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Ono K, Hironaka S, Utsumi A, Yamaguchi A, Shibata Y, Osakabe L, Oka S, Aoki A, Kotani T, Shirakura K, Yamaguchi S, Myers M, Maruoka Y. Effective Oral Indicators With Medical and Dental Collaboration in Open Heart Surgery: A Representative Survey. Cureus 2024; 16:e62392. [PMID: 39006595 PMCID: PMC11246723 DOI: 10.7759/cureus.62392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/14/2024] [Indexed: 07/16/2024] Open
Abstract
Purpose Postoperative infections pose an important problem for patients with cardiac disease. Moreover, oral health status is associated with the risk of longer hospital stays. Therefore, the oral health status of patients was assessed before open-heart surgery. This study aimed to determine the relationship between oral health status and postoperative status. Methods The study included 25 patients who underwent open-heart surgery at our university hospital in 2020. Upon admission, dentists conducted an oral examination and assessed the oral health status of the patients, also using the Japanese version of the Oral Health Assessment Tool (OHAT-J), Revised Oral Assessment Guide (ROAG), oral moisture level, oral bacteria, and other relevant factors. The study investigated the association with postoperative status. Findings Significant postoperative infections were found in patients aged ≥70 years, with an OHAT-J score of ≥5, OHAT-J lip score of ≥1, Streptococcus γ count of 1.0 × 10^6 or higher (CFU/mL), and increased Streptococcus γ before and after surgery. The duration of hospitalization correlated with the OHAT-J, OHAT-J gum and tissue, and ROAG scores. The duration of intensive care unit (ICU) stays correlated with the OHAT-J score. Conclusions The study demonstrates that OHAT-J scores are linked with predicting not just postoperative infection but also the length of hospitalization and ICU stay. As OHAT-J scores do not necessitate specialized dental instruments, they are straightforward and beneficial for healthcare professionals outside of dentistry.
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Affiliation(s)
- Kaori Ono
- Department of Perioperative Medicine, Showa University School of Dentistry, Tokyo, JPN
| | - Shouji Hironaka
- Department of Hygiene and Oral Health, Showa University School of Dentistry, Tokyo, JPN
| | - Akemi Utsumi
- Department of Hygiene and Oral Health, Showa University School of Dentistry, Tokyo, JPN
| | - Asako Yamaguchi
- Department of Perioperative Medicine, Showa University School of Dentistry, Tokyo, JPN
- Department of Hospital Dentistry, Showa University Hospital, Tokyo, JPN
| | - Yumi Shibata
- Graduate School of Health Sciences, Showa University, Kanagawa, JPN
| | - Luna Osakabe
- Department of Hygiene and Oral Health, Showa University School of Dentistry, Tokyo, JPN
| | - Shuichiro Oka
- Department of Dental Anesthesia, Showa University Hospital, Tokyo, JPN
- Department of Perioperative Medicine, Division of Anesthesiology, Showa University School of Dentistry, Tokyo, JPN
| | - Atsushi Aoki
- Department of Surgery, Showa University School of Medicine, Tokyo, JPN
| | - Toru Kotani
- Department of Intensive Care Medicine, Showa University School of Medicine, Tokyo, JPN
| | - Kyoko Shirakura
- Department of Perioperative Medicine, Showa University School of Dentistry, Tokyo, JPN
| | - Satoko Yamaguchi
- Department of Hygiene and Oral Health, Showa University School of Dentistry, Tokyo, JPN
| | - Mie Myers
- Department of Perioperative Medicine, Showa University School of Dentistry, Tokyo, JPN
| | - Yasubumi Maruoka
- Department of Perioperative Medicine, Showa University School of Dentistry, Tokyo, JPN
- Department of Oral and Maxillofacial Surgery, Totsuka Kyoritsu Daini Hospital, Kanagawa, JPN
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2
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Zhao D, Zhang Y, Jin Z, Bai R, Wang J, Wu L, He Y. Benzalkonium Chloride and Benzethonium Chloride Effectively Reduce Spore Germination of Ginger Soft Rot Pathogens: Fusarium solani and Fusarium oxysporum. J Fungi (Basel) 2023; 10:8. [PMID: 38248918 PMCID: PMC10816859 DOI: 10.3390/jof10010008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 12/18/2023] [Accepted: 12/19/2023] [Indexed: 01/23/2024] Open
Abstract
Ginger soft rot is a serious soil-borne disease caused by Fusarium solani and Fusarium oxysporum, resulting in reduced crop yields. The application of common chemical fungicides is considered to be an effective method of sterilization, and therefore, they pose a serious threat to the environment and human health due to their high toxicity. Benzalkonium chloride (BAC) and benzethonium chloride (BEC) are two popular quaternary ammonium salts with a wide range of fungicidal effects. In this study, we investigated the fungicidal effects of BAC and BEC on soft rot disease of ginger as alternatives to common chemical fungicides. Two soft rot pathogens of ginger were successfully isolated from diseased ginger by using the spread plate method and sequenced as F. solani and F. oxysporum using the high-throughput fungal sequencing method. We investigated the fungicidal effects of BAC and BEC on F. solani and F. oxysporum, and we explored the antifungal mechanisms. Almost complete inactivation of spores of F. solani and F. oxysporum was observed at 100 mg/L fungicide concentration. Only a small amount of spore regrowth was observed after the inactivation treatment of spores of F. solani and F. oxysporum in soil, which proved that BAC and BEC have the potential to be used as an alternative to common chemical fungicides for soil disinfection of diseased ginger.
