Periodontal Health Status and Level of Periodontal Treatment Needs in Stroke Patients at Hasan Sadikin Hospital Bandung
Abstract
Introduction: A stroke is any form of brain disorder or central nervous system damage caused by altered blood flow to the brain that impairs motor and cognitive function. Impaired motor and cognitive function restrict oral hygiene, so these patients are vulnerable to dental health problems, such as periodontal disease. They often require help from family members to assist them with oral care. Objectives: The aim of this study was to describe the condition of periodontal tissue and the periodontal treatment needs of stroke patients. Method: This research is a descriptive study using a cross-sectional format. It was conducted at Hasan Sadikin Hospital Bandung with a sample of 30 stroke patients. An examination of periodontal status and periodontal treatment needs was performed using an index from the World Health Organization, the Community Periodontal Index of Treatment Needs (CPITN). Results: None of the patients had healthy periodontal tissue status (score 0), gingival bleeding during or after probing (score 1), or a periodontal pocket ≥ 6 mm (score 4). Nine patients (30%) had supragingival or subgingival calculus (score 2), and 21 patients (70%) had 4–5 mm periodontal pockets (score 3). Conclusion: Most stroke patients at Hasan Sadikin Hospital Bandung had a pocket depth of 4–5 mm, and their periodontal health status indicated a need for scaling, root planing, removal of plaque retentive factors, and oral hygiene instructions.
References
RISKESDAS. Hasil Utama Riset Kesehatan Dasar. Kementrian Kesehatan Republik Indonesia. 2018;1(1):1–200.
Johnson W, Onuma O, Owolabi M, Sachdev S. Stroke: A global response is needed. Bull World Health Organ. 2016;94(9):634A-5A.
Caplan L. Caplan’s Stroke: A Cilical Approach. 4th ed. Saunders Elsevier, United State of America. 2009, pp. 22.
Karunia E. Hubungan Antara Dukungan Keluarga Dengan Kemandirian Activity Of Daily Living Pascastroke. J Berk Epidemiol. 2016;4:213–24.
RS Hasan Sadikin H. Stroke dan hipertensi [Internet]. 2011. [updated 2011; cited 2019 Des 29] Available from: http://web.rshs.or.id/stroke-dan-hipertensi/
Badriyah NJ, Amalia L, Suwarman S. Gambaran faktor risiko kejadian stroke di rshs bandung periode Januari 2015-Desember 2016. J Neuroanestesi Indones. 2018;7(3):134–9.
Kristanti EE, Kurniawati F. Gambaran dukungan keluarga emosional pada perawatan kesehatan mulut dan gigi pasien pasca stroke di Instalasi Rawat Jalan Rumah Sakit Baptis Kediri. J STIKES RSBK. 2017;10:126–30.
Jang EJ, Kim EK, Lee KS, Lee HK, Choi YH, Hwang TY, et al. Oral health related quality of life and it’s related factors of stroke patients at home in Korea. Arch Gerontol Geriatr. 2015;61(3):523–8.
Cubrilo-Turek M. Stroke risk factors: recent evidence and new aspects. Int Congr Ser. 2004;1262:466–9.
Kim IS, Han TR. Influence of mastication and salivation on swallowing in stroke patients. Arch Phys Med Rehabil. 2005;86(10):1986–90
Hall J. Guyton and hall textbook of medical physiology. 13th ed. Journal of Clinical Pathology, Philadelphia, Elsevier. 2016, pp. 515–519 .
Ding R, Logemann JA. Pneumonia in stroke patients : a retrospective study. Dysphagia. 2000;15(2):51–7.
Hannawi Y, Hannawi B, Rao CPV, Suarez JI, Bershad EM. Stroke-associated pneumonia : major advances and obstacles. Cerebrovasc. Dis. 2013;77030:430–43
Lam OLT, McMillan AS, Samaranayake LP, Li LSW, Mccrath C. Effect of oral hygiene interventions on opportunistic pathogens in patients after stroke. Am J Infect Control. 2013;41(2):149–54.
Wolf HF, Hassell TM. Color Atlas of Dental Hygiene-Periodontology. 1st ed. Thieme, New York. 2006. pp. 351.
Aprilia R. Personal Hygiene Dirumah Pada Penderita Stroke Di Desa Pekuwon, Kecamatan Bangsal, Kabupaten Mojokerto. 2014; Available from: http://103.38.103.27/repository/index.php/PUB-KEP/article/view/574
Biller J, Ferro JM. Management of Evidence-based Management of Stroke. 2013.
