Terezakis E, Needleman I, Kumar N, Moles D, Agudo E: The impact of hospitalization on oral health: a systematic review. J Clin Periodontol 2011; doi: 10.1111/j.1600-051X.2011.01727.x.
Background: Poor oral health of hospitalized patients is associated with an increased risk of hospital-acquired infections and reduced life quality.
Objectives: To systematically review the evidence on oral health changes during hospitalization.
Data sources: Cochrane library, Medline, OldMedline, Embase and CINAHL without language restrictions.
Study eligibility criteria: Observational longitudinal studies.
Data appraisal and synthesis methods: Two independent reviewers screened studies for inclusion, assessed the risk of bias and extracted data. Risk of bias was assessed using the Newcastle–Ottawa assessment scale. A narrative synthesis was conducted.
Results: Five before and after studies were included. The data suggest a deterioration in oral health following hospitalization with an increase in dental plaque accumulation and gingival inflammation and a deterioration in mucosal health.
Limitations: While before and after studies are at a general risk of bias, other specific study characteristics were judged to have a low risk of bias. However, methodological issues such as unvalidated outcome measures and the lack of assessor training limit the strength of the evidence.
Conclusion: Hospitalization is associated with a deterioration in oral health, particularly in intubated patients.
If you can't find a tool you're looking for, please click the link at the top of the page to "Go to old article view". Alternatively, view our Knowledge Base articles for additional help. Your feedback is important to us, so please let us know if you have comments or ideas for improvement.