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Objective: To investigate the effectiveness of an existing standard oral care program SOCP and factors associated with it during hospitalization in individuals with acquired brain injury ABI. Rapidly noticeable changes in oral health were evaluated by performing plaque, calculus, bleeding on probing BOP and bedside oral examination BOE at weeks 1 and 5. Individuals' brushing habits, eating difficulties, and the onset of pneumonia were retrieved from their medical records. Association between oral-health outcomes to systemic variables were investigated through multilevel regression models. Reduction in plaque and BOE over time were negatively associated with higher periodontitis scores at baseline coef. An increased proportion of calculus was associated with eating difficulties coef. Conclusions: Nursing care has been fundamental in improving oral health, especially reducing dental plaque and BOE scores. However, our findings indicate a need for improving the existing SOCP through academic-clinical partnerships. Clinical Relevance: Early introduction of oral care program to brain-injured individuals is beneficial in reducing plaque accumulation and improving oral health. Oral care is essential to maintain oral health and prevent complications such as periodontal diseases and tooth loss in patients with acquired brain injury ABI 1 — 5. Poor oral hygiene among dependent hospitalized patients could lead to severe complications such as poor nutritional intake, increased length of hospital stays, and pneumonia 5 — 7. Concerning oral health, stroke can cause hemiparesis and hemiplegia to the facial muscles and the muscles of the pharynx, tongue, palate, and mastication, resulting in impaired oral clearance 8 , 9. Medications prescribed for patients after stroke may further impact oral health resulting in, for example, dry mouth, oral ulcers, and stomatitis Acquired brain injury individuals with swallowing difficulties have compromised oral clearance that may lead to increased bacterial load 5.

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