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Affiliation(s)
- Dongxu Zhao
- School of Chemical Sciences, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Yang Zhang
- School of Chemical Sciences, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Zhaoyang Jin
- School of Chemical Sciences, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Ruxiao Bai
- Institute of Farmland Water Conservancy and Soil Fertilizers, Xinjiang Academy of Agricultural Reclamation Sciences, Shihezi 832000, China
| | - Jun Wang
- Institute of Farmland Water Conservancy and Soil Fertilizers, Xinjiang Academy of Agricultural Reclamation Sciences, Shihezi 832000, China
| | - Li Wu
- School of Chemical Sciences, University of Chinese Academy of Sciences, Beijing 100049, China
- State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University, Beijing 100191, China
| | - Yujian He
- School of Chemical Sciences, University of Chinese Academy of Sciences, Beijing 100049, China
- Institute of Farmland Water Conservancy and Soil Fertilizers, Xinjiang Academy of Agricultural Reclamation Sciences, Shihezi 832000, China
- School of Future Technology, University of Chinese Academy of Sciences, Beijing 100049, China
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3
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Jogiat U, Kirkland M, Verhoeff K, Bédard ELR, Kung JY, Turner SR. Oral care reduces incidence of pneumonia after esophagectomy: systematic review and meta-analysis. Langenbecks Arch Surg 2023; 408:209. [PMID: 37222945 DOI: 10.1007/s00423-023-02936-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 05/09/2023] [Indexed: 05/25/2023]
Abstract
PURPOSE Post-operative pneumonia after esophagectomy is a major contributor to morbidity and mortality. Prior studies have demonstrated a link between the presence of pathologic oral flora and the development of aspiration pneumonia. The objective of this systematic review and meta-analysis was to evaluate the effect of pre-operative oral care on the incidence of post-operative pneumonia after esophagectomy. METHODS A systematic search of the literature was performed on September 2, 2022. Screening of titles and abstracts, full-text articles, and evaluation of methodological quality was performed by two authors. Case reports, conference proceedings, and animal studies were excluded. A meta-analysis of peri-operative oral care on the odds of post-operative pneumonia after esophagectomy was performed using Revman 5.4.1 with a Mantel-Haenszel, random-effects model. RESULTS A total of 736 records underwent title and abstract screening, leading to 28 full-text studies evaluated for eligibility. A total of nine studies met the inclusion criteria and underwent meta-analysis. Meta-analysis revealed a significant reduction in post-operative pneumonia among patients undergoing pre-operative oral care intervention compared to those without an oral care intervention (OR 0.57, 95% CI 0.43-0.74, p < 0.0001; I2 = 49%). CONCLUSION Pre-operative oral care interventions have significant potential in the reduction of post-operative pneumonia after esophagectomy. North American prospective studies, as well as studies on the cost-benefit analysis, are required.
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Affiliation(s)
- Uzair Jogiat
- Division of Thoracic Surgery, Department of Surgery, University of Alberta, 416 Community Services Centre, 10240 Kingsway Ave, Edmonton, T5H 3V9, AB, Canada
| | - Megan Kirkland
- Division of Thoracic Surgery, Department of Surgery, University of Alberta, 416 Community Services Centre, 10240 Kingsway Ave, Edmonton, T5H 3V9, AB, Canada
| | - Kevin Verhoeff
- Division of Thoracic Surgery, Department of Surgery, University of Alberta, 416 Community Services Centre, 10240 Kingsway Ave, Edmonton, T5H 3V9, AB, Canada
| | - Eric L R Bédard
- Division of Thoracic Surgery, Department of Surgery, University of Alberta, 416 Community Services Centre, 10240 Kingsway Ave, Edmonton, T5H 3V9, AB, Canada
| | - Janice Y Kung
- John W. Scott Health Sciences Library, University of Alberta, Edmonton, T5H 3V9, Canada
| | - Simon R Turner
- Division of Thoracic Surgery, Department of Surgery, University of Alberta, 416 Community Services Centre, 10240 Kingsway Ave, Edmonton, T5H 3V9, AB, Canada.
