Oral hygiene, periodontal health and chronic obstructive pulmonary disease exacerbations

Liu, Zhiqiang; Zhang, Wei; Zhang, Jing; Zhou, Xuan; Zhang, Liangqiong; Song, Yiqing; Wang, Zuomin

doi:10.1111/j.1600-051x.2011.01808.x

Cited by 95 publications

(118 citation statements)

References 45 publications

(81 reference statements)

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“…A case-control study from a hospital population in Beijing found that in analyses stratified for smoking there was no significant association between periodontitis and COPD (Wang et al 2009). Periodontal status was not associated with the frequency of exacerbations in patients with COPD (Liu et al 2012).…”

Section: Assessment Of Periodontitismentioning

confidence: 98%

Periodontal systemic associations: review of the evidence

Linden

Lyons

Scannapieco

2013

Journal of Periodontology

286

147

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Linden GJ, Lyons A, Scannapieco FA. Periodontal systemic associations: review of the evidence. AbstractAim: To critically appraise recent research into associations between periodontal disease and systemic diseases and conditions specifically respiratory disease, chronic kidney disease, rheumatoid arthritis, cognitive impairment, obesity, metabolic syndrome and cancer. Methods: A MEDLINE literature search of papers published between 2002 and April 2012 was conducted. Studies that included periodontitis as an exposure were identified. Cross-sectional epidemiological investigations on large samples, prospective studies and systematic reviews formed the basis of the narrative review. A threshold set for the identification of periodontitis was used to identify those studies that contributed to the conclusions of the review. Results: Many of the investigations were cross-sectional secondary analyses of existing data sets in particular the NHANES studies. There were a small number of systematic reviews and prospective studies. There was substantial variability in the definitions of exposure to periodontitis. A small number of studies met the threshold set for periodontitis and supported associations; however, in some of the chronic diseases there were no such studies. There was strong evidence from randomized controlled trials that interventions, which improve oral hygiene have positive effects on the prevention of nosocomial pneumonias. Conclusions: There was substantial heterogeneity in the definitions used to identify periodontitis and very few studies met a stringent threshold for periodontitis. Published evidence supports modest associations between periodontitis and some, although not all, of the diseases and conditions reviewed. There is a need to reach a consensus on what constitutes periodontitis for future studies of putative associations with systemic diseases.

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Section: Assessment Of Periodontitismentioning

confidence: 98%

Periodontal systemic associations: review of the evidence

Linden

Lyons

Scannapieco

2013

Journal of Periodontology

286

147

View full text Add to dashboard Cite

show abstract

“…Probing depth, attachment loss, plaque index, alveolar bone loss and number of lost teeth were also positively correlated with the severity of COPD (3). In addition, a low quality of life, and poor oral hygiene or health status (such as a high number of lost teeth and a high plaque index) were significantly related to both CP and COPD (4,5).…”

Section: Introductionmentioning

confidence: 75%

Toll-like receptor 4 polymorphism is associated with increased susceptibility to chronic obstructive pulmonary disease in Han Chinese patients with chronic periodontitis

Wang

et al. 2016

J Oral Sci

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“…Accordingly, the present study investigated the association between dental health and pulmonary function status after stratifying smoking experience and found that T-health index and ST were associated with pulmonary function status among non-smokers, while T-health index, ST, and MT were associated with pulmonary function status among smokers. In a study by Liu et al 9) that investigated exacerbation of COPD, oral hygiene, and periodontal health in subjects 30 years or older, exacerbation of COPD was greater when there were fewer natural teeth, plaque index was higher, and tooth brushing frequency was lower among non-smokers and former smokers. However, when smoking experience was stratified and confounding variables were adjusted, the present study did not find statistically significant differences in dental health and pulmonary function status between smokers and non-smokers.…”

Section: Fs-t Index Is Based On the Presumption That St Andmentioning

confidence: 99%

“…Moreover, it has also been reported that dental plaque that causes oral diseases contains about 100 million bacteria per 1 mm 2 of area and continuously supplies potential pathogens to the mouth and airways, which may enter the lungs through saliva and the upper respiratory tract 8) . There are also claims that COPD can be prevented by improving periodontal status and oral hygiene 9) . In Korea, a study analyzed data from the fourth Korea National Health and Nutrition Examination Survey (KNHANES) and reported that there was no association between periodontal disease and COPD 10) , while another analyzed data from the 2012 KNHANES to investigate the association between the number of natural teeth and COPD and found that having fewer natural teeth was associated with higher probability of COPD, but such association appeared only in males 11) .…”

Section: Introductionmentioning

confidence: 99%

Relevance of Dental Health Capacity and Pulmonary Function Status in Adults

2017

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of complex sample survey data. The results were as follows: First, restrictive and obstructive patterns were more prevalent among males than females. They were even worse in older subjects. Approximately 67% of smokers had obstructive pattern. Second, there was a relevance between dental health capacity and pulmonary function status. The functioning teeth index, number of present teeth, and number of sound teeth (ST), which are indicators of dental health, declined with decreased pulmonary function. The number of missing teeth (MT) increased as the pulmonary function deteriorated (p＜0.05). Third, the relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience was statistically significant in the tissue health (T-health) index and ST among non-smokers. The relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience was statistically significant (p＜0.05) for the T-health index, ST, and MT among smokers. However, there was no relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience and adjusting confounding variables. In conclusion, there was a relevance between dental health capacity and pulmonary function status after confounding variables were adjusted. However, there was no relevance between dental health capacity and pulmonary function status after stratifying the life-long smoking experience and adjusting confounding variables.

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Oral hygiene, periodontal health and chronic obstructive pulmonary disease exacerbations

Abstract: Fewer remaining teeth, high PLI scores, and low tooth brushing times are significant correlates of COPD exacerbations, indicating that improving periodontal health and oral hygiene may be a potentially preventive strategy against COPD exacerbations.

Cited by 95 publications

References 45 publications

Periodontal systemic associations: review of the evidence

Periodontal systemic associations: review of the evidence

Toll-like receptor 4 polymorphism is associated with increased susceptibility to chronic obstructive pulmonary disease in Han Chinese patients with chronic periodontitis

Relevance of Dental Health Capacity and Pulmonary Function Status in Adults

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