case_images: PMC4706386_01
case_images: Patient female, 30 years, chronic renal failure, hospitalized for one month in the intensive care unit.
case_images: CCR3-4-026-g001.jpg
case_images: PMC4706386_01_CCR3-4-026-g001.jpg
case_images: ccr3437-fig-0001
case_images: 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).
case_images: High concentration of tongue coating - oral hygiene deficiency in the intensive care unit (ICU).
case_images: CCR3-4-026-g002.jpg
case_images: PMC4706386_01_CCR3-4-026-g002.jpg
case_images: ccr3437-fig-0002
case_images: Supragingival scraping to remove calculus on anterior teeth in the ICU - Clinical conduct carried out by qualified dentist.
case_images: CCR3-4-026-g003.jpg
case_images: PMC4706386_01_CCR3-4-026-g003.jpg
case_images: ccr3437-fig-0003
case_images: 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).
case_images: Clinical aspect after periodontal activity in ICU.
case_images: CCR3-4-026-g004.jpg
case_images: PMC4706386_01_CCR3-4-026-g004.jpg
case_images: ccr3437-fig-0004
case_images: 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).
case_images: Removing tongue coating with toothbrush - posterior direction to previous.
case_images: CCR3-4-026-g005.jpg
case_images: PMC4706386_01_CCR3-4-026-g005.jpg
case_images: ccr3437-fig-0005
case_images: A toothbrush was also used to clean the tongue (Fig. 5).
case_images: Clinical aspect after dental behaviors performed - Significant improvement of oral health of patients admitted to the ICU.
case_images: CCR3-4-026-g006.jpg
case_images: PMC4706386_01_CCR3-4-026-g006.jpg
case_images: ccr3437-fig-0006
case_images: 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).
case_images: 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.
case_images: CCR3-4-026-g007.jpg
case_images: PMC4706386_01_CCR3-4-026-g007.jpg
case_images: ccr3437-fig-0007
case_images: 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).