Search

Objective: This paper describes the study protocol in an ongoing clinical trial evaluating oral screen training as part of a post‐stroke rehabilitation programme. Baseline data were related to four domains: dysphagia, lip function, masticatory performance and patient‐related outcome measures (PROM). Background: Stroke is one of the most common causes of disability‐adjusted life years, and dysphagia is a common remaining problem after stroke. Rehabilitation using oral screen training has been suggested to improve swallowing, but evidence is still insufficient. Materials and Methods: Patients diagnosed with stroke with persisting objective and/or subjective swallowing dysfunction after primary rehabilitation were assessed for eligibility. In total, 25 patients were included. Objective function was assessed by swallowing capacity test (SCT), lip force and masticatory performance, subjective function by EAT‐10 and NOT‐S and PROM by LiSat‐11 and ESAS. Results: Baseline data presented a heterogeneous pattern with no significant association between objective and subjective dysfunction. Most of the participants (20/25) showed impaired swallowing capacity in SCT, and 23/24 revealed orofacial dysfunction according to NOT‐S. The most common subjective item reported was chewing and swallowing problems (19/24). Conclusion: The heterogenous findings in the included tests and the lack of correlations emphasise the importance of multidisciplinary approaches to identify objective and subjective orofacial post‐stroke dysfunction in clinical practice to be able to offer evidence‐based individualised care. The included participants were representative of stroke patients with dysphagia, which supports proceeding with the planned intervention. [ABSTRACT FROM AUTHOR]

Objective: The impact of weight loss surgery on oral health is not clear. The aim of the present study was to investigate its impact on the risk for dental interventions. Materials and Methods: All adults who underwent metabolic surgery in Sweden between January 1, 2009 and December 31, 2018 were identified in the Scandinavian Obesity Surgery Registry (SOReg; n = 53,643). A control cohort from the general population was created, matched 10:1 on sex, age and place of residence (n = 536,430). All individuals were followed in the Swedish Dental Register regarding event rates for four types of dental intervention: restorative, endodontic and periodontal interventions, and tooth extractions. Results: The surgical cohort had increased interventional rates postoperatively regarding all studied outcomes except periodontal interventions. Dental interventions were more common in the surgical cohort both pre‐ and postoperatively. The difference between the groups increased markedly in the postoperative period. The between‐group comparison postoperatively showed increased event rates for restorations (IRR 1.8; 95% CI 1.7–1.8), extractions (1.9; 95% CI 1.9–2.0) and endodontics (2.1; 95% CI 2.0–2.1). Conclusion: The surgical intervention might cause a substantial negative impact on oral health. These results imply an important role for counselling metabolic surgery patients regarding preventive oral health measures. [ABSTRACT FROM AUTHOR]