing a heart attack or stroke for a few weeks after the procedure, British researchers have revealed in an article published in the peer-reviewed journal Annals of Internal Medicine. The elevated risk is no longer there six months later.Oct 19, 2010
Should you stop aspirin before extraction?
Conclusions: We could reach a conclusion that BT is prolonged or hemorrhage is exacerbated by long-term use of aspirin. We recommend not stopping long-term aspirin use before tooth extraction but enhancing hemostasis methods, if necessary.
How do you clean your mouth after a stroke?
It is apparent that stroke patients require tooth brushing with toothpaste or dentures should be cleaned with soap or denture paste twice daily. For xerostomia, sodium bicarbonate and salt rins- es could be used.
Which tooth is connected to the heart?
Heart – Upper and lower third molars (wisdom teeth)Jun 11, 2019
Can dental work cause a brain bleed?
It seems that trigeminal manipulation during dental treatment as well as increased serum levels of induced epinephrine mainly by stress and pain, and the small amounts absorbed from the site of local anesthesia might produce abrupt elevation of blood pressure, subsequent increase in cerebral blood flow and severe, even ...
Is it safe to have general anesthesia after a stroke?
Risk for postoperative adverse cardiovascular events was especially high during the first 9 months after stroke. Stroke is a known risk factor for adverse perioperative outcomes in patients undergoing noncardiac surgery.Aug 7, 2014
Is anesthesia safe for stroke patients?
Recent studies have shown that patients who receive general anaesthesia for endovascular therapy for acute ischaemic stroke have worse outcomes than those who receive local anaesthesia.Dec 1, 2014
Why do they do brain surgery after a stroke?
Hemorrhagic stroke usually requires surgery to relieve intracranial (within the skull) pressure caused by bleeding. Surgical treatment for hemorrhagic stroke caused by an aneurysm or defective blood vessel can prevent additional strokes.
How to maintain oral hygiene after stroke?
Good oral hygiene is difficult to maintain in stroke patients because they may not have the necessary dexterity and caregivers may not be trained in oral hygiene techniques. 4 Dietary adjustments to manage food consistency include thickening fluids and dietary food supplements, which increase plaque formation. 4 Adequate nutritional intake is extremely important for recovery and to avoid malnutrition. Food supplements and recommendations to consume food throughout the day to maintain sufficient calories can increase the risk of dental caries, especially if medications are causing xerostomia. 3 Facial palsy and loss of sensation can cause pooling of food debris on the side affected by the stroke, allowing for bacterial accumulation. Impaired swallowing and facial paralysis can increase the amount of time when teeth and oral tissues are exposed to cariogenic food debris, increasing the risk of tooth decay. 3,4
How does stroke affect the mouth?
Stroke patients are at risk of aspiration pneumonia, which is caused by inhaling food debris and bacterial biofilm into the airway . Aspiration results when the swallowing reflex is damaged. The first stage of swallowing starts when food is introduced into the mouth and the lips seal. Sealing the lips is a crucial step to the facial muscles working successfully together in the mastication process. During the second stage, the tongue sweeps the food into the buccal and labial vestibules, where broken-down food or bolus is collected. Food debris is left in the buccal and labial vestibules when there is damage from stroke.3 The bolus is collected at the back of the mouth, where it is rapidly propelled into the pharynx. In the third stage, breathing stops when food enters the pharynx, the soft palate rises to seal the nasopharynx, the glottis (opening of the larynx) closes, and the larynx is pulled up while the epiglottis tilts back to cover it.3 If the nasopharynx is unable to seal, food and debris will enter the nasal area and create the potential for infection and aspiration.
How common is xerostomia in stroke patients?
Xerostomia is very common among stroke survivors due to their medication use. Xerostomia can cause dysgeusia, difficulty in chewing and swallowing, and improper denture fit. 3,5 Poor clearance of food from the mouth in the presence of xerostomia reduces the protective influence of saliva. 6,7 Reduced saliva can be addressed with daily oral hygiene, hydration (at least eight 8-oz glasses of water per day), sugarless mints and gum, use of a humidifier, alcohol-free mouthrinses (alcohol is drying to tissues), and saliva substitutes containing carboxy – methycellulose (used in foods to thicken and coat). Caries is more prevalent among those with dry mouth, thus preventive measures should be implemented, such as fluoride therapy. Dehydration contributes to dry mouth and should be monitored in stroke survivors. 7
What is the difference between thrombotic and embolic stroke?
Thrombotic stroke occurs when a clot forms in an artery that is already narrow. Embolic stroke (cerebral embolism) happens when an artery is blocked by a blood clot (arterial embolus) that originates from some other area of the body.
What is a three headed toothbrush?
Three-headed toothbrushes can clean more of the tooth surface with each movement of the brush. Special oral hygiene instructions for stroke survivors and their caregivers are essential to maintaining good oral health. 2,3 There are many oral hygiene devices made especially for special needs patients. Three headed toothbrushes clean more of the ...
What is hand over hand in stroke?
The “hand-over-hand” technique is another way of assisting with oral hygiene if patients want to participate in their own oral hygiene. Prescription fluoride toothpaste can be used but stroke patients must expectorate to minimize aspiration.
What is a TIA stroke?
TIA, often called a mini stroke, results when blood flow stops to a part of the brain for a short time. A TIA is different from a stroke because the blockage breaks up quickly and dissolves without infarction (tissue death).
Does dental treatment help with heart disease?
Abstract. Patients who have suffered a heart attack often require dental treatment. The inflammation of the oral cavity not only reduces the quality of life , but also negatively affects the course of ischemic heart disease. Dental treatment in patients with a history of myocardial infarction seems complicated, since these patients require special ...
Can you get dental treatment for myocardial infarction?
Dental treatment in patients with a history of myocardial infarction seems complicated, since these patients require special consideration with regard to the timing and form of dental treatment as well as to the precautions required. Patients at risk of cardiac complications that are greater than the benefits of dental treatment should be ...
What should dental hygienists take into account when treating stroke patients?
Dental hygienists providing oral healthcare to persons affected by stroke should take account of the following conditions and factors attributable to stroke or its comorbidities, complications, associated conditions and treatments.
How to minimize adverse effects of stroke?
For persons who have stroke: to maximize health benefits and minimize adverse effects by promoting the performance of the Procedures at the right time with the appropriate precautions, and by discouraging the performance of the Procedures at the wrong time or in the absence of appropriate precautions.
What happens if you have hypertension before you start dental treatment?
Patients with hypertension are at increased risk of developing adverse effects in a dental office.
What does a dentist need to inform the physician?
Dentist must inform the physician regarding the estimated degree of stress, length of procedures, and complexity of the individualized treatment plan. Following are the stages in management of hypertensive patients undergoing dental treatment.
What are the measures used to control bleeding in anticoagulant patients?
Patients on anticoagulant therapy should be delicately handled in a dental setup. This may involve use of local hemostatic measures to control bleeding in anticoagulated patients. These include atraumatic surgical technique, adequate wound closure, pressure application, and topical clotting agents.