IMPORTANCE OF ORAL
CARE for decreasing pulmonary
disease
Dr. Saroj Gupta
1) Why is it important for patients with COPD and
PNA to have good oral care?
The mouth contains a mixture of bacteria tha...
1) Why is it important for patients with
COPD and PNA to have good oral care?
2) How do we provide good oral care for
patients?
A. How often?


Clean teeth regularly e.g. at least twice daily. Arrang...
2) How do we provide good oral care for
patients?
B. What needs attention?
Dental

plaque, to a lesser extent, also build...
2) How do we provide good oral care for
patients?
C. What type of instruments should we use for
cleaning mouth and denture...
2) How do we provide good oral care for
patients?
Don’t use toothpaste in nursing home
patients :
 Foams –
saliva,
 Stro...
2) How do we provide good oral care for
patients?
With dentures:
 Denture brush
 Soak dentures in lukewarm water every
n...
3) How to do quick exam? What are we
looking for?
a) Check gums, make sure gums are
healthy and pink in color.
 b) Check ...
3) How to do quick exam? What are we
looking for?
4) What are some signs to alert us that a
patient is at risk for aspiration?


Pneumonia is the fifth leading cause of de...
4) What are some signs to alert us that a
patient is at risk for aspiration?


Sudden appearance of respiratory symptoms ...
5) What educational opportunities are
coming that address oral care?


On June 6th 2014 JCCC is offering a CE
course



...
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Impact of Oral care in reducing copd and pneumonia

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Impact of oral care in dealing with health care issues such as COPD and Pneumonia, reduce hospital readmission due to these medical issues and help the patients and hospitals, nursing homes, rehab centers etc.

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Impact of Oral care in reducing copd and pneumonia

  1. 1. IMPORTANCE OF ORAL CARE for decreasing pulmonary disease Dr. Saroj Gupta
  2. 2. 1) Why is it important for patients with COPD and PNA to have good oral care? The mouth contains a mixture of bacteria that is normally harmless, but mouth bacteria can be carried into the lung and cause infection The lack of oral hygiene results in an increase in both the amount and complexity of dental plaque which may contain bacteria responsible for chest infections Dental plaque, to a lesser extent, also builds up on the tongue and gums, and the bacteria are carried in saliva Poor oral hygiene has been shown to increase the risk of respiratory infection in high-risk groups
  3. 3. 1) Why is it important for patients with COPD and PNA to have good oral care?
  4. 4. 2) How do we provide good oral care for patients? A. How often?  Clean teeth regularly e.g. at least twice daily. Arrange regular dental check-ups every 6months. Dentures reviewed every 2 years.  If using inhaled steroids, use a spacer, rinse out mouth with cold water, and spit after use (to reduce build-up of steroid in mouth cavity). Use spacer when using inhaled steroids via metered dose inhaler.
  5. 5. 2) How do we provide good oral care for patients? B. What needs attention? Dental plaque, to a lesser extent, also builds up on the tongue and gums, and the bacteria are carried in saliva.
  6. 6. 2) How do we provide good oral care for patients? C. What type of instruments should we use for cleaning mouth and dentures?  Patients with teeth:  Tooth brush  Water  Wash cloth or paper towel  Kidney tray  Tooth paste
  7. 7. 2) How do we provide good oral care for patients? Don’t use toothpaste in nursing home patients :  Foams – saliva,  Strong taste  Uncooperative  Dysphagia  Messy 
  8. 8. 2) How do we provide good oral care for patients? With dentures:  Denture brush  Soak dentures in lukewarm water every night  Clean gums and palate properly after every meal.
  9. 9. 3) How to do quick exam? What are we looking for? a) Check gums, make sure gums are healthy and pink in color.  b) Check tongue. Dirty tongue means plaque accumulation  c) Check all the teeth the mouth. Check for calculus and plaque  d) Check for decay tooth. Caries teeth can play a big role in causing aspiration PNA 
  10. 10. 3) How to do quick exam? What are we looking for?
  11. 11. 4) What are some signs to alert us that a patient is at risk for aspiration?  Pneumonia is the fifth leading cause of death at the age of 65 and it becomes the third leading cause of death in those over 85.  Aspiration pneumonia is caused by inhaling foreign material (usually food, liquids, vomit, or secretions from the mouth) into the lower airways and causes inflammation of the lungs and bronchial tubes.
  12. 12. 4) What are some signs to alert us that a patient is at risk for aspiration?  Sudden appearance of respiratory symptoms (such as severe coughing or cyanosis) associated with eating, drinking, or regurgitation of gastric contents.  A voice change after swallowing such as hoarseness or gurgling noise. Small-volume aspiration is common and are often produces no overt symptoms until the condition progresses to aspiration pneumonia.  The oral cavity is a portal of entry as well as the site of disease for microbial infections that affect general health status.
  13. 13. 5) What educational opportunities are coming that address oral care?  On June 6th 2014 JCCC is offering a CE course  HEALTHY SMILE = HEALTHY LIFE  ENSURING THAT OLDER ADULTS MAINTAIN GOOD ORAL HEALTH: AN ESSENTIAL INGREDIENT FOR ENJOYING A HIGHER QUALITY OF LIFE

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