Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening

Abstract

Oral management during the perioperative period is important to prevent the development of postoperative complications. However, there are no unified systems to examine the oral status of patients and very few studies have focused on preoperative oral screening. In this study, we examined the oral status of patients who underwent oral screening at a University Hospital. A total of 1173 patients who underwent oral screening for perioperative management from April 2020 to July 2021 were enrolled. The subjects’ medical data were retrospectively extracted from the dental records, and finally, the data of 1081 patients aged ≥20 years were analyzed. Oral screening based on seven categories was performed by dentists or dental hygienists. Our cumulative results determined whether patients required oral management during the perioperative period. “Poor oral hygiene” was the most frequent category (24%) of all oral categories examined. Logistic analysis revealed that tooth mobility had the highest odds ratio (21.476; 95% confidence interval: 11.462–40.239; p < 0.001) for oral management necessity during the perioperative period. Our study suggests that poor oral hygiene is most frequently observed in preoperative oral screening. Moreover, tooth mobility in preoperative oral screening may influence the judgment of oral management necessity during the perioperative period.

Introduction of a Multidisciplinary Preoperative Clinic at Juntendo University Hospital - A Retrospective Observational Study Focusing on Effects of Preoperative Interventions on Clinical Outcomes

“…ASA practice advisories suggest POC benefits from a variety of interventions 17) . However, only a few studies report beneficial effects of the POC on clinical outcomes, mostly by exploring impacts of interventions provided by a single profession alone [5][6][7][8][9][10][11] .…”

“…Organizational designs of the POC can roughly be divided into single-professional and multiprofessional models 4) . Various studies regarding single-professional models have been reported [5][6][7][8][9][10][11] . However, studies of multi-professional models remain limited, and the benefits of preoperative evaluation provided by multi-professional POC teams remain to be clarified.…”

Impact of oral health management by nurses and dental professionals on oral health status in inpatients eligible for the Nutrition Support Team: A longitudinal study

“…Multidisciplinary health care in various fields, such as stroke rehabilitation, 1 perioperative oral management 2 and palliative care, 3,4 aims to improve the quality of health care and life through early detection of disease, promotion of recovery and prevention of serious illness. In addition, multidisciplinary health care reduces the burden on medical personnel by improving medical efficiency and safety through the standardisation and organisation of medical care.…”