Ian Needleman

Ian Needleman
University College London | UCL

BDS MSc PhD MRDRCS(Eng) FDSRCS(Eng) FFPH FHEA

About

179
Publications
77,247
Reads
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12,145
Citations
Citations since 2017
39 Research Items
6779 Citations
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201720182019202020212022202302004006008001,0001,2001,400
201720182019202020212022202302004006008001,0001,2001,400
201720182019202020212022202302004006008001,0001,2001,400

Publications

Publications (179)
Article
Background: Pneumonia in residents of nursing homes can be termed nursing home-acquired pneumonia (NHAP). NHAP is one of the most common infections identified in nursing home residents and has the highest mortality of any infection in this population. NHAP is associated with poor oral hygiene and may be caused by aspiration of oropharyngeal flora...
Article
Full-text available
This retrospective cross-sectional study aimed to explore interactions between signs of periodontal inflammation and systemic parameters in athletes. Members of German squads with available data on sports medical and oral examination were included. Groups were divided by gingival inflammation (median of papillary bleeding index, PBI ≥ median) and s...
Article
Background: Periodontitis is a highly prevalent, chronic inflammation that causes damage to the soft tissues and bones supporting the teeth. Conventional treatment is quadrant scaling and root planing (the second step of periodontal therapy), which comprises scaling and root planing of teeth in one quadrant of the mouth at a time, with the four di...
Article
Background: Glycaemic control is a key component in diabetes mellitus (diabetes) management. Periodontitis is the inflammation and destruction of the underlying supporting tissues of the teeth. Some studies have suggested a bidirectional relationship between glycaemic control and periodontitis. Treatment for periodontitis involves subgingival inst...
Article
Sports dentistry has traditionally focused on orofacial trauma. There is now increasing evidence that participation in sport, particularly at elite level, may significantly increase the risks to oral health. The negative impact of poor oral health on athlete-reported wellbeing and performance is clear. The risks to athlete oral health can and shoul...
Article
Aim To systematically review the literature to evaluate the recurrence of disease of people in long-term supportive periodontal care (SPC), previously treated for periodontitis, and determine the effect of different methods of managing recurrence. The review focused on stage IV periodontitis. Materials and methods An electronic search was conducte...
Conference Paper
Background Poor oral health of elite athletes is associated with negative performance impacts. There is a need for oral health promotion and prevention strategies that are effective within the elite sport environment Objective To develop, implement and evaluate a pragmatic oral health promotion intervention based on contemporary behaviour change t...
Conference Paper
Full-text available
Background Oral health can affect performance, including athletes who always need to be in their best conditions during training and competitions. However, oral health awareness has never been a priority among Malaysian athletes. Objective This study primarily aimed to assess the association between oral health status and self-reported impact on a...
Conference Paper
Full-text available
Background Our data on more than 800 participants shows that dental erosion (DE) affects up to 45% of elite athletes and may have physical and psychosocial impacts. The condition is associated with consumption of sports drinks and is exacerbated by reduced salivary flow. The protein rich layer called dental pellicle (DP) may have a protective funct...
Conference Paper
Background There is increasing interest in the microbiome in performance and prevention of illness. Objective To investigate characteristics of oral and gut microbiomes in elite sport. Design Metagenomic sequencing performed on stool and saliva samples at baseline and three months. Taxanomic identification of the DNA sequence data generated on th...
Article
Aim To investigate, firstly, research priorities for people with periodontitis and those with periodontitis and diabetes. Secondary aims were to explore disease self-management barriers, difficulties and enhancers for people with periodontitis and/or diabetes, mutual learning in patient groups regarding self-care and views of academic researchers o...
Article
Full-text available
Objectives To adapt the supranational European Federation for Periodontology (EFP) S3-Level Clinical Practice Guideline for treatment of periodontitis (stage I-III) to a UK healthcare environment, taking into account the views of a broad range of stakeholders, and patients. Sources This UK version is based on the supranational EFP guideline (Sanz...
Article
Full-text available
Background Poor oral health of elite athletes is common and is associated with negative performance impacts. There is a need for oral health promotion strategies that are effective within the elite sport environment. Aim To develop, implement and evaluate a pragmatic oral health promotion intervention that integrated the capability, opportunity, m...