Komulainen K, Ylöstalo P, Syrjälä AM, Ruoppi P, Knuuttila M, Sulkava R, et al. Associations of instrumental activities of daily living and handgrip strength with oral self-care among home-dwelling elderly 75+. Gerodontology. 2012;29(2):e135-42.
Risti E, Kurniajati S. Penurunan kemampuan pengertian bahasa pada lansia dengan demensia. J STIKES RSBK. 2014;7(1):12–21.
Kwok C, Mcintyre A, Janzen S, Mays R, Teasell R. Oral rehabilitation oral care post stroke : a scoping review. J Oral Rehabil. 2015;65–74.
Lam OL, McMillan AS, Samaranayake LP, Li LS, McGrath C. Randomized clinical trial of oral health promotion interventions among patients following stroke. Arch Phys Med Rehabil. 2013;94(3):435–43.
Kumar P, Clark M. Kumar and Clark’s Clinical Medicine. 9th ed. Elsevier, UK. 2016. pp. 101–107
Hiremath SS. Preventive and Community Dentistry. 2nd ed. Satish Kumar Jain, India. 2011. pp. 211–13.
Newman M, Takei H, Klokkevold P, Carranza F. Newman and carranza’s clinical periodontology. 13th Ed. Clinical Periodontology, Los Angeles, CA, 2018. pp. 437–438.
Rateitschak KH & EM, Wolf HF, Hassel TM. Color Atlas of Dental Medicine: Periodontology. 3rd ed. Thieme, New York. 2004, pp. 351.
Clerehugh V, Tugnait A, Genco RJ. Periodontology at a glance. 6th ed. Wiley-Blackwell, UK. 2009, pp. 201–205
Yamamoto SL. Periodontal disease: symptoms, treatment and prevention. Yamamoto SL (eds). Nova Science, New York. 2011, pp. 321–352.
Eke PI, Dye BA, Wei L, Thornton-Evans GO, Genco RJ, et al. Prevalence of periodontitis in adults in the united states: 2009 and 2010. J Dent Res. 2012;91(10):914–20.
Susanto A, Rusjanti J, Rusminah N, Hendiani I, Komara I, Metta P. The prevalence of chronic periodontitis in the city of Bandung, Indonesia : a cross sectional study. Int J Med Sci Clin Invent. 2018;5(7):3914–6.
Sen S, Sumner R, Hardin J, Barros S, Moss K, Beck J, et al. Periodontal disease and recurrent vascular events in stroke/transient ischemic attack patients. J Stroke Cerebrovasc Dis. 2013;22(8):1420–7.
Ainamo J, Barmes D, Beagrie G, Cutress T, Sardo-Infirri J. Development of the World Health Organization (WHO) Community Periodontal Index of Treatment Needs (CPITN). Int Dent J. 1982;32:281–91.
Irlina L, F Hanum. Hubungan periodontitis dengan penderita stroke di RSUP Dr. Kariadi Semarang. JOM. 2012;12.
Hosomi N, Aoki S, Matsuo K, Deguchi K, Masugata H, Murao K, Ichihara N, et al. Association of serum anti-periodontal pathogen antibody with ischemic stroke. Cerebrovasc Dis. 2012;34(5-6):385–92.
Kelly T. Review of the evidence to support oral hygiene in stroke patients. Nurs Stand. 2010;24(37):35-8.
Boehme AK, Esenwa C, Elkind MS V. Stroke risk factors, genetics, and prevention. Circ Res. 2017;120(3):472–95.
Handajani A, Roosihermatie B, Maryani H. Faktor-faktor yang berhubungan dengan pola kematian pada penyakit degeneratif di indonesia. Bul Penel Sistem Kes. 2012;13:42–53.
Rahayu C, Widiati S, Widyanti N. Hubungan antara Pengetahuan, Sikap, dan Perilaku terhadap Pemeliharaan Kebersihan Gigi dan Mulut dengan Status Kesehatan Periodontal Pra Lansia di Posbindu Kecamatan Indihiang Kota Tasikmalaya. Maj Kedokt Gigi Indones. 21(1):27–32.
Sukarman, Helios A, Anggi. Hubungan pneumonia dengan terjadinya penyakit periodontal pada pasien rawat inap dan rawat jalan di RS Moehammad Hoesin dan RS AK Gani Palembang. J Kesehat. 2015;10(1):13-20.
