Modification of the Risk of Mortality from Pneumonia with Oral Hygiene Care

Bassim, Carol W.; Gibson, Gretchen; Ward, Timothy J.; Paphides, Brian M.; DeNucci, Donald J.

doi:10.1111/j.1532-5415.2008.01825.x

Cited by 112 publications

(108 citation statements)

References 53 publications

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“…Results are in agreement with other studies having reported relationships between plaque and/or oral hygiene with pneumonia [15], ventilatorassociated pneumonia [41,42] and COPD [12]. Oral hygiene may be efficient in reducing home-associated pneumonia [15,43]. Further, several meta-analyses [41,42,44] support the use of oral antiseptics to reduce risk of ventilator-associated pneumonia.…”

Section: Discussionsupporting

confidence: 80%

Periodontitis is related to lung volumes and airflow limitation: a cross-sectional study

et al. 2012

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This study aimed to assess the potential association of periodontal diseases with lung volumes and airflow limitation in a general adult population.Based on a representative population sample of the Study of Health in Pomerania (SHIP), 1463 subjects aged 25-86 years were included. Periodontal status was assessed by clinical attachment loss (CAL), probing depth and number of missing teeth. Lung function was measured using spirometry, body plethysmography and diffusing capacity of the lung for carbon monoxide. Linear regression models using fractional polynomials were used to assess associations between periodontal disease and lung function. Fibrinogen and high-sensitivity C-reactive protein (hs-CRP) were evaluated as potential intermediate factors.After full adjustment for potential confounders mean CAL was significantly associated with variables of mobile dynamic and static lung volumes, airflow limitation and hyperinflation (p,0.05). Including fibrinogen and hs-CRP did not change coefficients of mean CAL; associations remained statistically significant. Mean CAL was not associated with total lung capacity and diffusing capacity of the lung for carbon monoxide. Associations were confirmed for mean probing depth, extent measures of CAL/probing depth and number of missing teeth.Periodontal disease was significantly associated with reduced lung volumes and airflow limitation in this general adult population sample. Systemic inflammation did not provide a mechanism linking both diseases. @ERSpublications Periodontal disease was significantly associated with reduced lung volumes and airflow limitation in an adult population

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Section: Discussionsupporting

confidence: 80%

Periodontitis is related to lung volumes and airflow limitation: a cross-sectional study

et al. 2012

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“…124 Among nursing home residents, those without oral health care have 3.6 times higher mortality from pneumonia than those who were assigned oral hygiene care by nursing assistants. 125 Systematic reviews published in 2003, 126 2006, 127 2008, 128 and 2013 129 explored whether oral health care interventions in frail older persons in nursing homes or at hospitals could prevent aspiration pneumonia, and concluded that Mechanical oral hygiene and local chemical disinfection with antiseptics or antibiotics prevent aspiration pneumonia. 127,128 About 40% of pneumonia cases are preventable by improved oral hygiene.…”

Section: Aspiration Pneumoniamentioning

confidence: 99%

Does Treatment of Periodontal Disease Influence Systemic Disease?

Borgnakke

2015

Dental Clinics of North America

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“…denture use (O'Donnell 2016), being edentulous (Abe 2008)) may be additional risk factors for aspiration pneumonia among the elderly, who have an increased rate of dental plaque colonisation as a possible reservoir for pathogenic organisms associated with CAP or NHAP (Bassim 2008 ;Janssens 2005 ;Scannapieco 2003). A systematic review by Azarpazhooh 2006 concluded that there was fair evidence (II-2, grade B recommendation) of an association between pneumonia and oral health, and good evidence (I, grade A recommendation) that better oral health and frequent professional oral care reduce the occurrence or progression of respiratory disease among high-risk elderly living in nursing homes and especially those in intensive care units.…”

Section: Authors' Conclusionmentioning

confidence: 99%