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4
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Steinle EC, Pinesso JAM, Bellançon LB, de Paula Ramos S, Seixas GF. The association of oral health with length of stay and mortality in the intensive care unit. Clin Oral Investig 2023:10.1007/s00784-023-05008-z. [PMID: 37017755 DOI: 10.1007/s00784-023-05008-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 03/28/2023] [Indexed: 04/06/2023]
Abstract
OBJECTIVES To analyze the relationship between the oral and systemic health status of adult patients admitted to the intensive care unit (ICU) with the length of stay and mortality. MATERIAL AND METHODS A daily oral examination and oral hygiene were performed in patients admitted to an adult ICU. Dental and oral lesions, systemic health status, the need for mechanical ventilation, length of stay, and mortality were registered. Multivariate linear and logistic regression analyses were performed to identify associations between length of stay and death of patients, respectively, with oral and systemic health status. RESULTS In total, 207 patients were included, 107 (51.7%) male. Ventilated patients presented an increased length of stay (p < 0.001), mortality (p < 0.0001), number of medications (p < 0.0001), edentulism (p = 0.001), mucous lesions and bleeding (p < 0.0001), oropharyngitis (p = 0.03), and drooling (p < 0.001) compared to non-ventilated patients. The number of days in the ICU was associated with mechanical ventilation (p = 0.04), nosocomial pneumonia (p = 0001), end-stage renal disease (p < 0.0007), death (p < 0.0001), mucous bleeding (p = 0.01), tongue coating (p = 0.001), and cheilitis (p = 0.01). Mortality was associated with length of stay in the ICU (p < 0.0001), number of medications (p < 0.0001), and the need for mechanical ventilation (p = 0.006). CONCLUSION ICU patients present poor oral health. Soft tissue biofilm and mucous ulcerations were associated with the length of stay in the ICU, but not with the mortality rate. CLINICAL RELEVANCE Mucous lesions are associated with an increased length of stay in the ICU, and critically ill patients should receive oral care to control oral foci of infection and mucous lesions.
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Affiliation(s)
- Erika Caroline Steinle
- Research Group On Tissue Regeneration, Adaptation, and Repair, Center of Biological Sciences, State University of Londrina, Londrina, PR, Brazil
| | - Jessica Antonia Montovani Pinesso
- Research Group On Tissue Regeneration, Adaptation, and Repair, Center of Biological Sciences, State University of Londrina, Londrina, PR, Brazil
| | - Leonardo Bernardi Bellançon
- Research Group On Tissue Regeneration, Adaptation, and Repair, North Parana University, Rua Marselha, Londrina, 678, Brazil
| | - Solange de Paula Ramos
- Research Group On Tissue Regeneration, Adaptation, and Repair, Center of Biological Sciences, State University of Londrina, Londrina, PR, Brazil
| | - Gabriela Fleury Seixas
- Research Group On Tissue Regeneration, Adaptation, and Repair, North Parana University, Rua Marselha, Londrina, 678, Brazil.
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5
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Papaconstantinou D, Fournaridi AV, Tasioudi K, Lidoriki I, Michalinos A, Konstantoudakis G, Schizas D. Identifying the role of preoperative oral/dental health care in post-esophagectomy pulmonary complications: a systematic review and meta-analysis. Dis Esophagus 2023; 36:6695457. [PMID: 36097793 DOI: 10.1093/dote/doac062] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 08/16/2022] [Indexed: 12/11/2022]
Abstract
Esophageal surgery has traditionally been associated with high morbidity rates. Despite the recent advances in the field of minimally invasive surgery and the introduction of enhanced recovery after surgery (ERAS) protocols, post-esophagectomy morbidity, especially that attributed to the respiratory system, remains a concern. In that respect, preoperative intensification of oral care or introduction of structured oral/dental hygiene regimens may lead to tangible postoperative benefits associated with reduced morbidity (respiratory or otherwise) and length of hospital stay. A systematic literature search of the Medline, Embase, Web of Knowledge and clinicaltrials.gov databases was undertaken for studies reporting use of preoperative oral/dental hygiene improvement regimens in patients scheduled to undergo esophagectomy for esophageal cancer. Meta-analysis was performed using a random-effects model. After screening 796 unique studies, seven were deemed eligible for inclusion in the meta-analysis. Pooled results indicated equivalent postoperative pneumonia rates in the oral pretreatment group and control groups (8.7 vs. 8.5%, respectively); however, the odds for developing pneumonia were reduced by 50% in the pretreatment group (odds ratio 0.5, 95% C.I. 0.37 to 0.69, P < 0.001). No statistically significant difference was detected in the anastomotic leak (odds ratio 0.93, 95% C.I. 0.38 to 2.24, P = 0.87) and length of stay outcomes (mean difference 0.63, 95% C.I. -3.22 to 4.47, P = 0.75). Oral/dental pretreatment reduces the odds for developing post-esophagectomy pneumonia. This finding should be cautiously interpreted given the significant limitations inherent in this meta-analysis. Further investigation via well-designed clinical trials is thus warranted before implementation in routine practice can be recommended.
