Table 1 Oral health assessment tools commonly used in ICUs
From: Oral health care for the critically ill: a narrative review
Tool | Content | Measurement | Validation | Other |
|---|---|---|---|---|
Beck Oral Assessment Score (BOAS) Beck [66] | lips, tongue and mucosa, gingiva, teeth and saliva | 5 items each with a four-point scale 1–4 Max score 20 | No | Developed for assessment of stomatitis post chemotherapy and adopted with modification for ICU |
Bedside oral exam (BOE) Prendergast et al. [42] | Lips, tongue, saliva, mucous membranes, gingiva, teeth and odour | 8 Items each with a three-point scale 1–3 Max score 24 | Yes | Modified from the Oral Assessment Guide (OAG) developed for assessment of mucositis post radiation therapy and adopted with modification for ICU |
Mucosal Plaque Score (MPS) Henriksen et al. [67] | Plaque Mucosa | 1–4 Point scale for each item Max score 8 | No | Developed to assess oral care in the elderly |
The BRUSHED Assessment Model Hayes and Jones [68] | Bleeding, redness, ulceration, saliva, halitosis, external factors, and debris | Mnemonic to aid nursing staff in detecting clinical signs of impaired oral health | No | Its use in ICU is not well documented |