Exogenous lipoid pneumonia associated with oil pulling: Report of two cases

Wong, Chi Fong; Yan, See Wan; Wong, Wai; Ho, Rainbow T. H.

doi:10.4081/monaldi.2018.922

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…While there are many online reviews of people who have positively evaluated the effectiveness of oil pulling, scientific evidence is lacking. Moreover, there have been case reports of lipoid pneumonia associated with oil pulling or mineral oil aspiration [ 80 , 81 ]. Currently, there is insufficient information about the benefits and potential harm of oil pulling to help us decide whether we should do it or whether it is better to prioritize brushing or dental treatment.…”

Section: Resultsmentioning

confidence: 99%

Supportive Home Remedies for Orofacial Pain during the Coronavirus Disease 2019 Pandemic: Their Value and Limitations

Lee

2022

International Journal of Dentistry

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Background. The coronavirus disease 2019 (COVID-19) pandemic has impeded access to timely dental care, and there is an urgent need for adjuvant therapies that can reduce orofacial pain in emergencies. Aims. To provide information on the benefits and limitations of eight representative home remedies as palliative care for orofacial pain during the coronavirus disease 2019 (COVID-19) pandemic. Methods. PubMed and Medline were electronically searched for eight home remedies for orofacial pain that can be used in COVID-19. Papers published in English in the past 30 years were considered. Among the published studies suitable for the research purpose, those in which the abstract and body text were confirmed were targeted, and duplicate studies were excluded. Finally, 86 studies were included. Results. There is extensive and high-level scientific evidence for the application of tooth brushing and flossing, mouth rinsing with chlorhexidine, use of over-the-counter pain medication, and application of cryotherapy in emergencies. Gargling with salt water, brushing with bamboo salt, gargling with garlic juice, and oil pulling are traditional methods used for centuries. The use of natural products for orofacial pain has a significant empirical effect but has weak scientific evidence. Conclusions. Knowing the correct application method, effects, and side effects is desirable to use these methods appropriately in emergencies. However, scientific evidence is unclear and generally lacking for home remedies to be the main treatment strategy, and there are clear limitations to their use as a single main treatment.

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Section: Resultsmentioning

confidence: 99%

Supportive Home Remedies for Orofacial Pain during the Coronavirus Disease 2019 Pandemic: Their Value and Limitations

Lee

2022

International Journal of Dentistry

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“…[ 39 ] 2009 Incorrect intervention Wong et al. [ 15 ] 2018 Incorrect intervention Asokan [ 40 ] 2008 Letter Shetty [ 41 ] 2019 Unable to access journal Kablian and Ramamurthy [ 42 ] 2016 Incorrect intervention Halim et al. [ 43 ] 2014 Full text unavailable Shino et al.…”

Section: Resultsmentioning

confidence: 99%

“…No studies included in this review reported on the adverse effects of oil pulling. Throughout the full-text screening, a small number of articles described cases of lipid pneumonia in patients who regularly oil pulled [15,16,17]. However, in all case reports, the patients were reported as suffering with swallowing dysfunctions and or were at a high risk of aspiration.…”

Section: Discussionmentioning

confidence: 99%

The effect of oil pulling with coconut oil to improve dental hygiene and oral health: A systematic review

Woolley

Gibbons

Patel

et al. 2020

Heliyon

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Objectives: Coconut oil is a cheap and accessible oil for many people around the world. There are numerous advocates for the practice of oil pulling to prevent common oral diseases. Therefore determining the effectiveness of oil pulling with coconut oil could potentially have monumental benefits. This review aimed to assess the effect of oil pulling with coconut oil in improving oral health and dental hygiene. Data: We included randomized controlled trials comparing the effect of oil pulling with coconut oil on improving oral health and dental hygiene. No meta-analysis was performed due to the clinical heterogeneity and differences in the reporting of data among the included studies. Sources: Six electronic databases were screened: PubMed, Medline, EMBASE, AMED, CENTRAL and CINAHL. Study selection: Electronic searches yielded 42 eligible studies, of which four RCTs including 182 participants were included. The studies lasted between 7 and 14 days. Significant differences were demonstrated for a reduction in salivary bacterial colony count (p ¼ 0.03) and plaque index score (p¼<0.001). One study also demonstrated a significant difference in staining compared to using Chlorhexidine (p ¼ 0.0002). However, data was insufficient for conclusive findings, the quality of studies was mixed and risk of bias was high. Conclusion: The limited evidence suggests that oil pulling with coconut oil may have a beneficial effect on improving oral health and dental hygiene. Future clinical trials are of merit considering the universal availability of the intervention. Prospective research should have a robust design with rigorous execution to provide a higher quality of evidence. Clinical significance: Oil pulling with coconut oil could be used as a adjunct to normal preventative regimes to improve oral health and dental hygiene although further studies are needed to determine the level of effectiveness.

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“…Several case reports demonstrated the effectiveness of therapeutic lung lavage for lipoid pneumonia, which not only washed away lipids directly but also improved lung opacities [[15], [16], [17]]. Steroids are suggested for the treatment of lipoid pneumonia and have been proved successful in some cases, however, the efficiency of steroids mostly depending on the degree of intoxication [[5], [6], [7], [8], [9], [10],18,[22], [23], [24]]. Systemic steroid was administered initially at dose of 0.5mg/kg and gradually tapered off [31].…”

Section: Discussionmentioning

confidence: 99%

“…Upon the review of titles, abstracts, and full texts of these publications, we identified 22 articles (25 cases) describing exogenous lipid pneumonia caused by aspiration [[3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24]]. In particular, we found 3 articles describing 2 cases among these articles [17,20,24]. Of the 25 cases identified, abnormal chest radiographic findings of 3 cases were found during health examination, while these patients had no symptoms, and their CT scans all showed GGOs, mainly located in low lobes.…”

Section: Literature Reviewmentioning

confidence: 99%

Exogenous lipid pneumonia in old people caused by aspiration: Two case reports and literature review

Guo

Liu

Jiang

2019

Respiratory Medicine Case Reports

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Background Exogenous lipoid pneumonia is a rare entity, the diagnosis is often missed or delayed. Objective To investigate the clinical characteristics of exogenous lipid pneumonia in elderly patients, improve the efficiency of early diagnosis and treatment of this disease. Methods Retrospectively analyzed the clinical information and imaging data of these 2 exogenous lipid pneumonia patients, reviewed related literature. Results Both of the 2 patients were over 60 with a history of gastrointestinal diseases. The clinical presentation is nonspecific. Chest CT showed many different manifestations. Histopathology analysis revealed the accumulation of lipid carrying macrophages, vacuolar cells and inflammation. A literature review indicated that 25 previous cases of exogenous lipid pneumonia were caused by aspiration. The most common site of the lesion was located in right lung, while mineral oil was the most common substances. We sought to discuss the patient's treatment and the corresponding outcomes. Conclusion The diagnosis of lipid pneumonia's mainly depends on medical history and histopathological morphology. The standard treatment for exogenous lipid pneumonia was composed of antibiotics, steroid, bronchoscopic lavage and a regular follow-up.

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Exogenous lipoid pneumonia associated with oil pulling: Report of two cases

Cited by 7 publications

References 5 publications

Supportive Home Remedies for Orofacial Pain during the Coronavirus Disease 2019 Pandemic: Their Value and Limitations

Supportive Home Remedies for Orofacial Pain during the Coronavirus Disease 2019 Pandemic: Their Value and Limitations

The effect of oil pulling with coconut oil to improve dental hygiene and oral health: A systematic review

Exogenous lipid pneumonia in old people caused by aspiration: Two case reports and literature review

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