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Affiliation(s)
- Dimitrios Papaconstantinou
- Third Department of Surgery, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece
| | | | - Konstantina Tasioudi
- First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece
| | - Irene Lidoriki
- First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece
| | | | | | - Dimitrios Schizas
- First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece
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6
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Suzuki K, Sasada S, Nishi H, Kimura Y, Shintani T, Emi A, Masumoto N, Kadoya T, Kawaguchi H, Okada M. Impact of oral hygiene on febrile neutropenia during breast cancer chemotherapy. Breast Cancer 2023; 30:151-155. [PMID: 36271187 DOI: 10.1007/s12282-022-01410-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 10/16/2022] [Indexed: 01/11/2023]
Abstract
PURPOSE Oral hygiene is crucial in the management of oral and febrile complications during chemotherapy for cancer. This study aimed to investigate the impact of oral hygiene on the incidence of febrile neutropenia (FN) throughout the course of chemotherapy for breast cancer. METHODS A total of 137 patients with breast cancer who underwent four cycles of adjuvant chemotherapy with docetaxel and cyclophosphamide (TC) combination therapy or docetaxel alone were assessed for oral hygiene by quantifying the number of oral bacteria they harbored. These patients received professional oral health care (POHC). Eighteen patients underwent primary prophylaxis with granulocyte colony-stimulating factors. The relationship between oral bacteria count and FN incidence was retrospectively assessed. RESULTS The FN incidence rate was 47.4% throughout all treatment cycles (32.8%, 13.5%, 14.3%, and 14.4% in cycles 1, 2, 3, and 4, respectively). The oral bacteria count decreased with each treatment cycle (cycle 1: 9.10 × 106 colony-forming units (CFU)/mL, cycle 2: 5.89 × 106 CFU/mL, cycle 3: 4.61 × 106 CFU/mL, cycle 4: 5.85 × 106 CFU/mL, P = 0.004). Among 281 treatment cycles, FN occurred in 63 (22.4%). In the treatment cycle-based analysis, high oral bacteria count was an independent risk factor for FN. CONCLUSION FN incidence decreased with each treatment cycle and was associated with changes in oral bacteria counts. The oral bacterial count was one of risk factors for FN development in breast cancer.
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Affiliation(s)
- Kanako Suzuki
- Department of Breast Surgery, Hiroshima University Hospital, Hiroshima, Japan
| | - Shinsuke Sasada
- Department of Breast Surgery, Hiroshima University Hospital, Hiroshima, Japan. .,Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan.