Article
Full-text available
Aims and objectives Oral health deteriorates following hospitalisation in critical care units (CCU) but there are no validated measures to assess effects on oral health-related quality of life (OHQoL). The objectives of this study were (i) to develop a tool (CCU-OHQoL) to assess OHQoL amongst patients admitted to CCU, (ii) to collect data to analys...
Article
Full-text available
Aim: Position paper on endpoints of active periodontal therapy for designing treatment guidelines. The question was: How are, for an individual patient, commonly applied periodontal probing measures - recorded after active periodontal therapy - related to (1) stability of clinical attachment level, (2) tooth survival, (3) need for retreatment, or...
Article
Much of the British population have poor gum health which can affect their daily lives and general health. Surprisingly, we don't often hear from the public whether they care about this situation. Is this a lack of interest or a lack of opportunity to be heard? In addition, gum health, like overall health, requires people to take care of themselves...
Article
Full-text available
Background In elite sport, the protection of an athlete's health is a priority. However, research indicates a substantial prevalence of oral disease in elite and professional athletes. The challenges to oral health from participation in sport require investigation to identify effective strategies and mitigate risk. Aim To explore athlete-reported o...
Article
Background: Conventional treatment of destructive periodontal (gum) disease arrests the disease but does not usually regain the bone support or connective tissue lost in the disease process. Guided tissue regeneration (GTR) is a surgical procedure that specifically aims to regenerate the periodontal tissues when the disease is advanced and could o...
Article
Case report A case of a 59-year-old female patient who attended with a history of periodontitis, who had been successfully treated and maintained for several years, is described. Following a full periodontal assessment, the patient was diagnosed with 'generalised periodontitis; stage IV; grade C; currently stable'. Conclusion The present case repor...
Article
The objective of this case report is to illustrate the diagnosis and classification of periodontitis, according to the 2017 classification system, as recommended in the British Society of Periodontology (BSP) implementation plan. A 37-year-old female was diagnosed with periodontitis (molar-incisor pattern), stage III, grade C, currently unstable. S...
Article
This case report is the fourth in a series that illustrates the application of the BSP implementation plan for diagnosing periodontitis patients according to the 2017 classification. It demonstrates the diagnostic approach and disease classification for a previously treated patient who presented with a diagnosis of unstable generalised periodontiti...
Article
The objective of this case report is to illustrate the diagnosis and classification of periodontitis according to the 2017 classification system as recommended in the British Society of Periodontology (BSP) implementation plan. We describe a case of a patient who was diagnosed with 'localised periodontitis; stage II, grade B; currently unstable'. T...
Article
Full-text available
Our recent BJSM editorial stressed that it is ‘time for action’ regarding sports nutrition oral health1. Oral health is poor in elite athletes and is consistently associated with performance impacts as we have shown across studies involving more than 800 athletes2-4. This situation exists despite poor oral health being preventable with well evidenc...
Article
Full-text available
The 2017 World Workshop Classification system for periodontal and peri-implant diseases and conditions was developed in order to accommodate advances in knowledge derived from both biological and clinical research, that have emerged since the 1999 International Classification of Periodontal Diseases. Importantly, it defines clinical health for the...
Article
The objective of this case report is to illustrate the diagnosis and classification of periodontitis according to the 2017 classification system as recommended in the British Society of Periodontology (BSP) implementation plan. We describe two cases in the form of a pair of siblings, who developed periodontitis very early in life. A 19-year-old fem...
Article
Full-text available
Background: Pneumonia occurring in residents of long-term care facilities and nursing homes can be termed 'nursing home-acquired pneumonia' (NHAP). NHAP is the leading cause of mortality among residents. NHAP may be caused by aspiration of oropharyngeal flora into the lung, and by failure of the individual's defence mechanisms to eliminate the asp...
Chapter
This chapter summarises the current state of knowledge about oral health in elite sport, and its effect on performance. It also gives a companion website to know the rapid developments of this field and also provides some case studies for investigating oral health. Overall, the research base discussed is consistent in reporting high levels of poor...
