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Flossing and Regular Dental Visits in Patients with COPD Is Associated with Fewer Days with Worse Respiratory Symptoms
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A5050 - Flossing and Regular Dental Visits in Patients with COPD Is Associated with Fewer Days with Worse Respiratory Symptoms
Author Block: B. Heyman1, A. Criner2, N. Gaeckle3, Z. Smith4, K. Rybicki4, G. J. Criner2; 1Internal Medicine, Temple University Hospital, Philadelphia, PA, United States, 2Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United States, 3Pulmonary and Critical Care Medicine, University of Minnesota, Minneapolis, MN, United States, 4HGE Healthcare Solutions, Telford, PA, United States.
Rationale:
In COPD patients, poor oral health correlates with disease severity measured by FEV1. It has been shown that fewer teeth and higher plaque indices are associated with a greater number of COPD exacerbations, however limited data exist regarding how dental hygiene practices may impact exacerbation frequency or daily respiratory symptoms. We evaluated the association between dental hygiene practices and daily respiratory symptoms in a patient cohort at risk for COPD exacerbation.
Methods:
The population was selected from a cohort of COPD patients enrolled in a telemedicine-based COPD disease management program that utilized an electronic diary to record their daily symptoms. Additionally, patients self-reported information about their dental health and oral hygiene practices by completing an Oral Health Impact Profile (OHIP). Associations between oral hygiene practices and daily respiratory symptoms were analyzed. Data is presented as mean ± standard deviation.
Results:
The 99 patients with COPD were 67.5 ± 7.7 years old, with FEV1 46.4% ± 20.6%, and 52.5% were female. Daily symptoms were recorded for 589 ± 305 days, totaling 58,362 patient days. Mean percent days with worse respiratory symptoms was 10.3 ± 11.4 and did not differ between GOLD stages. Compared to COPD subjects who never flossed, those who flossed at any frequency (ranging from twice daily to less than once weekly) had fewer percent days with worse respiratory symptoms (floss 7.8% vs never floss 12.7%; p=0.03). Additionally, subjects who saw a dentist more frequently had fewer percent days with worse respiratory symptoms (p=0.03). There was no significant difference between number of teeth (p=0.3) or frequency of teeth brushing (p=0.8).
Conclusion:
In our cohort of COPD patients at risk for exacerbation, flossing and regular dental visits were associated with fewer percent days with worse respiratory symptoms, although number of teeth and teeth brushing were not. Improving oral hygiene, specifically with flossing and regular dental visits, may be a potentially preventative strategy to decrease the frequency of COPD exacerbations.
Author Block: B. Heyman1, A. Criner2, N. Gaeckle3, Z. Smith4, K. Rybicki4, G. J. Criner2; 1Internal Medicine, Temple University Hospital, Philadelphia, PA, United States, 2Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United States, 3Pulmonary and Critical Care Medicine, University of Minnesota, Minneapolis, MN, United States, 4HGE Healthcare Solutions, Telford, PA, United States.
Rationale:
In COPD patients, poor oral health correlates with disease severity measured by FEV1. It has been shown that fewer teeth and higher plaque indices are associated with a greater number of COPD exacerbations, however limited data exist regarding how dental hygiene practices may impact exacerbation frequency or daily respiratory symptoms. We evaluated the association between dental hygiene practices and daily respiratory symptoms in a patient cohort at risk for COPD exacerbation.
Methods:
The population was selected from a cohort of COPD patients enrolled in a telemedicine-based COPD disease management program that utilized an electronic diary to record their daily symptoms. Additionally, patients self-reported information about their dental health and oral hygiene practices by completing an Oral Health Impact Profile (OHIP). Associations between oral hygiene practices and daily respiratory symptoms were analyzed. Data is presented as mean ± standard deviation.
Results:
The 99 patients with COPD were 67.5 ± 7.7 years old, with FEV1 46.4% ± 20.6%, and 52.5% were female. Daily symptoms were recorded for 589 ± 305 days, totaling 58,362 patient days. Mean percent days with worse respiratory symptoms was 10.3 ± 11.4 and did not differ between GOLD stages. Compared to COPD subjects who never flossed, those who flossed at any frequency (ranging from twice daily to less than once weekly) had fewer percent days with worse respiratory symptoms (floss 7.8% vs never floss 12.7%; p=0.03). Additionally, subjects who saw a dentist more frequently had fewer percent days with worse respiratory symptoms (p=0.03). There was no significant difference between number of teeth (p=0.3) or frequency of teeth brushing (p=0.8).
Conclusion:
In our cohort of COPD patients at risk for exacerbation, flossing and regular dental visits were associated with fewer percent days with worse respiratory symptoms, although number of teeth and teeth brushing were not. Improving oral hygiene, specifically with flossing and regular dental visits, may be a potentially preventative strategy to decrease the frequency of COPD exacerbations.
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