| | - Hiromi Nishi
- Department of General Dentistry, Hiroshima University Hospital, Hiroshima, Japan
| | - Yuri Kimura
- Department of Breast Surgery, Hiroshima University Hospital, Hiroshima, Japan.,Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan
| | - Tomoaki Shintani
- Center of Oral Examination, Hiroshima University Hospital, Hiroshima, Japan
| | - Akiko Emi
- Department of Breast Surgery, Hiroshima University Hospital, Hiroshima, Japan.,Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan
| | - Norio Masumoto
- Department of Breast Surgery, Hiroshima University Hospital, Hiroshima, Japan.,Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan
| | - Takayuki Kadoya
- Department of Breast Surgery, Hiroshima University Hospital, Hiroshima, Japan.,Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan
| | - Hiroyuki Kawaguchi
- Department of General Dentistry, Hiroshima University Hospital, Hiroshima, Japan
| | - Morihito Okada
- Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima, 734-8551, Japan
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7
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Song X, Greiner-Tollersrud OK, Zhou H. Oral Microbiota Variation: A Risk Factor for Development and Poor Prognosis of Esophageal Cancer. Dig Dis Sci 2022; 67:3543-3556. [PMID: 34505256 DOI: 10.1007/s10620-021-07245-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Accepted: 08/23/2021] [Indexed: 12/24/2022]
Abstract
Recent studies have shown that oral microbiota play an important role in the esophageal cancer (EC) initiation and progression, suggesting that oral microbiota is a new risk factor for EC. The composition of the microbes inhabiting the oral cavity could be perturbed with continuous factors such as smoking, alcohol consumption, and inflammation. The microbial alteration involves the decrease of beneficial species and the increase of pathogenic species. Experimental evidences suggest a significant role of oral commensal organisms in protecting hosts against EC. By contrast, oral pathogens, especially Porphyromonas gingivalis and Fusobacterium nucleatum, give rise to the risk for developing EC through their pro-inflammatory and pro-tumorigenic activities. The presences of oral dysbiosis, microbial biofilm, and periodontitis in EC patients are found to be associated with invasive cancer phenotypes and poor prognosis. The mechanism of oral bacteria in EC progression is complex, which involves a combination of cytokines, chemokines, oncogenic signaling pathways, cell surface receptors, the degradation of extracellular matrix, and cell apoptosis. From a clinical perspective, good oral hygiene, professional oral care, and rational use of antibiotics bring positive impacts on oral microbial balance, thus helping individuals reduce the risk of EC, inhibiting postoperative complications among EC patients, and improving the efficiency of chemoradiotherapy. However, current oral hygiene practices mainly focus on the oral bacteria-based predictive and preventive purposes. It is still far from implementing microbiota-dependent regulation as a therapy for EC. Further explorations are needed to render oral microbiota a potential target for treating EC.
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Affiliation(s)
- Xiaobo Song
- Department of Microbiology, Dalian Medical University, No.9 West Section Lvshun South Road, Dalian, 116044, Liaoning Province, China.,Department of Medical Biology, Faculty of Health Sciences, University of Tromsø, 9037, Tromsø, Norway
| | - Ole K Greiner-Tollersrud
- Department of Medical Biology, Faculty of Health Sciences, University of Tromsø, 9037, Tromsø, Norway
| | - Huimin Zhou
- Department of Microbiology, Dalian Medical University, No.9 West Section Lvshun South Road, Dalian, 116044, Liaoning Province, China.
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8
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Kai N, Tsukamoto Y, Urabe K, Tani A, Inai Y, Okadome A, Kashiwazaki H, Mizutani S, Wada N. Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182212236. [PMID: 34831991 PMCID: PMC8617779 DOI: 10.3390/ijerph182212236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 11/13/2021] [Accepted: 11/19/2021] [Indexed: 11/16/2022]
Abstract
Oral management during the perioperative period is important to prevent the development of postoperative complications. However, there are no unified systems to examine the oral status of patients and very few studies have focused on preoperative oral screening. In this study, we examined the oral status of patients who underwent oral screening at a University Hospital. A total of 1173 patients who underwent oral screening for perioperative management from April 2020 to July 2021 were enrolled. The subjects’ medical data were retrospectively extracted from the dental records, and finally, the data of 1081 patients aged ≥20 years were analyzed. Oral screening based on seven categories was performed by dentists or dental hygienists. Our cumulative results determined whether patients required oral management during the perioperative period. “Poor oral hygiene” was the most frequent category (24%) of all oral categories examined. Logistic analysis revealed that tooth mobility had the highest odds ratio (21.476; 95% confidence interval: 11.462–40.239; p < 0.001) for oral management necessity during the perioperative period. Our study suggests that poor oral hygiene is most frequently observed in preoperative oral screening. Moreover, tooth mobility in preoperative oral screening may influence the judgment of oral management necessity during the perioperative period.
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Affiliation(s)
- Nanami Kai
- Department of Medical Technology, Kyushu University Hospital, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; (N.K.); (Y.T.); (K.U.); (A.O.)
| | - Yoko Tsukamoto
- Department of Medical Technology, Kyushu University Hospital, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; (N.K.); (Y.T.); (K.U.); (A.O.)
| | - Kaoru Urabe
- Department of Medical Technology, Kyushu University Hospital, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; (N.K.); (Y.T.); (K.U.); (A.O.)
| | - Asuka Tani
- Section of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; (A.T.); (H.K.)
| | - Yuko Inai
- Division of General Dentistry, Kyushu University Hospital, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan;
| | - Asako Okadome
- Department of Medical Technology, Kyushu University Hospital, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; (N.K.); (Y.T.); (K.U.); (A.O.)
| | - Haruhiko Kashiwazaki
- Section of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; (A.T.); (H.K.)
| | - Shinsuke Mizutani
- Section of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; (A.T.); (H.K.)