Article
Full-text available
Background: Traditionally, patients at low risk and high risk of developing dental disease have been encouraged to attend dental recall appointments at regular intervals of six months between appointments. The lack of evidence for the effect that different recall intervals between dental check-ups have on patient outcomes, provider workload and he...
Article
Background: Pain during dental treatment, which is a common fear of patients, can be controlled successfully by local anaesthetic. Several different local anaesthetic formulations and techniques are available to dentists. Objectives: Our primary objectives were to compare the success of anaesthesia, the speed of onset and duration of anaesthesia...
Article
Full-text available
Objectives: To measure dental caries, erosive tooth wear (ETW), periodontal health, self-reported oral health problems and performance impacts in a representative sample of UK elite athletes from different sports using standardized conditions clearly defined clinical indices and a measure of impact on performance with evidence of validity in sport...
Article
Full-text available
A new periodontitis classification scheme has been adopted, in which forms of the disease previously recognized as “chronic” or “aggressive” are now grouped under a single category (“periodontitis”) and are further characterized based on a multi‐dimensional staging and grading system. Staging is largely dependent upon the severity of disease at pre...
Article
Full-text available
Background Self-reported outcome measures of athlete health, wellbeing and performance add information to that obtained from clinical measures. However valid, universally accepted outcome measures are required. Objective To determine which athlete-reported outcome measures of performance have been used to measure the impact of injury and illness on...
Presentation
Presentation - Shortlisted as finalist for Joseph Lister Award.
Article
Full-text available
Background: Over the last two decades, progress in prevention and treatment of caries and periodontal diseases has been translated to better oral health and improved tooth retention in the adult population. The ageing population and the increasing expectations of good oral health-related quality of life in older age pose formidable challenges to c...
Chapter
Background: Occlusal interventions may be used in adults with periodontitis. At present there is little consensus regarding the indications and effectiveness of occlusal interventions in periodontal patients. Objectives: To identify and analyse the evidence for the effect of occlusal interventions on adults who have periodontitis in relation to...
Chapter
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess effects of oral care measures for preventing nursing home-acquired pneumonia in residents of nursing homes and other long-term care facilities.
Article
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess effects of oral care measures for preventing nursing home-acquired pneumonia in residents of nursing homes and other long-term care facilities.
Article
Aims: Assess the quality of reporting in periodontology, changes over the last 14 years, and adherence to CONSORT-NPE. Methods: RCTs in humans, published in three periodontal journals, from 2013-2015 were included. Search was conducted through Medline, Embase and hand searching. Results: 173 full text articles included. Two reviewers screened...
Article
Full-text available
In the January 2016 issue of BJSM, we showed that professional footballers in the UK have poor oral health and this is associated with negative self-reported impacts on training, performance and well-being. 1 Since more than 90% of each senior squad participated in the study, we can be confident that the results represent a true picture. These find...
Article
Background: The aim of this study was to investigate risk of tooth loss in molars with furcation involvement (FI) based on initial diagnosis. Materials and methods: A systematic search of the literature was conducted in Ovid Medline, Embase, LILACS and Cochrane Library for longitudinal studies with at least 3 years follow-up including measures o...
Article
Background: Glycaemic control is a key issue in the care of people with diabetes mellitus (DM). Periodontal disease is the inflammation and destruction of the underlying supporting tissues of the teeth. Some studies have suggested a bidirectional relationship between glycaemic control and periodontal disease. This review updates the previous versi...
Article
Full-text available
Background: The few studies that have assessed oral health in professional/elite football suggest poor oral health with minimal data on impact on performance. The aim of this research was to determine oral health in a representative sample of professional footballers in the UK and investigate possible determinants of oral health and self-reported...
Article
Objectives: To investigate the effect of treated periodontitis on implant outcomes in partially edentulous individuals compared with periodontally healthy patients. Material and methods: Longitudinal studies reporting on implant survival, success, incidence of peri-implantitis, bone loss and periodontal status, and on partially dentate patients...
Chapter
This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the clinical and microbiological effects of antimicrobial photodynamic therapy as an adjunctive to subgingival scaling and root planing compared with subgingival scaling and root planing alone, or with subgingival scaling and root planing in combina...
