Abstract
Oral care and oral management are important for preventing aspiration pneumonia, as shown by a growing body of scientific evidence. Oral care helps to prevent aspiration pneumonia by reducing oral bacteria, while oral management helps by improving masticatory and rehabilitating functions. Focused oral care in the acute phase is effective in preventing ventilator-associated pneumonia and may help to improve therapeutic outcomes among patients in intensive care. Oral management starts with oral problems being noticed not only by dentists and dental hygienists but also by professionals in other disciplines. The oral health assessment tool is an effective, reproducible, and valid instrument for assessing the oral cavity. In the chronic phase, it is important to understand the characteristics of individual diseases (stroke sequelae, dementia) and take individualized measures in addition to basic oral care techniques. Oral management includes the concept of preventing aspiration pneumonia through function training. Exercises for diminished tongue function and swallowing function help to prevent aspiration pneumonia by improving swallowing function.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Akutsu Y, Matsubara H, Shuto K, Shiratori T, Uesato M, Miyazawa Y, et al. Pre-operative dental brushing can reduce the risk of postoperative pneumonia in esophageal cancer patients. Surgery. 2010;147:497–502.
AJ DR 2nd, Ladowski JS, Dillon TA, Justice JW, Peterson AC. Chlorhexidine gluconate 0.12% oral rinse reduces the incidence of total nosocomial respiratory infection and nonprophylactic systemic antibiotic use in patients undergoing heart surgery. Chest. 1996;109:1556–61.
Bergan EH, Tura BR, Lamas CC. Impact of improvement in preoperative oral health on nosocomial pneumonia in a group of cardiac surgery patients: a single arm prospective intervention study. Intensive Care Med. 2014;40:23–31.
Kobayashi Y, Matsuo K, Watanabe R, Fujii W, Kanamori D, Nagata C, et al. The Oral environment in patients under Peri-operative Oral functional management and its intervention effects in our hospital. Jpn J Gerodontol. 2013;28:69–78.
Senoo H, Nakano Y, Tokumiya M, Otani M. Efficacy of professional perioperative oral care for elderly patients with femur fractures. J Jpn Soc Dent Med Comp Patient. 2015;24:9–14.
Russell SL, Boylan RJ, Kaslick RS, Scannapieco FA, Katz RV. Respiratory pathogen colonization of the dental plaque of institutionalized elders. Spec Care Dentist. 1999;19:128–34.
Scannapieco FA, Stewart EM, Mylotte JM. Colonization of dental plaque by respiratory pathogens in medical intensive care patients. Crit Care Med. 1992;20:740–5.
Powers J, Brower A, Tolliver S. Impact of oral hygiene on prevention of ventilator-associated pneumonia in neuroscience patients. J Nurs Care Qual. 2007;22:316–21.
Fields LB. Oral care intervention to reduce incidence of ventilator-associated pneumonia in the neurologic intensive care unit. J Neurosci Nurs. 2008;40:291–8.
Takahata H, Tsutsumi K, Baba H, Nagata I, Yonekura M. Early intervention to promote oral feeding in patients with intracerebral hemorrhage: a retrospective cohort study. BMC Neurol. 2011;11:6. https://doi.org/10.1186/1471-2377-11-6.
Chalmers JM, King PL, Spencer AJ, Wright FA, Carter KD. The oral health assessment tool -validity and reliability. Aust Dent J. 2005;50:191–9.
Matsuo K, Nakagawa K. Reliability and validity of the Japanese version of the oral health assessment tool (OHAT-J). J Jpn Soc Disabil Oral Health. 2016;37:1–7.
Matsusaka K, Ohi A, Tahata K, Shimizu A, Numata M, Ohmiya R, et al. Addition of oral cavity brushing and rehabilitation reduced fever in tube-fed patients. Geriatr Gerontol Int. 2013;13:1082–4. https://doi.org/10.1111/ggi.12088.
Smithard DG. Swallowing and stroke. Neurological effects and recovery. Cerebrovasc Dis. 2002;14:1–8.
Alagiakrishnan K, Bhanji RA, Kurian M. Evaluation and management of oropharyngeal dysphagia in different types of dementia: a systematic review. Arch Gerontol Geriatr. 2013;56:1–9. https://doi.org/10.1016/j.archger.2012.04.011.
Felton SM, Gaige TA, Reese TG, Wedeen VJ, Gilbert RJ. Mechanical basis for lingual deformation during the propulsive phase of swallowing as determined by phase-contrast magnetic resonance imaging. J Appl Physiol. 2007;103:255–65.
Cook IJ, Dodds WJ, Dantas RO, et al. Opening mechanisms of the human upper esophageal sphincter. Am J Phys. 1989;257:G748–59.
Wada S, Tohara H, Iida T, Inoue M, Sato M, Ueda K. Jaw opening exercise for insufficient opening of upper esophageal sphincter. Arch Phys Med Rehabil. 2012;93:1995–9. https://doi.org/10.1016/j.apmr.2012.04.025.
Hori K, Taniguchi H, Hayashi H, Magara J, Minagi Y, Li Q, et al. Role of tongue pressure production in oropharyngeal swallow biomechanics. Physiol Rep. 2013;1:e00167. https://doi.org/10.1002/phy2.167.
Namiki C, Hara K, Tohara H, Kobayashi K, Chantaramanee A, Nakagawa K, et al. Tongue-pressure resistance training improves tongue and suprahyoid muscle functions simultaneously. Clin Interv Aging. 2019;22(14):601–8. https://doi.org/10.2147/CIA.S194808.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Nakagawa, K., Hara, K., Tohara, H. (2020). Oral Care: Does Oral Care Have Preventive Roles in Aspiration Pneumonia?. In: Teramoto, S., Komiya, K. (eds) Aspiration Pneumonia. Respiratory Disease Series: Diagnostic Tools and Disease Managements. Springer, Singapore. https://doi.org/10.1007/978-981-15-4506-1_17
Download citation
DOI: https://doi.org/10.1007/978-981-15-4506-1_17
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-15-4505-4
Online ISBN: 978-981-15-4506-1
eBook Packages: MedicineMedicine (R0)