- OBT Research Center, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
- Correspondence: ; Tel./Fax: +81-92-642-6485
| | - Naohisa Wada
- Department of General Dentistry, Division of Interdisciplinary Dentistry, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan;
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9
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Oral health and gastrointestinal neoplasia: Narrative review. Cir Esp 2021; 99:716-723. [PMID: 34776408 DOI: 10.1016/j.cireng.2021.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 05/12/2021] [Indexed: 11/20/2022]
Abstract
The oral cavity represents the gateway to the complex digestive system, so the knowledge of the exact mechanisms that link them is vitally important. Recently, oral and dental pathologies have been studied as potential risk factors for pathologies linked to lifestyle habits. Therefore, it could be considered as an interesting preventive way. We conducted a narrative review with a thorough bibliographic search on MEDLINE and SCOPUS, including international studies related to oral healthcare and gastrointestinal neoplasms, published between 2015 and 2020. The primary aim of this revision is to analyze the association between oral healthcare and carcinogenic gastrointestinal processes, providing a possible future preventive strategy for dental care. Moreover, we intend to raise awareness about the importance of oral healthcare as a new paradigm and study variable in the global health care system.
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10
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Early intervention of the perioperative multidisciplinary team approach decreases the adverse events during neoadjuvant chemotherapy for esophageal cancer patients. Esophagus 2021; 18:797-805. [PMID: 33999305 DOI: 10.1007/s10388-021-00844-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 04/13/2021] [Indexed: 02/03/2023]
Abstract
BACKGROUND Multidisciplinary team (MDT) approach has become a standard for perioperative patient care, including in esophageal cancer. In our institution, the Perioperative Management Center (PERiO) has been doing an MDT approach for patients undergoing esophageal cancer surgery since 2009. On the other hand, neoadjuvant therapy has also been becoming standard for many malignancies, including esophageal cancer. In Japan, neoadjuvant chemotherapy (NAC) for esophageal cancer is standard now. However, there have been no reports about when is the best time to start the MDT approach for patients with neoadjuvant therapy. In this study, the best start time for the MDT approach for esophageal cancer patients with NAC was examined from the perspective of adverse events during chemotherapy and perioperative period. METHODS All cases underwent thoracoscopic esophagectomy in the prone position (TEPP) after NAC. The PERiO Intervention group that started before NAC (n = 100) was compared with the PERiO Intervention group that started after NAC (n = 77). Eventually, 54 paired cases were matched by propensity score matching. RESULTS The adverse event rate during chemotherapy, especially oral complications, was significantly decreased in the PERiO Intervention started before the NAC group (P = 0.007). Furthermore, weight loss during the period from chemotherapy to surgery was significantly reduced in the group that started before NAC (P = 0.033). CONCLUSION The MDT approach should be started before NAC in patients undergoing esophageal cancer surgery to prevent adverse events during chemotherapy and provide safe perioperative conditions.
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Noguera E, Sorribas M, Admella V, Biondo S. Oral health and gastrointestinal neoplasia: Narrative review. Cir Esp 2021; 99:S0009-739X(21)00178-0. [PMID: 34144811 DOI: 10.1016/j.ciresp.2021.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 05/11/2021] [Accepted: 05/12/2021] [Indexed: 11/15/2022]
Abstract
The oral cavity represents the gateway to the complex digestive system, so the knowledge of the exact mechanisms that link them is vitally important. Recently, oral and dental pathologies have been studied as potential risk factors for pathologies linked to lifestyle habits. Therefore, it could be considered as an interesting preventive way. We conducted a narrative review with a thorough bibliographic search on MEDLINE and SCOPUS, including international studies related to oral healthcare and gastrointestinal neoplasms, published between 2015 and 2020. The primary aim of this revision is to analyze the association between oral healthcare and carcinogenic gastrointestinal processes, providing a possible future preventive strategy for dental care. Moreover, we intend to raise awareness about the importance of oral healthcare as a new paradigm and study variable in the global health care system.
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Affiliation(s)
- Elisabet Noguera
- Grado de Odontología, Facultad de Medicina y Ciencias de la Salud, Universidad de Barcelona, Barcelona, España
| | - María Sorribas
- Servicio de Cirugía General y Digestiva, Hospital Universitario de Bellvitge, Universidad de Barcelona, IDIBELL (Instituto de Investigación Biomédica de Bellvitge), Hospitalet de Llobregat, Barcelona, España
| | - Víctor Admella
- Servicio de Cirugía General y Digestiva, Hospital Universitario de Bellvitge, Universidad de Barcelona, IDIBELL (Instituto de Investigación Biomédica de Bellvitge), Hospitalet de Llobregat, Barcelona, España
| | - Sebastiano Biondo
- Servicio de Cirugía General y Digestiva, Hospital Universitario de Bellvitge, Universidad de Barcelona, IDIBELL (Instituto de Investigación Biomédica de Bellvitge), Hospitalet de Llobregat, Barcelona, España.
