Is an Oral Health Status a Predictor of Functional Improvement in Ischemic Stroke Patients Undergoing Comprehensive Rehabilitation Treatment?

Well your doctor better have an oral health protocol already to prevent dementia.

But I would prefer this instead:

These Magnetic Microbots Will Scrub Your Teeth Clean May 2019

Or maybe this?

Skip the guilt: Red wine could protect your oral health

 The latest here:

Is an Oral Health Status a Predictor of Functional Improvement in Ischemic Stroke Patients Undergoing Comprehensive Rehabilitation Treatment?

Piotr Gerreth 1,2, 

Karolina Gerreth 3, 

Mateusz Maciejczyk 4, 

Anna Zalewska 5 and 

Katarzyna Hojan 6,7,*






1 Private Dental Practice, 57 Kasztelanska Street, 60-316 Poznan, Poland; piotrger@hotmail.com
2 Postgraduate Studies in Scientific Research Methodology, Poznan University of Medical Sciences,
10 Fredry Street, 60-701 Poznan, Poland
3 Department of Risk Group Dentistry, Chair of Pediatric Dentistry, Poznan University of Medical Sciences,
70 Bukowska Street, 60-812 Poznan, Poland; karolinagerreth@poczta.onet.pl
4 Department of Hygiene, Epidemiology and Ergonomics, Medical University of Bialystok,
2C Adama Mic kiewicza Street, 15-022 Bialystok, Poland; mat.maciejczyk@gmail.com
5 Experimental Dentistry Laboratory, Medical University of Bialystok, 24A Marii Sklodowskiej-Curie Street,
15-276 Bialystok, Poland; azalewska426@gmail.com
6 Department of Occupational Therapy, Poznan University of Medical Sciences, 6 Swiecickiego Street,
60-781 Poznan, Poland
7 Department of Rehabilitation, Greater Poland Cancer Centre, 15 Garbary Street, 61-866 Poznan, Poland
* Correspondence: katarzyna.hojan@wco.pl

Abstract: 

The study’s aim was a clinical observation concerning the influence of oral health on
functional status in stroke patients undergoing neurorehabilitation. This pilot cross-sectional clinical
study was performed in 60 subacute phase stroke patients during 12 weeks of treatment. The program
was patient-specific and consisted of neurodevelopmental treatment by a comprehensive rehabilitation team. The functional assessment was performed using the Barthel index (BI), Berg balance
scale (BBS), functional independence measure (FIM), and Addenbrooke’s cognitive examination III
(ACE III) scales. Oral health was assessed according to World Health Organization (WHO) criteria,
and it was presented using DMFT, DMFS, gingival index (GI), and plaque index (PlI). Significant
improvement in many functional scales was noticed. However, important differences in most dental
parameters without relevant changes in GI and PlI after the study were not observed. Reverse
interdependence (p < 0.05) was shown between physical functioning (BI, FIM, or BBS) with GI and PlI
results, and most dental parameters correlated with ACE III. Using multivariate regression analysis,
we showed that ACE III and BI are predictive variables for DMFT, just as FIM is for DS (p < 0.05).
The present research revealed that poor oral health status in patients after stroke might be associated
with inpatient rehabilitation results.