Abstract

Background: This systematic review evaluates the oral health-related quality of life (OHRQoL) of patients with chronic respiratory diseases.Methods: A systematic literature search was performed based on the PubMed, Medline, Web of Science, and Scopus, using the search terms: “oral health-related quality of life” and “respiratory disease” or “lung” and “oral health-related quality of life.” Full-text articles published until June 30, 2021 and reporting any OHRQoL measurement in children or adults with a chronic respiratory disease or condition were included and analyzed qualitatively.Results: A total of seven out of 44 studies were included, of which four studies examined adults and three studies investigated children. The respective diseases were chronic obstructive pulmonary disease (COPD) (n = 2), sleep apnea (n = 2), severe asthma (n = 1), cystic fibrosis (n = 1), and lung transplantation (n = 1). Four studies confirmed a worse OHRQoL in the respiratory diseased group compared to healthy controls. The overall OHRQoL was reduced in the included studies. Oral health, health-related quality of life, and disease-related parameters were rarely examined with regard to OHRQoL.Conclusion: Patients with chronic respiratory diseases show a reduced OHRQoL. Oral health should be fostered in these individuals to support their OHRQoL.

Highlights

  • This systematic review evaluates the oral health-related quality of life (OHRQoL) of patients with chronic respiratory diseases

  • The hypothesis was formed that the OHRQoL of patients with chronic respiratory diseases would be worse than in healthy individuals

  • Out of the seven studies, two studies were on patients with chronic obstructive pulmonary disease (COPD) [19, 20], while each one study was on cystic fibrosis [21], lung transplantation [22], sleep-disordered breathing [23], obstructive sleep apnea [24], and severe asthma [25]

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Summary

Introduction

This systematic review evaluates the oral health-related quality of life (OHRQoL) of patients with chronic respiratory diseases. Chronic diseases affecting the respiratory system cover a broad variety of different conditions; thereby, lifestyle or risk factor-associated, high prevalent diseases, such as chronic obstructive pulmonary disease (COPD), exist [1] alongside with very rare genetic diseases, such as cystic fibrosis [2]. If breathlessness occurs, chronic respiratory diseases can OHRQoL in Respiratory Diseases be related to a high morbidity and a negative impact on the quality of life of affected patients [5]. Patients with obstructive sleep apnea, which is completely different from the other respiratory diseases described here, show affected oral health conditions as well as the relationship between oral diseases and the underlying disorder; this is heterogeneous, but obvious for both the children and adults [12]. In the complex relationship between oral and respiratory health, the multifactorial character of oral diseases, as well as the anatomic proximity of the oropharyngeal and respiratory tract could be relevant

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