JAMDA
Volume 11, Issue 7 , Pages 465-467 , September 2010

The Tongue, Oral Hygiene, and Prevention of Pneumonia in the Institutionalized Elderly

  • Paul J. Drinka, MD, CMD, AGSF

      Affiliations

    • University of Wisconsin, Madison, Medical College of Wisconsin, Milwaukee, Waupaca, WI
    • Corresponding Author InformationAddress correspondence to Paul J. Drinka, MD, CMD, AGSF, University of Wisconsin, Madison, Medical College of Wisconsin, Milwaukee, N3379 Bailey Street, Waupaca, WI 54981.
    • ,
  • Ali A. El-Solh, MD, MPH

      Affiliations

    • Veterans Affairs Western New York Healthcare System, Buffalo, NY
    • Department of Medicine and Social and Preventive Medicine, State University of New York at Buffalo, Buffalo, NY

References 

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  2. Tanaka M, Yamamoto Y, Kuboniwa M, et al. Contribution of periodontal pathogens on tongue dorsa analyzed with real-time PCR to oral malodor. Microbes Infect. 2004;6:1078–1083
  3. Do Nascimento C, Sato S, Mardegan Issa JP. Edson Santos Barbarosa R. DNA checkerboard method for bacterial detection of microbiota from teeth and tongue biofilms. Minerva Stomatol. 2008;57:561–574
  4. Washio J, Sato T, Koseki T, Takahashi N. Hydrogen sulfide producing bacteria in tongue biofilm and their relationship with oral malodor. J Med Microbiol. 2005;54:889–895
  5. Spencer P, Greenman J, McKensie C, et al. In vitro biofilm model for studying tongue flora and malodor. J Appl Microbiol. 2007;103:985–992
  6. Prince AA, Steiger JD, Khalid AN, et al. Prevalence of biofilm forming bacteria in chronic rhinosinusitis. Am J Rhinol. 2008;22:239–245
  7. Gander S. Bacterial biofilms: Resistance to antimicrobial agents. J Antimicrob Chemother. 1996;37:1047–1050
  8. Psaltis AJ, Weitzel EK, Ha KR, Wormaid PJ. The effect of bacterial biofilms on post-sinus surgical outcomes. Am J Rhinol. 2008;22:1–6
  9. Kilty SJ, Desrosiers MY. The role of bacterial biofilms and the pathophysiology of chronic rhinosinusitis. Curr Allergy Asthma Rep. 2008;8:227–233
  10. Smith K, Hunter IS. Efficacy of common hospital biocides with biofilms of MDRO. J Med Microbiol. 2008;57:966–973
  11. Paju S, Scannapieco FA. Oral biofilms, perodontitis, and pulmonary infections. Oral Dis. 2007;13:508–512
  12. Russell SL, Boylan RJ, Kaslick RS, et al. Respiratory pathogen colonization of the dental plaque of institutionalized elders. Spec Care Dentist. 1999;19:128–134
  13. El-Solh AA, Pietrantoni C, Bhat A, et al. Colonization of dental plaques: A reservoir of respiratory pathogens for hospital-acquired pneumonia in institutionalized elders. Chest. 2004;126:1575–1582
  14. American Thoracic Society. Guidelines for the management of adults with hospital-acquired, ventilator- associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med. 2005;117:388–416
  15. Yaegki K, Sanada K. Volatile sulfur compounds in mouth air from clinically healthy and patients with periodontal disease. J Periodont Res. 1992;27:233–238
  16. De Boever EH, Loesche WJ. Assessing the contribution of anaerobic microflora of the tongue to oral malodor. J Am Dent Assoc. 1995;126:1384–1393
  17. Morita M, Wang HL. Relationship between sulcular sulfide level and oral malodor in subjects with periodontal disease. J Periodontol. 2001;72:79–84
  18. Koshimune S, Awano S, Gohara K, et al. Low salivary flow and volatile sulfur compounds. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96:38–41
  19. Nalcaci R, Baran I. Oral malodor and removable complete dentures in the elderly. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105:5–9
  20. Mager DL, Ximenez-Fyvie LA, Haffajee AD, et al. Distribution of selected bacterial species on intraoral surfaces. J Clin Periodontol. 2003;30:644–654
  21. Abe S, Ishihara K, Adachi M, et al. Tongue coating as risk indicator for aspiration pneumonia in edentate elderly. Arch Gerontol Geriatr. 2008;47:267–275
  22. Palmer LB, Albulak K, Fields S, et al. Oral clearance and pathogenic oropharyngeal colonization in the elderly. Am J Respir Crit Care Med. 2001;64:464–468
  23. La Force FM, Thompson B, Trow R. Effect of atropine on oral clearance of a radiolabeled sulfur colloid. J Lab Clin Med. 1984;104:693–697
  24. Munro CL, Grap MJ, Elswick RK, et al. Oral health and development of ventilator-associated pneumonia. Am J Crit Care. 2006;15:453–460
  25. He M, Ohrui T, Azumi M, et al. Depressed involuntary swallowing and risk of pneumonia. J Am Geriatr Soc. 2004;52:1032–1033
  26. Yoneyama T, Yoshida M, Ohrui T, et al. members of the Oral Care Working Group Oral care reduces pneumonia in older patients in nursing homes. J Am Geriatr Soc. 2002;50:430–433
  27. Adachi M, Ishihara K, Abe S, Okuda K. Professional oral health care by dental hygienists reduced respiratory infections in elderly persons requiring nursing care. Int J Dent Hygiene. 2007;5:69–74
  28. Peng B, Petersen PE, Bian Z, et al. Can school based oral health education and a sugar free chewing gum program improve oral health?. Acta Odontol Scand. 2004;62:328–332
  29. Makinen KK, Pemberton D, Makinen PL, et al. Polyol-combinant saliva stimulants and oral health in VA patients. Spec Care Dentist. 1996;16:104–115
  30. Simons D, Brailsford SR, Kidd EAM, Beighton D. The effect of medicated chewing gums on oral health in frail older people: A 1-yr clinical trial. J Am Geriatr Soc. 2002;50:1348–1353

PII: S1525-8610(10)00035-6

doi: 10.1016/j.jamda.2010.01.009

JAMDA
Volume 11, Issue 7 , Pages 465-467 , September 2010

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