Why the study?
Dental and oral management is a long-established treatment modality, but a review of previous studies was needed to examine its perioperative effects and identify available evidence.
Does perioperative dental and oral management reduce postoperative pneumonia and surgical site infections in surgical patients?
Does perioperative dental and oral management reduce postoperative pneumonia and surgical site infections in surgical patients?
Perioperative dental and oral management appears effective in preventing postoperative pneumonia and surgical site infections.
May support perioperative protocols; leaves open confirmation by randomized trials before practice change.
Dental and oral management (DOM) is a long-established treatment modality. This scoping review aimed to narratively review previous studies, examine the effects of perioperative DOM, and identify the available evidence. A literature search was conducted using the PubMed electronic database for studies published between January 1, 2000, and March 8, 2022. The search yielded 43 studies, most of which were published in the last 10 years. The results of this study confirmed that improved perioperative oral hygiene is effective in preventing postoperative pneumonia. Our results also suggested that preoperative DOM is effective in preventing postoperative surgical site infections. Perioperative DOM is effective in reducing the incidence of postoperative pneumonia, SSI, and postsurgical complications. Further studies are needed to elucidate the various mechanism of DOM and to examine efficient intervention methods and timing.
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Sakai et al. (2024) studied this question.
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