Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review

This study aimed to review the oral hygiene status, oral care guidelines, and outcomes of oral care in intensive care unit (ICU) patients from a dental perspective for effective oral care. A literature search using the keywords “Hospital dentistry” OR “Oral care” OR “Intensive care unit” OR “Hospita...

Full description

Bibliographic Details
Main Authors: Mi-Kyoung Jun, Jeong-Kui Ku, Il-hyung Kim, Sang-Yoon Park, Jinson Hong, Jae-Young Kim, Jeong-Keun Lee
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/16/3681
_version_ 1797523368917860352
author Mi-Kyoung Jun
Jeong-Kui Ku
Il-hyung Kim
Sang-Yoon Park
Jinson Hong
Jae-Young Kim
Jeong-Keun Lee
author_facet Mi-Kyoung Jun
Jeong-Kui Ku
Il-hyung Kim
Sang-Yoon Park
Jinson Hong
Jae-Young Kim
Jeong-Keun Lee
author_sort Mi-Kyoung Jun
collection DOAJ
description This study aimed to review the oral hygiene status, oral care guidelines, and outcomes of oral care in intensive care unit (ICU) patients from a dental perspective for effective oral care. A literature search using the keywords “Hospital dentistry” OR “Oral care” OR “Intensive care unit” OR “Hospital inpatient” OR “Hospitalization” OR “Emergency service” AND “Oral health” OR “Oral hygiene” OR “Dental plaque” was conducted in PubMed, Medline, and Google Scholar to identify publications reporting on the oral care of the patients admitted to ICUs. A total of 17,400 articles were initially identified. Of these, 58 were selected and classified into three categories for critical review. Seven of these studies evaluated the oral status of ICU patients, and most of the studies indicated that ICU patients had poor oral hygiene or required active dental treatment. Thirty-three of these studies evaluated oral care methods for ICU patients, and in general, oral care methods using chlorhexidine as adjuncts along with tooth brushing were recommended. However, there were insufficient studies to evaluate oral hygiene through effective assessment tools from a dental perspective. In 36 studies on the outcomes of oral care in ICU patients, interventions by dental professionals showed effective results in preventing hospital-acquired infection. This review highlights the importance of establishing guidelines for the evaluation of oral status in ICU patients and summarizes data that may be useful for future studies. Further studies on maintaining good oral hygiene among ICU patients are needed.
first_indexed 2024-03-10T08:41:58Z
format Article
id doaj.art-6f843e014d7e45cbb41ecc31fcbd4d64
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-10T08:41:58Z
publishDate 2021-08-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-6f843e014d7e45cbb41ecc31fcbd4d642023-11-22T08:11:59ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-011016368110.3390/jcm10163681Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive ReviewMi-Kyoung Jun0Jeong-Kui Ku1Il-hyung Kim2Sang-Yoon Park3Jinson Hong4Jae-Young Kim5Jeong-Keun Lee6Department of Oral and Maxillofacial Surgery, Institute of Oral Health Science, Ajou University School of Medicine, Suwon 16499, KoreaDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul 06273, KoreaDepartment of Oral and Maxillofacial Surgery, Armed Forces Capital Dental Hospital, Armed Forces Medical Command, Seongnam 13574, KoreaDepartment of Oral and Maxillofacial Surgery, Armed Forces Capital Dental Hospital, Armed Forces Medical Command, Seongnam 13574, KoreaDepartment of Prosthodontics, Armed Forces Capital Dental Hospital, Armed Forces Medical Command, Seongnam 13574, KoreaDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul 06273, KoreaDepartment of Oral and Maxillofacial Surgery, Institute of Oral Health Science, Ajou University School of Medicine, Suwon 16499, KoreaThis study aimed to review the oral hygiene status, oral care guidelines, and outcomes of oral care in intensive care unit (ICU) patients from a dental perspective for effective oral care. A literature search using the keywords “Hospital dentistry” OR “Oral care” OR “Intensive care unit” OR “Hospital inpatient” OR “Hospitalization” OR “Emergency service” AND “Oral health” OR “Oral hygiene” OR “Dental plaque” was conducted in PubMed, Medline, and Google Scholar to identify publications reporting on the oral care of the patients admitted to ICUs. A total of 17,400 articles were initially identified. Of these, 58 were selected and classified into three categories for critical review. Seven of these studies evaluated the oral status of ICU patients, and most of the studies indicated that ICU patients had poor oral hygiene or required active dental treatment. Thirty-three of these studies evaluated oral care methods for ICU patients, and in general, oral care methods using chlorhexidine as adjuncts along with tooth brushing were recommended. However, there were insufficient studies to evaluate oral hygiene through effective assessment tools from a dental perspective. In 36 studies on the outcomes of oral care in ICU patients, interventions by dental professionals showed effective results in preventing hospital-acquired infection. This review highlights the importance of establishing guidelines for the evaluation of oral status in ICU patients and summarizes data that may be useful for future studies. Further studies on maintaining good oral hygiene among ICU patients are needed.https://www.mdpi.com/2077-0383/10/16/3681hospital dentistryintensive care unitoral careoral healthoral hygiene
spellingShingle Mi-Kyoung Jun
Jeong-Kui Ku
Il-hyung Kim
Sang-Yoon Park
Jinson Hong
Jae-Young Kim
Jeong-Keun Lee
Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review
Journal of Clinical Medicine
hospital dentistry
intensive care unit
oral care
oral health
oral hygiene
title Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review
title_full Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review
title_fullStr Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review
title_full_unstemmed Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review
title_short Hospital Dentistry for Intensive Care Unit Patients: A Comprehensive Review
title_sort hospital dentistry for intensive care unit patients a comprehensive review
topic hospital dentistry
intensive care unit
oral care
oral health
oral hygiene
url https://www.mdpi.com/2077-0383/10/16/3681
work_keys_str_mv AT mikyoungjun hospitaldentistryforintensivecareunitpatientsacomprehensivereview
AT jeongkuiku hospitaldentistryforintensivecareunitpatientsacomprehensivereview
AT ilhyungkim hospitaldentistryforintensivecareunitpatientsacomprehensivereview
AT sangyoonpark hospitaldentistryforintensivecareunitpatientsacomprehensivereview
AT jinsonhong hospitaldentistryforintensivecareunitpatientsacomprehensivereview
AT jaeyoungkim hospitaldentistryforintensivecareunitpatientsacomprehensivereview
AT jeongkeunlee hospitaldentistryforintensivecareunitpatientsacomprehensivereview