Evidence map›Paper›PMID 40978903›Full record

ReviewCureus2025

Oral Care Strategies to Suppress Salivary Bacterial Growth for the Prevention of Aspiration Pneumonia in Older Individuals Requiring Long-Term Care.

Madoka Funahara, Yuki Sakamoto, Ryuichiro Funahara, Sakiko Soutome

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Madoka FunaharaSchool of Oral Health Sciences, Faculty of Dentistry, Kyushu Dental University, Kitakyushu, JPN.
Yuki SakamotoDepartment of Oral Surgery, Kansai Medical University Medical Center, Moriguchi, JPN.
Ryuichiro FunaharaDepartment of Oral Surgery, Funahara Dental Clinic, Kakogawa, JPN.
Sakiko SoutomeDepartment of Oral Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Japan's aging population faces a significant gap between life expectancy and healthy life expectancy, during which many older adults require long-term care and are at high risk of aspiration pneumonia, a leading cause of death. Aspiration pneumonia arises from the interaction of saliva-borne bacteria, aspiration events, and immune decline. Toothbrushing, while essential for oral health, may transiently increase bacterial counts, especially in those unable to rinse or gargle. Combining brushing with moisturizing gel and povidone-iodine gel effectively suppresses bacterial load, reducing pneumonia risk. Tailored oral care based on swallowing function, along with maintaining oral function through dental treatment, is crucial to prevent aspiration pneumonia in older adults requiring nursing care. This review highlights that increased salivary bacterial load, a key factor in pneumonia risk, is more strongly linked to reduced oral function (e.g., decreased tongue pressure and swallowing ability) than to poor oral hygiene alone.

Indexed as

aspiration pneumoniaolder adults requiring long-term careoral careoral functionsalivary bacteria

Identifiers

PMID40978903
PMCPMC12447250

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.