Vitamin D levels and oral health in stroke patients during inpatient rehabilitation

Abstract

AbstractBackgroundStroke is a severe that restricts the individual's functions, effects the oral health.ObjectivesThe aim of this study was to investigate the relationship between oral health and vitamin D levels in stroke patients in rehabilitation units.MethodsParticipants with stroke, and age‐ and sex‐matched healthy controls were recruited for the study. Oral Health Impact Scale‐14 (OHIP‐14), Decayed, Missing, Filled Teeth (DMFT) Index, Community Periodontal Index of Treatment Needs (CPITN), Gingival Index (GI) and Plaque Index (PI) were assessed for all participants. Barthel Index (BI), Brunnstrom Recovery Scale (BRS) and Modified Ashworth Scale (MAS) assessed for the stroke patients. Vitamin D levels of each participant were recorded.ResultsThe stroke patients' DMFT index and OHIP‐14 values were higher than those of the healthy controls (p < .05). However, no significant differences were observed in terms of CPTIN, PI, or GI scores (p > .05). No statistically significant difference was determined in the DMFT index, OHIP‐14 scores, Community Periodontal Index of Treatment Needs (CPITN), PI (Plaque Index) and GI (Gingival Index) scores according to vitamin D levels among the stroke patients (p > .05). Stroke patients' functional scores (BRS, MAS and BI), vitamin D levels and oral health status (OHIP‐14, DMFT, CPITN, PI and GI) were subjected to correlation analysis. This revealed significant negative correlation between BRS (arm, hand and leg), and BI and OHIP‐14 scores (p < .05).ConclusionAlthough the DMFT index and oral health‐related quality of life were adversely affected in stroke patients, no relationship was found between vitamin D and oral health status.