Oral Health and the Stroke Survivor

Publication ID Published Volume
9315 January 18, 2013 9


The authors have produced both a narrated PowerPoint with embedded video clips as well as a non-narrated power point presentation which will provide a review of the numerous effects a cerebrovascular accident can have on the oral cavity. Common oral hygiene practices of nursing staff that are inadequate and may be detrimental to oral health are explained and therapeutic alternatives are presented and demonstrated. The effects of poor oral hygiene on overall systemic health are outlined along with an oral hygiene regimen and demonstration for long-term care patients and those affected by stroke. Therapeutic oral products that enhance the oral health of long-term care patients and those affected by stroke along with procedures for their use are also explained and presented in the video. The presentation and video will prepare a non-dental professional to provide routine oral care. Lastly, ways that dental, medical and nursing professionals can be influential in changing the standard of care for long-term care patients are suggested.

The module can be used in any of the following manners:

  • Self-instruction: Learner can view the presentation in "Articulate" with the capability to navigate to specific slides or videos. The presentation and/or the reading assignment can be followed by completion of the ten self-assessment questions. The presentation can be placed online or on CD for use.
  • Classroom: The presentation in "Articulate" or the non-narrated power point presentation could be used as part of a lecture on oral health for stroke survivors with the assessment questions used as review or as part of an exam. The power point has speaker notes included for use in “presenter mode”. A separate Word document with the speaker notes is provided also.


Morris D, Sadowsky J. Oral health and the stroke survivor. MedEdPORTAL Publications. 2013;9:9315. http://dx.doi.org/10.15766/mep_2374-8265.9315

Contains Information Suitable for Patient Education

Educational Objectives

  1. To analyze the effects of a cerebrovascular accident on the oral cavity.
  2. To evaluate the effects of poor oral hygiene on overall systemic health.
  3. To assess oral hygiene teaching and common practices of nursing staff in the provision of oral care and eliminate procedures that are inadequate and may be detrimental to oral health.
  4. To be able to recommend an oral hygiene regimen for long-term care patients and those affected by stroke.
  5. To evaluate oral products that enhance the oral health of long-term care patients and those affected by stroke.
  6. To analyze ways that dental, medical and nursing professionals can be influential in changing the standard of care for long-term care patients.


  • Stroke, Cerebrovascular Accident, Building Oral Health Capacity (BOHC) Collection


  1. Ridker, PM, Hennekens, C.H., Buring, JE, Rifai, N . C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women. New England Journal of Medicine 2000, 342, 836-843. http://dx.doi.org/10.1056/NEJM200003233421202
  2. Janket S, Baird A, Chuang S, Jones JA. Meta-analysis of periodontal disease and risk of coronary heart disease and stroke. Oral Surg Oral Med Oral Pathol Oral Radiol Endod2003; 95:559-569. http://dx.doi.org/10.1067/moe.2003.107
  3. Scannapieco FA. Role of oral bacteria in respiratory infection. J Periodontol. 1999; 70: 793-802. http://dx.doi.org/10.1902/jop.1999.70.7.793
  4. Scannapieco FA, Bush RM, Paju S. Associations between periodontal disease and risk for nosocomial bacterial pneumonia and chronic obstructive pulmonary disease: a systematic review. Ann Periodontol. 2003; 8: 54-69. http://dx.doi.org/10.1902/annals.2003.8.1.54
  5. Mealey BL, Oates TW. Diabetes Mellitus and Periodontal Diseases. J Periodontol 2006;77(8):1289-1303. http://dx.doi.org/10.1902/jop.2006.050459
  6. Grossi SG, Genco RJ. Periodontal disease and diabetes mellitus: a two-way relationship. Ann Periodontol, 1998;3(1):51-61. http://dx.doi.org/10.1902/annals.1998.3.1.51
  7. Schepp,SK, Tirschwell D L, Miller RM, W.T. Longstreth, Jr. Swallowing Screens After Acute Stroke A Systematic Review. Stroke, 2012;43:869-871. http://dx.doi.org/10.1161/STROKEAHA.111.638254
  8. Daniels, SK, Anderson, JA and Willson, PC Valid Items for Screening Dysphagia Risk in Patients With Stroke : A Systematic Review. Stroke, 2012, 43:892-897. http://dx.doi.org/10.1161/STROKEAHA.111.640946
  9. Bates B, Choi JY, et al. Veterans Affairs/Department of Defense Clinical Practice Guideline for the Management of Adult Stroke Rehabilitation Care. Executive Summary. Stroke 2005;36:2049-2056. http://dx.doi.org/10.1161/01.STR.0000180432.73724.AD
  10. McMillan AS, Leung KC, Pow EH, Wong MC, Li LS, Allen PF. Oral health related quality of life of stroke survivors on discharge from hospital after rehabilitation. J Oral Rehabil 2005; 32: 495–503. http://dx.doi.org/10.1111/j.1365-2842.2005.01451.x
  11. Wright S. Denture treatment for the stroke patient. Br Dent J 1997; 183: 179–184. http://dx.doi.org/10.1038/sj.bdj.4809459
  12. Loesche WJ, Schork A, Terpenning MS, Chen YM, Kerr C, Dominguez BL. The relationship between dental disease and cerebral vascular accident in elderly United States veterans. Ann Periodontol. 1998;3: 161–174. http://dx.doi.org/10.1902/annals.1998.3.1.161
  13. Abidia RF. Oral Care in the Intensive Care Unit: A Review. J Contemp Dent Pract 2007 January;(8)1:076-082.
  14. Kaufman C. Designing a nurse care plan for a lifetime. Nursing2012;42(7) J 54-60. http://dx.doi.org/10.1097/01.nurse.0000414628.00260.02

Web-based citations:

  1. Centers for Disease Control and Prevention. Stroke. http://www.cdc.gov/stroke/ 
    Accessed online August 27, 2012.
  2. National Stroke Association: http://www.stroke.org/site/PageServer?pagename=aphasia 
    Accessed online August 27, 2012. 

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ISSN 2374-8265