Koshi E, Rajesh S, Koshi P, Arunima PR. Risk assessment for periodontal disease. J Indian Soc Periodontol. 2012;16(3):324–8.
Surya LS, Sutiawan, Besral. Relation of local factors, systemic factors and behavioral factors to the incidence of periodontal disease in Indonesia (Riskesdas analysis). Makassar Dent J. 2019;8(2):57–66.
Johnson W, Onuma O, Owolabi M, Sachdev S. Stroke: A global response is needed. Bull World Health Organ. 2016;94(9):634A-5A.
Caplan L. Caplan’s Stroke: A Cilical Approach. 4th ed. Saunders Elsevier, United State of America. 2009, pp. 22.
Karunia E. Hubungan Antara Dukungan Keluarga Dengan Kemandirian Activity Of Daily Living Pascastroke. J Berk Epidemiol. 2016;4:213–24.
RS Hasan Sadikin H. Stroke dan hipertensi [Internet]. 2011. [updated 2011; cited 2019 Des 29] Available from: http://web.rshs.or.id/stroke-dan-hipertensi/
Badriyah NJ, Amalia L, Suwarman S. Gambaran faktor risiko kejadian stroke di rshs bandung periode Januari 2015-Desember 2016. J Neuroanestesi Indones. 2018;7(3):134–9.
Kristanti EE, Kurniawati F. Gambaran dukungan keluarga emosional pada perawatan kesehatan mulut dan gigi pasien pasca stroke di Instalasi Rawat Jalan Rumah Sakit Baptis Kediri. J STIKES RSBK. 2017;10:126–30.
Jang EJ, Kim EK, Lee KS, Lee HK, Choi YH, Hwang TY, et al. Oral health related quality of life and it’s related factors of stroke patients at home in Korea. Arch Gerontol Geriatr. 2015;61(3):523–8.
Cubrilo-Turek M. Stroke risk factors: recent evidence and new aspects. Int Congr Ser. 2004;1262:466–9.
Kim IS, Han TR. Influence of mastication and salivation on swallowing in stroke patients. Arch Phys Med Rehabil. 2005;86(10):1986–90
Hall J. Guyton and hall textbook of medical physiology. 13th ed. Journal of Clinical Pathology, Philadelphia, Elsevier. 2016, pp. 515–519 .
Ding R, Logemann JA. Pneumonia in stroke patients : a retrospective study. Dysphagia. 2000;15(2):51–7.
Hannawi Y, Hannawi B, Rao CPV, Suarez JI, Bershad EM. Stroke-associated pneumonia : major advances and obstacles. Cerebrovasc. Dis. 2013;77030:430–43
Lam OLT, McMillan AS, Samaranayake LP, Li LSW, Mccrath C. Effect of oral hygiene interventions on opportunistic pathogens in patients after stroke. Am J Infect Control. 2013;41(2):149–54.
Wolf HF, Hassell TM. Color Atlas of Dental Hygiene-Periodontology. 1st ed. Thieme, New York. 2006. pp. 351.
Aprilia R. Personal Hygiene Dirumah Pada Penderita Stroke Di Desa Pekuwon, Kecamatan Bangsal, Kabupaten Mojokerto. 2014; Available from: http://103.38.103.27/repository/index.php/PUB-KEP/article/view/574
Biller J, Ferro JM. Management of Evidence-based Management of Stroke. 2013.
Komulainen K, Ylöstalo P, Syrjälä AM, Ruoppi P, Knuuttila M, Sulkava R, et al. Associations of instrumental activities of daily living and handgrip strength with oral self-care among home-dwelling elderly 75+. Gerodontology. 2012;29(2):e135-42.
Risti E, Kurniajati S. Penurunan kemampuan pengertian bahasa pada lansia dengan demensia. J STIKES RSBK. 2014;7(1):12–21.
Kwok C, Mcintyre A, Janzen S, Mays R, Teasell R. Oral rehabilitation oral care post stroke : a scoping review. J Oral Rehabil. 2015;65–74.
Lam OL, McMillan AS, Samaranayake LP, Li LS, McGrath C. Randomized clinical trial of oral health promotion interventions among patients following stroke. Arch Phys Med Rehabil. 2013;94(3):435–43.
