A systematic review of the effectiveness of oral health promotion activities among patients with cardiovascular disease

Lam, Otto L. T., Zhang, Wen, Samaranayake, Lakshman P., Li, Leonard S. W. and McGrath, Colman (2011) A systematic review of the effectiveness of oral health promotion activities among patients with cardiovascular disease. International Journal of Cardiology, 151 3: 261-267. doi:10.1016/j.ijcard.2010.11.014


Author Lam, Otto L. T.
Zhang, Wen
Samaranayake, Lakshman P.
Li, Leonard S. W.
McGrath, Colman
Title A systematic review of the effectiveness of oral health promotion activities among patients with cardiovascular disease
Journal name International Journal of Cardiology   Check publisher's open access policy
ISSN 0167-5273
1874-1754
Publication date 2011-09-15
Year available 2011
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.ijcard.2010.11.014
Open Access Status
Volume 151
Issue 3
Start page 261
End page 267
Total pages 7
Place of publication Shannon, Clare Ireland
Publisher Elsevier Ireland Ltd
Collection year 2012
Language eng
Subject 2705 Cardiology and Cardiovascular Medicine
Abstract Aims: This study aimed to review the effectiveness of oral health promotion activities conducted among patients with cardiovascular disease. Methods and results: Three electronic databases were searched for effective papers using standardized search methods, and key findings of effective studies were summarized. The initial search yielded 3101 papers but only 8 studies met the criteria for this review: 3 were randomized controlled studies, 3 were pre-/post group interventions, 1 was a randomized split-mouth study, and 1 was a quasi-experimental study. Studies retrieved concerned oral health promotion activities in patients with coronary heart disease, hypertension, heart transplantation, and stroke. Interventions comprised periodontal treatment performed by dental personnel, and oral hygiene interventions provided by nursing home care assistants. Outcomes included improvements in periodontal health, and modifications of systemic inflammatory markers. No studies, however, evaluated the effects of oral health promotion interventions on oral microflora. Conclusion: There are limited studies on the efficacy of oral health promotion activities in patients with cardiovascular disease, particularly stroke patients. Oral health promotion activities appear to produce improvements in periodontal health, and also result in changes to systemic markers of inflammation and endothelial function (at least) in the short term. Whether these effects can ultimately lower the risk of secondary cardiovascular events has not yet been determined.
Keyword Cardiovascular disease
Oral health promotion
Stroke
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Dentistry Publications
 
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