Title |
The association between oral hygiene and periodontitis: a systematic review and meta-analysis
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Published in |
International Dental Journal, June 2017
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DOI | 10.1111/idj.12317 |
Pubmed ID | |
Authors |
Attawood Lertpimonchai, Sasivimol Rattanasiri, Sakda Arj-Ong Vallibhakara, John Attia, Ammarin Thakkinstian |
Abstract |
Dental plaque accumulation and inadequate personal oral hygiene (OH) are known major risk factors of periodontitis. Nevertheless, the magnitude of their effects has not yet been the subject of a meta-analysis. The Medline and Scopus databases were searched up to May 2016. Observational studies were eligible if they assessed associations between OH and periodontitis in adult subjects. A multivariate random-effects meta-analysis was used to pool the effects of fair/poor OH versus good OH on periodontitis across studies. The associations between oral care habits and periodontitis were also assessed. A total of 50 studies were eligible; 15 were used for pooling the effect of fair OH versus good OH and poor OH versus good OH on periodontitis, with pooled odds ratios (ORs) of 2.04 [95% confidence interval (CI): 1.65-2.53] and 5.01 (95% CI: 3.40-7.39), respectively. Eleven studies examined oral care habits measured according to toothbrushing regularity and dental visit frequency; pooled ORs of 0.66 (95% CI: 0.47-0.94) and 0.68 (95% CI: 0.47-0.98) were obtained, respectively. Fair to poor OH increases the risk of periodontitis by two- to five-fold. This risk can be reduced by regular toothbrushing and dental visits. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 12% |
United States | 2 | 12% |
Côte d'Ivoire | 1 | 6% |
India | 1 | 6% |
Canada | 1 | 6% |
Ireland | 1 | 6% |
Switzerland | 1 | 6% |
Unknown | 8 | 47% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 10 | 59% |
Practitioners (doctors, other healthcare professionals) | 5 | 29% |
Scientists | 2 | 12% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 531 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 97 | 18% |
Student > Master | 49 | 9% |
Student > Postgraduate | 25 | 5% |
Student > Ph. D. Student | 25 | 5% |
Other | 19 | 4% |
Other | 63 | 12% |
Unknown | 253 | 48% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 192 | 36% |
Nursing and Health Professions | 23 | 4% |
Biochemistry, Genetics and Molecular Biology | 12 | 2% |
Agricultural and Biological Sciences | 11 | 2% |
Immunology and Microbiology | 5 | <1% |
Other | 26 | 5% |
Unknown | 262 | 49% |