Kumar P, Clark M. Kumar and Clark’s Clinical Medicine. 9th ed. Elsevier, UK. 2016. pp. 101–107
Hiremath SS. Preventive and Community Dentistry. 2nd ed. Satish Kumar Jain, India. 2011. pp. 211–13.
Newman M, Takei H, Klokkevold P, Carranza F. Newman and carranza’s clinical periodontology. 13th Ed. Clinical Periodontology, Los Angeles, CA, 2018. pp. 437–438.
Rateitschak KH & EM, Wolf HF, Hassel TM. Color Atlas of Dental Medicine: Periodontology. 3rd ed. Thieme, New York. 2004, pp. 351.
Clerehugh V, Tugnait A, Genco RJ. Periodontology at a glance. 6th ed. Wiley-Blackwell, UK. 2009, pp. 201–205
Yamamoto SL. Periodontal disease: symptoms, treatment and prevention. Yamamoto SL (eds). Nova Science, New York. 2011, pp. 321–352.
Eke PI, Dye BA, Wei L, Thornton-Evans GO, Genco RJ, et al. Prevalence of periodontitis in adults in the united states: 2009 and 2010. J Dent Res. 2012;91(10):914–20.
Susanto A, Rusjanti J, Rusminah N, Hendiani I, Komara I, Metta P. The prevalence of chronic periodontitis in the city of Bandung, Indonesia : a cross sectional study. Int J Med Sci Clin Invent. 2018;5(7):3914–6.
Sen S, Sumner R, Hardin J, Barros S, Moss K, Beck J, et al. Periodontal disease and recurrent vascular events in stroke/transient ischemic attack patients. J Stroke Cerebrovasc Dis. 2013;22(8):1420–7.
Ainamo J, Barmes D, Beagrie G, Cutress T, Sardo-Infirri J. Development of the World Health Organization (WHO) Community Periodontal Index of Treatment Needs (CPITN). Int Dent J. 1982;32:281–91.
Irlina L, F Hanum. Hubungan periodontitis dengan penderita stroke di RSUP Dr. Kariadi Semarang. JOM. 2012;12.
Hosomi N, Aoki S, Matsuo K, Deguchi K, Masugata H, Murao K, Ichihara N, et al. Association of serum anti-periodontal pathogen antibody with ischemic stroke. Cerebrovasc Dis. 2012;34(5-6):385–92.
Kelly T. Review of the evidence to support oral hygiene in stroke patients. Nurs Stand. 2010;24(37):35-8.
Boehme AK, Esenwa C, Elkind MS V. Stroke risk factors, genetics, and prevention. Circ Res. 2017;120(3):472–95.
Handajani A, Roosihermatie B, Maryani H. Faktor-faktor yang berhubungan dengan pola kematian pada penyakit degeneratif di indonesia. Bul Penel Sistem Kes. 2012;13:42–53.
Rahayu C, Widiati S, Widyanti N. Hubungan antara Pengetahuan, Sikap, dan Perilaku terhadap Pemeliharaan Kebersihan Gigi dan Mulut dengan Status Kesehatan Periodontal Pra Lansia di Posbindu Kecamatan Indihiang Kota Tasikmalaya. Maj Kedokt Gigi Indones. 21(1):27–32.
Sukarman, Helios A, Anggi. Hubungan pneumonia dengan terjadinya penyakit periodontal pada pasien rawat inap dan rawat jalan di RS Moehammad Hoesin dan RS AK Gani Palembang. J Kesehat. 2015;10(1):13-20.
Koshi E, Rajesh S, Koshi P, Arunima PR. Risk assessment for periodontal disease. J Indian Soc Periodontol. 2012;16(3):324–8.
Surya LS, Sutiawan, Besral. Relation of local factors, systemic factors and behavioral factors to the incidence of periodontal disease in Indonesia (Riskesdas analysis). Makassar Dent J. 2019;8(2):57–66.
Published
2020-10-30
How to Cite
SUKMAWATI, Rani et al.
Periodontal Health Status and Level of Periodontal Treatment Needs in Stroke Patients at Hasan Sadikin Hospital Bandung.
Journal of Indonesian Dental Association, [S.l.], v. 3, n. 2, p. 89-95, oct. 2020.
ISSN 2621-6175.
Available at: <http://jurnal.pdgi.or.id/index.php/jida/article/view/551>. Date accessed: 22 nov. 2024.
doi: https://doi.org/10.32793/jida.v3i2.551.
Section
Research Article
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
