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Stroke – Considerations - Medical Support System
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Oral Health Care ConsiderationsStroke
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Oral health care considerations for patients with a stroke or cerebrovascular accident (CVA), transient ischemic attack (TIA), or reversible ischemic neurologic deficit (RIND):
Poor oral hygiene may be associated with a person’s impaired motor functions, or depression, when regards for personal hygiene may be neglected.
Monitor blood pressure.
Patients with a history of a non-cardio-embolic ischemic stroke has an increased risk of a recurrence with a systolic blood pressure >150 mm Hg.
Recognize signs and symptoms of stroke/TIAs. These include, among others, minimal to severe motor dysfunction, sensory impairment, visual defects, speech difficulties, dysphagia, dizziness, seizures, dyspnea, sleep problems, and memory deficits. In addition, depression is a common condition affecting many patients after a stroke.
If any of the following occur, stop all dental care and call emergency medical services:
sudden numbness or weakness of the face, arm or leg, especially on one side of the body;
sudden confusion, trouble speaking or understanding;
sudden trouble seeing in one or both eyes;
sudden trouble walking, dizziness, loss of balance or coordination;
sudden severe headache with no known cause.
Encourage patients with a history of TIA and RIND to seek medical evaluation.
Be aware that patients with a history of TIA and RIND are high risk of developing a stroke.