What do systematic reviews say?

7 questions · 7 findings · 1 reviews · Dental public health and special care

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No studies found 0 · 0%GRADE not reported 5 · 71.4%Very low 1 · 14.3%Low 1 · 14.3%Moderate 0 · 0%High 0 · 0%

Saline rinse vs Saline-soaked swab

Duration of mechanical ventilation · Critically ill patients receiving mechanical ventilation in ICU

Saline rinse led to lower duration of mechanical ventilation compared with saline-soaked swab; GRADE not reported.

1 finding from 1 review

Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia 2020 · Cochrane All outcomes
MD -6.83 [-8.94, -4.72]
2 studies · 176 participants
GRADE not reported

Triclosan rinse vs Saline rinse

Duration of mechanical ventilation · Critically ill patients receiving mechanical ventilation in ICU

Triclosan rinse led to lower duration of mechanical ventilation compared with saline rinse; GRADE not reported.

1 finding from 1 review

Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia 2020 · Cochrane All outcomes
MD -5.24 [-5.64, -4.84]
1 study · 324 participants
GRADE not reported

Saline rinse vs usual or supportive care

Duration of mechanical ventilation · Critically ill patients receiving mechanical ventilation in ICU

Saline rinse showed no clear difference in duration of mechanical ventilation compared with usual care (no rinse); GRADE not reported.

1 finding from 1 review

Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia 2020 · Cochrane All outcomes
MD -0.40 [-2.55, 1.75]
2 studies · 324 participants
GRADE not reported

Chlorhexidine (mouthrinse or gel), as part of oral hygiene care vs placebo or usual care

Duration of mechanical ventilation · Critically ill patients (adults and children) receiving mechanical ventilation in ICU

It is very uncertain whether chlorhexidine (mouthrinse or gel), as part of oral hygiene care changes duration of mechanical ventilation compared with placebo or usual care (very low certainty).

1 finding from 1 review

Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia 2020 · Cochrane All outcomes
Follow-up: mean 1 month
MD -1.10 [-3.20, 1.00]
4 studies · 594 participants
Very low

Toothbrushing (with or without antiseptics), as part of oral hygiene care vs No toothbrushing (with or without antiseptics)

Duration of mechanical ventilation · Critically ill adults receiving mechanical ventilation in ICU

Toothbrushing (with or without antiseptics), as part of oral hygiene… showed no clear difference in duration of mechanical ventilation compared with no toothbrushing (with or without antiseptics) (low certainty).

1 finding from 1 review

Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia 2020 · Cochrane All outcomes
Follow-up: mean 1 month
MD -0.43 [-1.17, 0.30]
4 studies · 810 participants
Low

Saline rinse plus swab vs Saline-soaked swab

Duration of mechanical ventilation · Critically ill patients receiving mechanical ventilation in ICU

Saline rinse plus swab led to lower duration of mechanical ventilation compared with saline-soaked swab alone (usual care); GRADE not reported.

1 finding from 1 review

Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia 2020 · Cochrane All outcomes
MD -3.91 [-5.85, -1.97]
1 study · 47 participants
GRADE not reported

Powered toothbrushing (as part of comprehensive oral care) vs Manual toothbrushing

Duration of mechanical ventilation · Critically ill patients receiving mechanical ventilation in ICU

Powered toothbrushing (as part of comprehensive oral care) showed no clear difference in duration of mechanical ventilation compared with manual toothbrushing (standard oral care); GRADE not reported.

1 finding from 1 review

Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia 2020 · Cochrane All outcomes
MD 0.00 [-1.78, 1.78]
1 study · 78 participants
GRADE not reported