Personal oral hygiene and chronic periodontitis: a systematic review

Hujoel, Philippe P.; Cunha‐Cruz, Joana; Loesche, Walter J.; Robertson, Paul B.

doi:10.1111/j.1600-0757.2004.03795.x

Cited by 69 publications

(62 citation statements)

References 23 publications

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“…The inflammatory response of the periodontal tissues to infection is influenced by environmental factors, including oral hygiene and genetic factors 21-23. Randomized controlled trials have revealed that oral hygiene (plaque) is a risk factor for chronic periodontitis 24-26. These trials showed an improvement in surrogate measures of chronic periodontitis resulting from improved plaque control.…”

Section: Discussionmentioning

confidence: 99%

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The Relationship between Gastroesophageal Reflux Disease and Chronic Periodontitis

Song¹,

Kim²,

Cho³

et al. 2014

Gut Liver

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Background/AimsThe most common cause of chronic periodontitis is poor oral hygiene. Gastroesophageal reflux disease (GERD) enhances the proximal migration of gastric contents and may cause poor oral hygiene. We hypothesized that GERD may increase thse risk of chronic periodontitis and investigated this potential relationship.MethodsA retrospective cross-sectional study was conducted in outpatients between January 1, 2010, and April 30, 2012. GERD was defined as being present based on at least two of the following criteria: etiologic agent(s), identifiable signs and symptoms, and consistent anatomic alterations. A total of 280 patients with chronic periodontitis and 280 controls were analyzed. Information regarding patient demographics and other potential confounding factors for chronic periodontitis were collected through individual medical records.ResultsGERD was revealed to be independently associated with an increased incidence of chronic periodontitis (odds ratio [OR], 2.883; 95% confidence interval [CI], 1.775 to 4.682). The other three variables of dental caries (OR, 1.531; 95% CI, 1.042 to 2.249), tobacco use (OR, 2.335; 95% CI, 1.461 to 3.730), and history of medication (calcium channel blocker, cyclosporine, or phenytoin) (OR, 2.114; 95% CI, 1.160 to 3.854) were also determined to be independent risk factors.ConclusionsThe present study supported our hypothesis that GERD can be a risk factor for chronic periodontitis.

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Section: Discussionmentioning

confidence: 99%

“…These trials showed an improvement in surrogate measures of chronic periodontitis resulting from improved plaque control. Greater tooth loss was found in patients with poorer oral hygiene, and it is assumed that periodontitis was the major cause 24-26…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Gastroesophageal Reflux Disease and Chronic Periodontitis

Song¹,

Kim²,

Cho³

et al. 2014

Gut Liver

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“…Therefore, flossing information and skill training (provided to parents of young children) would need to be tailored specifically to the needs of the individual child. In a systematic review by Hujoel et al, 2005 (anauthor whose own comments were quoted in the August 12, 2016 NYT article), professional flossing performed during school on young children was associated with a 40% risk reduction for dental caries (relative risk, 0.60; (% CI 0.48–0.76, p<0.001), implying that, when done regularly and skillfully, flossing significantly reduced risk for dental caries in children 12 .…”

Section: Introductionmentioning

confidence: 99%

In Defense of Flossing: Can We Agree It's Premature to Claim Flossing is Ineffective to Prevent Dental Caries?

Vernon

Seacat

2017

Journal of Evidence Based Dental Practice

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Current evidence pertaining to the effectiveness of flossing and caries prevention is potentially being misinterpreted by health oversight bodies, which may have significant implications for current and future public flossing guidelines. We identify and discuss several methodological deficiencies including the lack of validated measures of flossing skill, over-reliance on self-reported flossing behavior and the lack of current guidelines on how to interpret and apply evidence-based findings to specific clinical scenarios that are present in the studies of flossing effectiveness included in the Cochran Review. As such, we argue that it is premature for health oversight bodies to conclude that flossing is ineffective in the prevention of dental caries. Our research group, which is funded by the National Institutes of Health, is developing valid and reliable provider-observed measure of tooth brushing and flossing skill that may help promote higher quality flossing evidence in the future.

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“…The lack of a strong association between dental plaque and destructive periodontal disease is consistent with a systematic review on this topic. 9 Although dental plaque may play a role in the secondary prevention of destructive periodontal disease, it is becoming increasingly apparent that an evidence-based approach to the primary prevention of destructive periodontal disease should include smoking prevention and cessation and the adoption of healthy eating habits.…”

mentioning

confidence: 99%