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Effects of Oral Health Interventions in People with Oropharyngeal Dysphagia: A Systematic Review
People with oropharyngeal dysphagia (OD) are at risk of developing aspiration pneumonia. However, there is no “best practice” for oral health interventions to improve swallowing-related outcomes, the incidence of aspiration pneumonia, and oral health in people with OD. Systematic literature searches...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225542/ https://www.ncbi.nlm.nih.gov/pubmed/35743591 http://dx.doi.org/10.3390/jcm11123521 |
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author | Remijn, Lianne Sanchez, Fabiola Heijnen, Bas J. Windsor, Catriona Speyer, Renée |
author_facet | Remijn, Lianne Sanchez, Fabiola Heijnen, Bas J. Windsor, Catriona Speyer, Renée |
author_sort | Remijn, Lianne |
collection | PubMed |
description | People with oropharyngeal dysphagia (OD) are at risk of developing aspiration pneumonia. However, there is no “best practice” for oral health interventions to improve swallowing-related outcomes, the incidence of aspiration pneumonia, and oral health in people with OD. Systematic literature searches were conducted for oral health interventions in OD in PubMed, Embase, CINAHL, and PsycINFO until July 2021. Original articles published in English and reporting pre- and post-intervention measurements were included. The methodology and reporting were guided by the PRISMA checklist. The methodological quality of the eight included studies was rated using the QualSyst critical appraisal tool. The oral health interventions in people with OD were diverse. This study shows little evidence that regular oral care and the free water protocol or oral disinfection reduced the incidence of aspiration pneumonia in people with OD. Oral cleaning, twice a day with an antibacterial toothpaste in combination with intraoral cleaning or the free water protocol, proved to be the most promising intervention to improve oral health. The effect of improved oral health status on swallowing-related outcomes could not be established. Increasing awareness of the importance of oral health and implementing practical oral care guidelines for people involved in the daily care of people with OD are recommended. |
format | Online Article Text |
id | pubmed-9225542 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-92255422022-06-24 Effects of Oral Health Interventions in People with Oropharyngeal Dysphagia: A Systematic Review Remijn, Lianne Sanchez, Fabiola Heijnen, Bas J. Windsor, Catriona Speyer, Renée J Clin Med Systematic Review People with oropharyngeal dysphagia (OD) are at risk of developing aspiration pneumonia. However, there is no “best practice” for oral health interventions to improve swallowing-related outcomes, the incidence of aspiration pneumonia, and oral health in people with OD. Systematic literature searches were conducted for oral health interventions in OD in PubMed, Embase, CINAHL, and PsycINFO until July 2021. Original articles published in English and reporting pre- and post-intervention measurements were included. The methodology and reporting were guided by the PRISMA checklist. The methodological quality of the eight included studies was rated using the QualSyst critical appraisal tool. The oral health interventions in people with OD were diverse. This study shows little evidence that regular oral care and the free water protocol or oral disinfection reduced the incidence of aspiration pneumonia in people with OD. Oral cleaning, twice a day with an antibacterial toothpaste in combination with intraoral cleaning or the free water protocol, proved to be the most promising intervention to improve oral health. The effect of improved oral health status on swallowing-related outcomes could not be established. Increasing awareness of the importance of oral health and implementing practical oral care guidelines for people involved in the daily care of people with OD are recommended. MDPI 2022-06-19 /pmc/articles/PMC9225542/ /pubmed/35743591 http://dx.doi.org/10.3390/jcm11123521 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review Remijn, Lianne Sanchez, Fabiola Heijnen, Bas J. Windsor, Catriona Speyer, Renée Effects of Oral Health Interventions in People with Oropharyngeal Dysphagia: A Systematic Review |
title | Effects of Oral Health Interventions in People with Oropharyngeal Dysphagia: A Systematic Review |
title_full | Effects of Oral Health Interventions in People with Oropharyngeal Dysphagia: A Systematic Review |
title_fullStr | Effects of Oral Health Interventions in People with Oropharyngeal Dysphagia: A Systematic Review |
title_full_unstemmed | Effects of Oral Health Interventions in People with Oropharyngeal Dysphagia: A Systematic Review |
title_short | Effects of Oral Health Interventions in People with Oropharyngeal Dysphagia: A Systematic Review |
title_sort | effects of oral health interventions in people with oropharyngeal dysphagia: a systematic review |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9225542/ https://www.ncbi.nlm.nih.gov/pubmed/35743591 http://dx.doi.org/10.3390/jcm11123521 |
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