Oral health and respiratory diseases.

Oral health and respiratory diseases. Research Abstract Details 

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Ian Needleman,Nicholas Hirsch,Ian Needleman,Nicholas Hirsch,Ian Needleman,Nicholas Hirsch,

Data sourcesRelevant studies were sourced using Ovid Medline (In-Process and Other Non-Indexed Citations, Daily Update and OLDMedline); Cumulative Index to Nursing and Allied Health Literature; Evidence Based Medicine of Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; Database of Abstracts of Reviews of Effects; Embase; Health and Psychosocial Instruments; HealthSTAR; International Pharmaceutical Abstracts; PubMed; and Google Scholar.Study SelectionRandomised controlled clinical trials and longitudinal, cohort, case-control and epidemiological studies were selected. Searches were limited to English language and human studies.Data extraction and synthesisData were extracted independently, evidence tables constructed and a qualitative summary made of the data.ResultsNineteen studies met the inclusion criteria. In five studies, the presence of cariogenic and periodontal pathogens, dental decay, and poor oral hygiene were identified as potential risk factors for pneumonia. A weak association between periodontal disease and chronic obstructive pulmonary disease (COPD) was identified in four poor to fair studies. Ten studies provided evidence that interventions aiming to improve oral health reduced the progression or occurrence of pneumonia.ConclusionsFirst, there is fair evidence (II-2, grade B recommendation) of an association of pneumonia with oral health [odds ratio (OR), 1.2-9.6 depending on oral health indicators]. Second, there is poor evidence of a weak association (OR<2.0) between COPD and oral health (II-2/3, grade C recommendation). Third, there is good evidence (I, grade A recommendation) that improved oral hygiene and frequent professional oral healthcare reduces the progression or occurrence of respiratory diseases in high-risk elderly adults living in nursing homes and especially those in intensive care units (number needed to treat, 2-16; relative risk reduction, 34-83%).Evidence-Based Dentistry (2007) 8, 116. doi:10.1038/sj.ebd.6400532.

Oral health and respiratory diseases. Publishing Authors By Initials

I Needleman,N Hirsch,I Needleman,N Hirsch,I Needleman,N Hirsch,

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PUBLICATION TYPE: Journal Article

Journal: Evidence-based dentistry

VOLUME: 8

Page Numbers: 116

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ISSN: 1462-0049

DAY: 25

MONTH: 12

YEAR: 2007

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LANGUAGE: eng

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AFFILIATION: 1International Centre for Evidence-Based Oral Health, Unit of Periodontology, University College London Eastman Dental Institute, London, UK.

Country: England

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MEDLINETA: Evid Based Dent

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