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Kurasawa Y, Maruoka Y, Sekiya H, Negishi A, Mukohyama H, Shigematsu S, Sugizaki J, Karakida K, Ohashi M, Ueno M, Michiwaki Y. Pneumonia prevention effects of perioperative oral management in approximately 25,000 patients following cancer surgery. Clin Exp Dent Res 2020; 6:165-173. [PMID: 32250567 PMCID: PMC7133725 DOI: 10.1002/cre2.264] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 10/26/2019] [Accepted: 11/04/2019] [Indexed: 01/04/2023] Open
Abstract
AIM We conducted a multicenter study to explore the risk factors of developing pneumonia and the effectiveness of perioperative oral management (POM) for the prevention of pneumonia in postsurgical patients. METHODS AND RESULTS A survey covering eight regional hospitals was conducted over 4 years, from April 2010 to March 2014. Using the Diagnosis Procedure Combination database, a target group of 25,554 patients with cancer who underwent surgery was selected and assessed from a population of 346,563 patients without pneumonia on admission (sample population). The study compared the incidence of pneumonia and attempted to identify the significant predictive factors for its occurrence in these patients using multiple logistic regression analysis. Comparative assessment for the occurrence of pneumonia before and after POM implementation showed a significant incidence decrease after POM introduction in the target group, with no such change observed in the sample population. Multiple logistic regression analysis showed that the odds ratio for pneumonia occurrence after POM introduction was 0.44, indicating a reduced risk of pneumonia. CONCLUSION POM in cancer patients was indeed effective in reducing the incidence of pneumonia in hospitals and thereby helped in preventing pneumonia during hospitalization.
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Affiliation(s)
- Yasuhiro Kurasawa
- Division of Maxillofacial SurgeryGraduate School, Tokyo Medical and Dental UniversityTokyoJapan
- Department of Oral SurgeryJapanese Red Cross Musashino HospitalMusashinoJapan
| | - Yutaka Maruoka
- Division of Oral and Maxillofacial SurgeryCenter Hospital of National Center for Global Health and MedicineTokyoJapan
- Division of Oral Surgery, Graduate SchoolTokyo Medical and Dental UniversityTokyoJapan
| | - Hideki Sekiya
- Department of Oral SurgeryToho University Omori Medical CenterTokyoJapan
| | - Akihide Negishi
- Department of Oral and Maxillofacial SurgeryNational Hospital Organization Yokohama Medical CenterYokohamaJapan
| | - Hitoshi Mukohyama
- Department of Oral SurgeryYokohama City Minato Red Cross HospitalYokohamaJapan
| | - Shiro Shigematsu
- Department of Dentistry and Oral SurgeryTokyo Metropolitan Tama Medical CenterTokyoJapan
| | | | - Kazunari Karakida
- Department of Dentistry and Oral SurgeryTokai University Hachioji HospitalHachiojiJapan
| | - Masaru Ohashi
- Department of Oral SurgeryJCHO Tokyo Takanawa HospitalTokyoJapan
| | - Masayuki Ueno
- Division of Oral Health Sciences, Department of Health Sciences School of Health and Social ServicesSaitama Prefectural UniversityKoshigayaJapan
| | - Yukihiro Michiwaki
- Department of Oral SurgeryJapanese Red Cross Musashino HospitalMusashinoJapan
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13
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Prevalence of Tongue Cleaning Using a Toothbrush: A Questionnaire Survey in Fukui Prefecture, Japan. BIOMED RESEARCH INTERNATIONAL 2019; 2019:6320261. [PMID: 31915698 PMCID: PMC6930753 DOI: 10.1155/2019/6320261] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Revised: 07/31/2019] [Accepted: 08/23/2019] [Indexed: 12/13/2022]
Abstract
Objective The aim of this study was to investigate the tongue cleaning habits using toothbrushes among outpatients of the University of Fukui Hospital and a private hospital in Fukui Prefecture. Methods We administered a questionnaire survey to volunteers detailing tongue cleaning habits using toothbrushes. The content of the questions in this survey were as follows: gender, age, frequency of tongue cleaning, portion of tongue cleaning, and purposes of tongue cleaning. Results We had 1,014 volunteers of various ages participating in this study. Regarding the frequency of tongue cleaning, 187 (18.4%) of all participants replied, “Every day”, and 346 (34.1%) replied, “Sometimes”. Regarding tongue cleaning of the 533 participants with active tongue cleaning habits, 242 (45.4%) participants replied, “The center of the dorsum of the tongue”, and 274 (51.4%) replied, “The entire tongue”. When analyzing the purpose of tongue cleaning, 346 (64.9%) participants replied, “To remove the tongue stain”, 192 (36.0%) participants replied, “To remove the tongue coating”, and 240 (45.0%) participants replied, “To manage halitosis”. Conclusions This study clarified that a wide range of age groups in the nonhospitalized general public practiced tongue cleaning habits using a toothbrush for various purposes.
