A Proposal for a Multidisciplinary Integrated Oral Health Network for Patients Undergoing Major Orthopaedic Surgery (IOHN-OS).

IF 2.1 Q3 GERIATRICS & GERONTOLOGY
Matteo Briguglio, Thomas W Wainwright, Marialetizia Latella, Aurora Ninfa, Claudio Cordani, Cecilia Colombo, Giuseppe Banfi, Luca Francetti, Stefano Corbella
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引用次数: 0

Abstract

The passing of the years of life physiologically leads to the accumulation of changes in tissues in the oral cavity, influencing dentition, chewing and swallowing mechanisms, and the oral microbiota. Some diseases and medications can aggravate oral symptoms and negatively influence eating behaviours, increasing the likelihood of becoming malnourished. This could make older individuals more vulnerable to complications when undergoing major orthopaedic surgery. Hidden infection foci in the oral cavity are a recognised cause of post-operative periprosthetic joint infections. Dysfunctional oral problems might also compromise feeding after surgery when good nutrition represents a fundamental aspect of a proper recovery. To manage these shortcomings, in this article, the authors hypothesise a multidisciplinary path of care named the Integrated Oral Health Network applied to major Orthopaedic Surgery (IOHN-OS). This peri-operative initiative would include pre-operative oral health screening and risk management by a dental team, patient education programmes before and after surgery, and bedside gerodontology actions like oral care and meal and eating support for fragile individuals. The IOHN-OS has the potential to reshape the concept of suitability for major orthopaedic surgery and generate momentum for designing community-based surveillance programmes that can keep the mouths of older subjects healthy for a long time.

关于为接受大型矫形外科手术的患者建立多学科综合口腔健康网络(IOHN-OS)的建议。
岁月的流逝在生理上会导致口腔组织的累积变化,影响牙齿、咀嚼和吞咽机制以及口腔微生物群。一些疾病和药物会加重口腔症状,对进食行为产生负面影响,增加营养不良的可能性。这可能使老年人在接受大型矫形手术时更容易出现并发症。口腔中隐藏的感染灶是造成术后假体周围关节感染的公认原因。口腔功能障碍也可能会影响术后进食,而良好的营养是适当恢复的基本要素。为了弥补这些不足,作者在本文中提出了一种多学科护理方法,并将其命名为 "应用于主要骨科手术的综合口腔健康网络"(IOHN-OS)。这一围手术期举措将包括由牙科团队进行的术前口腔健康检查和风险管理、手术前后的患者教育计划以及床旁老年口腔医学行动,如口腔护理和为脆弱患者提供膳食和饮食支持。IOHN-OS 有可能重塑大型矫形手术适宜性的概念,并为设计基于社区的监测计划提供动力,从而使老年人的口腔长期保持健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Geriatrics
Geriatrics 医学-老年医学
CiteScore
3.30
自引率
0.00%
发文量
115
审稿时长
20.03 days
期刊介绍: • Geriatric biology • Geriatric health services research • Geriatric medicine research • Geriatric neurology, stroke, cognition and oncology • Geriatric surgery • Geriatric physical functioning, physical health and activity • Geriatric psychiatry and psychology • Geriatric nutrition • Geriatric epidemiology • Geriatric rehabilitation
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