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Role of Oral Hygiene in Inflammatory Bowel Disease

Background The ‘hygiene hypothesis' suggests that a reduction in the microbial exposure due to improved health measures has contributed to an immunological imbalance in the intestine and increased the incidence of autoimmune diseases such as inflammatory bowel diseases (IBD). Accordingly, we in...

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Bibliographic Details
Published in:Digestive diseases and sciences 2011, Vol.56 (1), p.170-175
Main Authors: Singhal, Shashideep, Dian, Delia, Keshavarzian, Ali, Fogg, Louis, Fields, Jeremy Z, Farhadi, Ashkan
Format: Article
Language:English
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Summary:Background The ‘hygiene hypothesis' suggests that a reduction in the microbial exposure due to improved health measures has contributed to an immunological imbalance in the intestine and increased the incidence of autoimmune diseases such as inflammatory bowel diseases (IBD). Accordingly, we investigated associations between oral hygiene practices and IBD. Methods We developed and administered a multiple choice questionnaire to evaluate oral hygiene and dental care practices of 137 subjects (83 with IBD and 54 healthy controls). Results Of the 83 IBD cases, 31% had ulcerative colitis and 69% had Crohn's disease. For subjects with IBD, the frequency of brushing at disease onset was significantly higher than in controls (P = 0.005). Also, the frequency of use of dental floss and breath freshener at disease onset was significantly higher in IBD patients (P = 0.005 and
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-010-1263-9