PMC4706386_01
Patient female, 30 years, chronic renal failure, hospitalized for one month in the intensive care unit.
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The patient was assessed by a dentist who performed oral health procedures after medical indication, since she had spontaneous bleeding in the oral cavity (Fig. 1).
High concentration of tongue coating - oral hygiene deficiency in the intensive care unit (ICU).
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Supragingival scraping to remove calculus on anterior teeth in the ICU - Clinical conduct carried out by qualified dentist.
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Periodontal supragingival scraping using McCall universal periodontal curette was applied to remove the calculus located at the vestibular (anterior) and lingual regions (posterior) of the teeth (Figs 3 and 4).
Clinical aspect after periodontal activity in ICU.
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Periodontal supragingival scraping using McCall universal periodontal curette was applied to remove the calculus located at the vestibular (anterior) and lingual regions (posterior) of the teeth (Figs 3 and 4).
Removing tongue coating with toothbrush - posterior direction to previous.
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A toothbrush was also used to clean the tongue (Fig. 5).
Clinical aspect after dental behaviors performed - Significant improvement of oral health of patients admitted to the ICU.
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Thus, the microbial reservoirs that favor the emergence of ventilator-associated pneumonia (VAP) were possibly eliminated from the patient's mouth (Figs 6 and 7).
Clinical aspect after three days of activities directed to the oral health of the patient admitted to the ICU - Adequacy of the oral cavity and patient satisfaction - Elimination of inflammation, dental calculus, and tongue coating.
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Thus, the microbial reservoirs that favor the emergence of ventilator-associated pneumonia (VAP) were possibly eliminated from the patient's mouth (Figs 6 and 7).