A randomized controlled trial assessing the effectiveness of professional oral care by dental hygienists

Sato, T; Abe, Tohru; Ichikawa, Mayumi; Fukushima, Yukio; Nakamoto, Norimichi; Koshikiya, Noboru; Kobayashi, Akio; Yoda, Tetsuya

doi:10.1111/j.1601-5037.2007.00275.x

Cited by 9 publications

(7 citation statements)

References 18 publications

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“…A significant increase in Candida prevalence, however, was observed in the control group which did not receive any form of oral care intervention. A RCT 46 conducted on hospitalised inpatients was unable to demonstrate changes in Candida prevalence with povidone iodine mouthrinses provided by either dental hygienists or nurses, despite accompanying improvements in oral hygiene.…”

Section: Resultsmentioning

confidence: 98%

“…74 The clinical activity of povidone iodine may also be affected by its lack of substantivity, 75 and its effectiveness against yeast in medically compromised and hospitalised patients remains unclear. 45,46 Innate to saliva, the peroxidase system plays an integral role in host defence against microbes in the oral cavity. This system yields important antimicrobial components such as HOSCN ⁄ OSCN ) , O 2 SCN ) and O 3 SCN ) , which are produced through the peroxidase enzyme-mediated oxidation of thiocyanate ions (SCN ) ) by hydrogen peroxide (H 2 O 2 ).…”

Section: Discussionmentioning

confidence: 99%

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Oral health promotion interventions on oral yeast in hospitalised and medically compromised patients: a systematic review

Lam

Bandara

Samaranayake

et al. 2011

Mycoses

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Yeast are major aetiological agents of localised oral mucosal lesions, and are also leading causes of nosocomial bloodstream infections. The purpose of this systematic review was to examine the effectiveness of oral health promotion interventions on the prevalence and incidence of these opportunistic oral pathogens in hospitalised and medically compromised patients. The PubMed, ISI Web of Science and Cochrane Library databases were searched for clinical trials assessing the effect of oral health promotion interventions on oral yeast. Chlorhexidine delivered in a variety of oral hygiene products appeared to have some effect on oral yeast, although some studies found equivocal effects. Although a wide array of other compounds have also been investigated, their clinical effectiveness remains to be substantiated. Likewise, the utility of mechanical oral hygiene interventions and other oral health promotion measures such as topical application of salivary substitute, remains unsettled. Although many chemical agents contained in oral hygiene products have proven in vitro activity against oral yeast, their clinical effectiveness and potential role as adjuncts or alternative therapies to conventional treatment remains to be confirmed by further high-quality randomised controlled trials. This is pertinent, given the recent emergence of yeast resistance to conventional antifungal agents.

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Section: Resultsmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Oral health promotion interventions on oral yeast in hospitalised and medically compromised patients: a systematic review

Lam

Bandara

Samaranayake

et al. 2011

Mycoses

View full text Add to dashboard Cite

show abstract

“…Because of the lack of randomized control trials, observational studies were included. Two randomized studies 25,26 that used tooth brushing performed in hospitalized, surgical patients were excluded because the samples in those studies consisted of surgical patients who were not admitted to critical care units. Numerous other surveys or observational studies of nurses' oral care practices also were excluded because those studies focused on nurses' opinions regarding oral care and not the effects of tooth brushing on VAP.…”

Section: Methodsmentioning

confidence: 99%

Evidence to Support Tooth Brushing in Critically Ill Patients

Ames

2011

American Journal of Critical Care

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Tooth brushing in critically ill patients has been advocated by many as a standard of care despite the limited evidence to support this practice. Attention has been focused on oral care as the evidence accumulates to support an association between the bacteria in the oral microbiome and those respiratory pathogens that cause pneumonia. It is plausible to assume that respiratory pathogens originating in the oral cavity are aspirated into the lungs, causing infection. A recent study of the effects of a powered toothbrush on the incidence of ventilator-associated pneumonia was stopped early because of a lack of effect in the treatment group. This review summarizes the evidence that supports the effectiveness of tooth brushing in critically ill adults and children receiving mechanical ventilation. Possible reasons for the lack of benefit of tooth brushing demonstrated in clinical trials are discussed. Recommendations for future trials in critically ill patients are suggested. With increased emphasis being placed on oral care, the evidence that supports this intervention must be evaluated carefully.

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“…A pre-existing infection is combated by improved oral hygiene [56], professional prophylaxis [87] and, if necessary, systematic periodontal therapy [85].…”

Section: Rezessionenmentioning

confidence: 99%

“…Einer bestehenden Entzündung wird durch Verbesserung der Mundhygiene [56], professionelle Prophylaxe [87] und gegebenenfalls eine systematische antiinfektiöse Parodontalherapie begegnet [85].…”

Section: Rezessionenunclassified

Interfaces between orthodontic and periodontal treatment

Reichert

Hagner²,

Jepsen

et al. 2011

J Orofac Orthop

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The contextual relationships between orthodontics and periodontology are diverse and complex. While the consequences of orthodontic tooth movements are discussed in terms of possible damage and improvements in the long-term health of periodontal tissues orthodontic treatment of adults is a routine clinical procedure nowadays, even in patients presenting already-damaged periodontal tissues. As developments in both fields have been so rapid, there is a constant need for evidence-based concepts in this interdisciplinary field. The goal of this review was to discuss the latest aspects of interdisciplinary treatment and to reflect on the latest developments in research. A treatment scheme is also presented which aims to facilitate coordination of the orthodontic treatment of patients with periodontal diseases.

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A randomized controlled trial assessing the effectiveness of professional oral care by dental hygienists

Abstract: A randomized controlled trial assessing the effectiveness of professional oral care by dental hygienists.

Cited by 9 publications

References 18 publications

Oral health promotion interventions on oral yeast in hospitalised and medically compromised patients: a systematic review

Oral health promotion interventions on oral yeast in hospitalised and medically compromised patients: a systematic review

Evidence to Support Tooth Brushing in Critically Ill Patients

Interfaces between orthodontic and periodontal treatment

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