- Title
- The association between oral hygiene and periodontitis: a systematic review and meta-analysis
- Creator
- Lertpimonchai, Attawood; Rattanasiri, Sasivimol; Arj-Ong Vallibhakara, Sakda; Attia, John; Thakkinstian, Ammarin
- Relation
- International Dental Journal Vol. 67, Issue 6, p. 332-343
- Publisher Link
- http://dx.doi.org/10.1111/idj.12317
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2017
- Description
- Objective: 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. Material and methods: 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. Results: 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. Conclusions: 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.
- Subject
- meta-analysis; oral hygiene; periodontitis; risk factor; systematic review
- Identifier
- http://hdl.handle.net/1959.13/1355056
- Identifier
- uon:31404
- Identifier
- ISSN:0020-6539
- Language
- eng
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