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Rehabilitation Practice and Science

Abstract

(1) Background: Poor oral health is a common problem in stroke patients. In Taiwan, there are professional oral care processes for patients with special needs such as stroke patients, which are guided by dental hygienists. This study sought to investigate the effectiveness of specialized oral care for hospitalized stroke patients; (2) Methods: This prospective study was conducted in the Rehabilitation ward at the Taipei City Hospital. Sixty-six patients were randomly divided into two groups. The specialized oral care group (n=34) was guided by dental hygienists. The control group (n=32) received only routine oral care. The oral health outcome measure was the Oral Health Assessment Tool (OHAT) score, on admission (T0), one-week (T1), two-week (T2), three-week (T3), and four-week follow-up (T4); (3) Results: Both groups showed significant improvements in OHAT after the intervention over time. In the specialized oral care group, the improvement was greater than that in the control group; (4) Conclusions: The specialized oral care provided by dental hygienists is more effective than the usual oral care for the oral health of stroke patients. Incorporating dental hygienists into the care team enhances the comprehensiveness of stroke-integrated care.

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