Oral health management after a stroke

Stroke is a leading cause of long-term disability, with survivors often facing complex physical, cognitive, and emotional challenges that considerably impact oral health and access to dental care. There are different types and a variety of risk factors. Impairments associated with stroke include hemiparesis, dysphagia, aphasia and cognitive decline, along with effects on oral hygiene, dietary habits and communication. Oral health prevention should be carried out early in stroke rehabilitation to minimize the risk of complications, such as aspiration pneumonia. Practical strategies for adapting dental care delivery including communication aids, capacity assessments, accessibility modifications and minimally invasive treatment planning. There should be an emphasis on interdisciplinary collaboration, and caregivers have a crucial role in achieving and maintaining optimal oral health. CPD/Clinical Relevance: Patients who have had a stroke are at increased risk of poor oral health.