What do systematic reviews say?

Oral care vs No oral care

The review found no eligible studies for this question.

• Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
  No studies evaluated oral care versus no oral care.
  0 studies
  No studies found

Professional oral care vs Usual oral care

• Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes

  8-30 months
  Incidence of NHAP, follow-up 8-30 months, 5018 (5 studies), Low. Not pooled (individual and cluster-randomised designs, varying effect measures and follow-up). Component estimates: Bourigault HR 0.65 (0.29 to 1.46;…
  5 studies · 5018 participants
  Low

Professional oral care vs Usual oral care

• Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes

  12-30 months
  All-cause mortality, follow-up 12-30 months, 3764 (3 studies), Very low. Not pooled. Adachi RR 0.80 (0.40 to 1.58; 88); Juthani-Mehta HR 1.16 (0.88 to 1.53; 834); Zimmerman adjusted IRR 0.83 (0.61 to 1.12; 1606).…
  3 studies · 3764 participants
  Very low

Professional oral care vs Usual oral care

Professional oral care may leads to lower mortality (pneumonia-associated) compared with usual oral care (low certainty).

• Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes

  24 months
  RR 0.43 [0.25, 0.76]
  2 studies · 454 participants
  Low

Professional oral care vs Usual oral care

Professional oral care led to lower incidence or prevalence of fever compared with usual oral care; GRADE not reported.

• Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes

  24 months
  RR 0.49 [0.33, 0.75]
  1 study · 366 participants
  GRADE not reported

Professional oral care vs Usual oral care

• Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
  Measured in only 1 study (834 participants), which reported no serious events and 64 non-serious events, the most common of which were oral cavity disturbances (not defined) and dental staining.
  1 study · 834 participants
  GRADE not reported

Professional oral care vs Usual oral care

Professional oral care led to higher change in data on economics and quality of life compared with usual oral care; GRADE not reported.

• Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes

  24 months
  MD 1.5 [0.32, 2.68]
  1 study · 322 participants
  GRADE not reported

Professional oral care vs Usual oral care

Professional oral care led to higher oral health indices compared with usual oral care; GRADE not reported.

• Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes

  24 months
  RR 2.81 [1.39, 5.69]
  1 study · 199 participants
  GRADE not reported

Professional oral care vs Usual oral care

The review found no eligible studies for this question.

• Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
  No studies measured change in systemic antibiotic use.
  0 studies
  No studies found

Oral hygiene interventions (mechanical plaque removal): knowledge-based, behavioural, or skills training for people with ID or their carers vs Usual care, no care, or a similar alternative intervention

The review found no eligible studies for this question.

• Oral hygiene interventions for people with intellectual disabilities 2019 · Cochrane All outcomes
  No studies measured dental caries levels. One RCT (Shaw 1991, Comparison 5) assessed DMFT at baseline only and did not report caries at any later time point.
  0 studies
  No studies found

Oral hygiene interventions (mechanical plaque removal): knowledge-based, behavioural, or skills training for people with ID or their carers vs Usual care, no care, or a similar alternative intervention

• Oral hygiene interventions for people with intellectual disabilities 2019 · Cochrane All outcomes
  Adverse/unintended effects addressed narratively: 10 of 34 studies investigated or reported negative unintended or adverse effects (e.g. difficulty with the electric or 3-headed toothbrushes, being frightened by the…
  10 studies
  GRADE not reported

Oral hygiene interventions (mechanical plaque removal): knowledge-based, behavioural, or skills training for people with ID or their carers vs Usual care, no care, or a similar alternative intervention

The review found no eligible studies for this question.

• Oral hygiene interventions for people with intellectual disabilities 2019 · Cochrane All outcomes
  No studies measured quality of life changes or long-term, patient-centred outcomes as formal outcomes; some studies commented on quality of life only in the discussion or conclusion sections.
  0 studies
  No studies found