NUMERO: #20220332

Título: DENTAL CARE IN CRITICALLY ILL PATIENTS: THE EXPERIENCE OF A MULTIDISCIPLINARY TEAM

Nome do Apresentador: Bruno Augusto Linhares Almeida MARIZ

Categoria do Trabalho: Trabalhos Aprovados para Disponibilização em Vídeo (ADV)

Área Temática: Odontologia hospitalar

Resumo: Objective: to describe dental procedures performed in critically ill patients of a hospital in São Paulo, Brazil. Study design: digital files from patients evaluated by our dental team (composed by oral medicine, prosthodontics and oral surgery specialists) in a twelve-month period were retrieved. Results: 121 patients were evaluated (from May 2021 to April 2022), of which 83 (68.6%) were male and 38 (31.4%) were female, with a mean age of 64 years (range: 24-98). Most patients were under mechanical ventilation (n=82, 67.8%). Forty-eight patients (39.7%) had a diagnosis of COVID-19 and 11 (9.1%) were recovering from the disease. Oral hygiene was the most frequent procedure (n=81, 66.9%), followed by photobiomodulation (n=34, 28.1), mainly to treat viral infections or traumatic lesions. Oral hygiene using a suction toothbrush/swab and chlorhexidine 0.12% mouthwash was performed by a dentist daily to reduce ventilation-associated pneumonia (VAP). It was also performed by the nursing staff thrice a day. Custom-made mouth opening devices were performed in 6 cases (9.6% of intubated patients) to prevent tongue injuries or airway flow obstruction. Conclusion: oral care is crucial in critically ill patients, and a multidisciplinary team might help to provide specialized assistance in this complex and highly-demanding population.

Autor 1:  Bruno Augusto Linhares Almeida MARIZ

E-mail 1:  [email protected]

Autor 2:   Aljomar José Vechiato Filho

E-mail 2:  [email protected]

Autor 3 :  Patrícia Verónica Aulestia Vieira

E-mail 3:  [email protected]

Autor 4:  André Caroli Rocha

E-mail 4:  [email protected]

Autor 5:  Rafael Alves Franco

E-mail 5:  [email protected]

Autor 6:  Thiago Gomes Romano

E-mail 6:  [email protected]

Autor 7:  Thaís Bianca Brandão

E-mail 7:  [email protected]