뇌졸중 환자의 구강건강상태

Abstract

Background: Stroke is the disease among the most prevalent causes of death. Periodontitis and dental caries are the major oral diseases which causes tooth loss. The aim of this study was to survey oral health status of stroke patients. Methods: 130 stroke patients were surveyed for oral health status including the periodontitis and dental caries. Mean age of subjects was 58¡¾11 years old, and 63.8% of the participants were male. 61.5% of the participants were hemorrhagic, and 47.7% of participants was left hemiplegia. We registered the number of teeth, decayed, missing and filled teeth (DMFT) index, the level of periodontitis in each individual. Results: The caries prevalence of stroke patients was 94.6%, the DMFT index was 11.6, decayed teeth (Dt) rate was 17.7%, and missing teeth (Mt) rate was 38.2%. The prevalence of severe periodontitis 92.8%, and mean periodontal index (MPI) was 2.8. The periodontitis of stroke patients with hypertention and diabetes was severe (P<0.05) Conclusion: 1) The DMFT index and MPI increased according to ages, so oral care should be included in the rehabilitation of the elderly. 2) The DMFT index was low in the people able to toothbrush by himself, so toothbrushing should be instructed. 3) The periodontitis of ischemic stroke patient was severer than that of hemorrhagic patient, so the intensive periodontal management for ischemic patient should be done. (Korean J Stroke 2007;9:142-147)