The Relationship between Oral Disease and Respiratory Disease in the Elderly

임상가를 위한 특집 1 - 노년의 구강 질환과 호흡기 질환의 관계

  • Jeong, Jin-Seok (Department of Periodontology, School of Dentistry, Chonbuk National University) ;
  • Heo, Seok-Mo (Department of Periodontology, School of Dentistry, Chonbuk National University)
  • 정진석 (전북대학교 치의학전문대학원 치주과학교실) ;
  • 허석모 (전북대학교 치의학전문대학원 치주과학교실)
  • Received : 2013.08.09
  • Accepted : 2013.08.23
  • Published : 2013.09.01

Abstract

Recently, several researches indicated the relationship between oral condition and respiratory disease such as pneumonia and chronic obstructive pulmonary disease (COPD). Respiratory disease is known as common chronic disease in the elderly increasing mortality and morbidity. In this study, we have reviewed the association between oral disease and respiratory disease in the elderly. The related data were searched and collected from abroad and domestic studies. The studies included the randomized controlled clinical trials (RCTs), longitudinal, cohort, case-control, and systematic review studies. With the data from the studies, we concluded that poor oral hygiene or periodontal disease can influence the pneumonia in the elderly. Further studies will be needed to investigate the association between oral disease and COPD.

Keywords

References

  1. 구미지, 김경남,황선경, '0.12% 클로르헥시딘액과 생리식염수액을 이용한 구강간호가 소아 개심술환아의 구강상태, 구강 내 세균 발생 수 및 폐감염 점수에 미치는 효과 비교', J Korean Acad Fundam Nur, 18 (2011), 356-364.
  2. 반금옥, '중환자실 인공호흡기 관련 폐렴 예방 프로그램의 개발 및 효과 평가', 성인간호학회지, 21(2009), 155-166.
  3. 이흥범,한효진, '의료기관관련 폐렴', Tuberculosis and Respiratory Diseases, 70 (2011), 105-112. https://doi.org/10.4046/trd.2011.70.2.105
  4. 통계청, '고령자 통계, 2012', (2012).
  5. 통계청, '고령자 통계, 2010', (2010).
  6. Azarpazhooh A,Leake JL, 'Systematic Review of the Association between Respiratory Diseases and Oral Health', J Periodontol, 77 (2006), 1465-1482. https://doi.org/10.1902/jop.2006.060010
  7. Heo SM, Haase EM, Lesse AJ, Gill SR,Scannapieco FA, 'Genetic Relationships between Respiratory Pathogens Isolated from Dental Plaque and Bronchoalveolar Lavage Fluid from Patients in the Intensive Care Unit Undergoing Mechanical Ventilation', Clin Infect Dis, 47 (2008), 1562-1570. https://doi.org/10.1086/593193
  8. Linden GJ, Lyons A,Scannapieco FA, 'Periodontal Systemic Associations: Review of the Evidence', J Periodontol, 84 (2013), S8-S19. https://doi.org/10.1902/jop.2013.1340010
  9. Lloyd-Sherlock P, 'Old Age and Poverty in Developing Countries: New Policy Challenges', World Development, 28 (2000), 2157-2168. https://doi.org/10.1016/S0305-750X(00)00077-2
  10. Marik PE, 'Aspiration Pneumonitis and Aspiration Pneumonia', N Engl J Med, 344 (2001), 665-671. https://doi.org/10.1056/NEJM200103013440908
  11. Marston BJ, Plouffe JF, File TM, Jr., Hackman BA, Salstrom SJ, Lipman HB, Kolczak MS,Breiman RF, 'Incidence of Community-Acquired Pneumonia Requiring Hospitalization. Results of a Population- Based Active Surveillance Study in Ohio. The Community-Based Pneumonia Incidence Study Group', Arch Intern Med, 157 (1997), 1709-1718. https://doi.org/10.1001/archinte.1997.00440360129015
  12. Mojon P, Budtz-Jorgensen E, Michel JP,Limeback H, 'Oral Health and History of Respiratory Tract Infection in Frail Institutionalised Elders', Gerodontology, 14 (1997), 9-16. https://doi.org/10.1111/j.1741-2358.1997.00009.x
  13. Mylotte JM, 'Nursing Home-Acquired Pneumonia', Clin Infect Dis, 35 (2002), 1205-1211. https://doi.org/10.1086/344281
  14. Petersen PE,Yamamoto T, 'Improving the Oral Health of Older People: The Approach of the Who Global Oral Health Programme', Community Dent Oral Epidemiol, 33 (2005), 81-92. https://doi.org/10.1111/j.1600-0528.2004.00219.x
  15. Raghavendran K, Mylotte JM,Scannapieco FA, 'Nursing Home-Associated Pneumonia, Hospital- Acquired Pneumonia and Ventilator-Associated Pneumonia: The Contribution of Dental Biofilms and Periodontal Inflammation', Periodontol 2000, 44 (2007), 164-177.
  16. Scannapieco FA, 'Role of Oral Bacteria in Respiratory Infection', J Periodontol, 70 (1999), 793-802. https://doi.org/10.1902/jop.1999.70.7.793
  17. Scannapieco FA, Bush RB,Paju S, 'Associations between Periodontal Disease and Risk for Nosocomial Bacterial Pneumonia and Chronic Obstructive Pulmonary Disease. A Systematic Review', Ann Periodontol, 8 (2003), 54-69. https://doi.org/10.1902/annals.2003.8.1.54
  18. Scannapieco FA, Papandonatos GD,Dunford RG, 'Associations between Oral Conditions and Respiratory Disease in a National Sample Survey Population', Ann Periodontol, 3 (1998), 251-256. https://doi.org/10.1902/annals.1998.3.1.251
  19. Terpenning MS, Taylor GW, Lopatin DE, Kerr CK, Dominguez BL,Loesche WJ, 'Aspiration Pneumonia: Dental and Oral Risk Factors in an Older Veteran Population', J Am Geriatr Soc, 49 (2001), 557-563. https://doi.org/10.1046/j.1532-5415.2001.49113.x
  20. Wennstrom JL, 'Treatment of Periodontal Disease in Older Adults', Periodontol 2000, 16 (1998), 106- https://doi.org/10.1111/j.1600-0757.1998.tb00118.x