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14
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Omori C, Ekuni D, Ohbayashi Y, Miyake M, Morita M. Quasi-Randomized Trial of Effects of Perioperative Oral Hygiene Instruction on Inpatients with Heart Diseases Using a Behavioral Six-Step Method. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E4252. [PMID: 31683872 PMCID: PMC6862145 DOI: 10.3390/ijerph16214252] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 10/29/2019] [Accepted: 10/30/2019] [Indexed: 12/15/2022]
Abstract
The assessor-blinded, parallel-design, quasi-randomized study (alternating allocation) aimed to determine the effects of the six-step method on postoperative numbers of oral bacteria, periodontal status, and atrial fibrillation (AF) among inpatients with heart diseases and periodontitis. Seventy inpatients who received preoperative periodontal treatment were quasi-randomly assigned to intervention and control groups at University Hospital. The intervention group received intensive oral hygiene instruction using a six-step method for 15 minutes per week and the control group received routine oral hygiene instruction. Significantly fewer oral bacteria were identified on the tongue at discharge compared with baseline in the intervention than the control group (ANCOVA) (large effect size, p = 0.02). Changes in scores for self-efficacy, plaque scores, probed pocket depth, and bleeding on probing between baseline and discharge were significantly greater in the intervention, than in the control group (p < 0.05). The period of postoperative AF (days) was significantly shorter in the intervention, than in the control group (p = 0.019). In conclusion, oral hygiene instruction using the six-step method decreased the numbers of oral bacteria on the tongue and improved self-efficacy, oral health behaviors, oral hygiene status, periodontal status, and period of postoperative AF among inpatients with periodontitis and heart diseases.
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Affiliation(s)
- Chie Omori
- Department of Preventive Dentistry, Okayama University graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
- Department of Oral Health Sciences, Baika Women's University, Ibaraki 567-8578, Japan.
- Department of Oral and Maxillofacial Surgery, Kagawa University Hospital, Kagawa 761-0793, Japan.
| | - Daisuke Ekuni
- Department of Preventive Dentistry, Okayama University graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
| | - Yumiko Ohbayashi
- Department of Oral and Maxillofacial Surgery, Kagawa University Hospital, Kagawa 761-0793, Japan.
| | - Minoru Miyake
- Department of Oral and Maxillofacial Surgery, Kagawa University Hospital, Kagawa 761-0793, Japan.
| | - Manabu Morita
- Department of Preventive Dentistry, Okayama University graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
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Yokoi A, Ekuni D, Hata H, Yamane-Takeuchi M, Maruyama T, Yamanaka R, Morita M. Relationship between acetaldehyde concentration in mouth air and characteristics of microbiota of tongue dorsum in Japanese healthy adults: a cross-sectional study. J Appl Oral Sci 2019; 27:e20180635. [PMID: 31215600 PMCID: PMC6559755 DOI: 10.1590/1678-7757-2018-0635] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Accepted: 02/02/2019] [Indexed: 02/05/2023] Open
Abstract
Acetaldehyde, associated with consumption of alcoholic beverages, is known to be a carcinogen and to be related to the tongue dorsum.
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Affiliation(s)
- Aya Yokoi
- Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Preventive Dentistry, Okayama, Japan
| | - Daisuke Ekuni
- Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Preventive Dentistry, Okayama, Japan.,Okayama University, Dental School, Advanced Research Center for Oral and Craniofacial Sciences, Okayama, Japan
| | - Hironobu Hata
- National Hospital Organization Hokkaido Cancer Center, Department of Dentistry and Oral Surgery, Sapporo, Japan
| | - Mayu Yamane-Takeuchi
- Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Preventive Dentistry, Okayama, Japan
| | - Takayuki Maruyama
- Okayama University Hospital, Center for Innovative Clinical Medicine, Okayama, Japan
| | - Reiko Yamanaka
- Okayama University Hospital, Division of Hospital Dentistry, Central Clinical Department, Okayama, Japan
| | - Manabu Morita
- Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Preventive Dentistry, Okayama, Japan
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