Article
Background: Periodontitis is chronic inflammation that causes damage to the soft tissues and bones supporting the teeth. Mild to moderate periodontitis affects up to 50% of adults. Conventional treatment is quadrant scaling and root planing. In an attempt to enhance treatment outcomes, alternative protocols for anti-infective periodontal therapy h...
Article
This is the protocol for a review and there is no abstract. The objectives are as follows: To evaluate the effects of locally delivered antimicrobials (with sustained or controlled drug delivery) in the treatment of chronic periodontitis in adults. Primary objectives: To test: the null hypothesis of no difference in treatment effect between mechani...
Article
AimsIn spite of the remarkable success of current preventive efforts, periodontitis remains one of the most prevalent diseases of mankind. The objective of this workshop was to review critical scientific evidence and develop recommendations to improve: i) plaque control at the individual and population level (oral hygiene), ii) control of risk fact...
Article
To update previous systematic review investigating effect of professional mechanical plaque removal (PMPR) on prevention of periodontal diseases. Search for randomised controlled trials: 2004 to April 2014. Screening and data abstraction conducted independently/in duplicate and narrative synthesis. From 1655 titles and abstracts, 24 full text artic...
Article
Full-text available
While the research base is limited, studies have consistently reported poor oral health in elite athletes since the first report from the 1968 Olympic Games. The finding is consistent both across selected samples attending dental clinics at major competitions and more representative sampling of teams and has led to calls from the International Olym...
Article
Full-text available
Background We aimed to systematically review the epidemiology of oral disease and trauma in the elite athlete population and to investigate the impact of oral health on sporting performance. Methods Authors searched Ovid MEDLINE (1950 to October 2013), Ovid EMBASE (1980 to October 2013), EBSCO SPORTDiscus (up to October 2013) and OpenGrey (http://w...
Article
Full-text available
Patient and public involvement (PPI) in research is a rapidly developing initiative across biomedicine. It recognises that in addition to being the subjects of research, patients, the public and other users have an important contribution to make to the development, quality and relevance of research and to be advocates for oral health research. Thes...
Article
Full-text available
While the research base is limited, studies have consistently reported poor oral health in elite athletes since the first report from the 1968 Olympic Games. The finding is consistent both across selected samples attending dental clinics at major competitions and more representative sampling of teams and has led to calls from the International Olym...
Article
Full-text available
Data on the impact of oral health on sporting performance is missing and the epidemiology of oral diseases in the elite athlete population is poorly understood. To systematically review available evidence to determine the epidemiology of oral diseases in the elite athlete population and the impact of oral health on sporting performance. Systematic...
Article
Full-text available
Oral health is important both for well-being and successful elite sporting performance. Reports from Olympic Games have found significant treatment needs; however, few studies have examined oral health directly. The aim of this study was to evaluate oral health, the determinants of oral health and the effect of oral health on well-being, training a...
Article
Full-text available
Previous research has suggested that deterioration in oral health can occur following hospitalisation. The impact of such deterioration could increase the risk of oral disease, reduce quality of life and increase the potential for healthcare-associated infections (HCAI) such as Healthcare-associated pneumonia (HAP). However, the strength of the evi...
Article
Ventilator-associated pneumonia (VAP) is defined as pneumonia developing in persons who have received mechanical ventilation for at least 48 hours. VAP is a potentially serious complication in these patients who are already critically ill. Oral hygiene care (OHC), using either a mouthrinse, gel, toothbrush, or combination, together with aspiration...
Article
Background: and overview. This article describes the different types of reviews of research that are available in the literature: systematic reviews and traditional reviews. Systematic reviews have become the reference standard for evidence to inform clinical practice. In this article, the authors set out guidance on appraising the quality and rel...
Article
Ian Needleman talks to the BDJ about his research study at the London 2012 Olympic Games, the future of periodontology and his top tips for dental students.
Conference Paper
Objective: To investigate existence and magnitude of association between metabolic syndrome (MetS) and periodontal diseases (PD). Method: A systematic search of the literature was conducted looking for case-control, cross-sectional, cohort studies and population surveys including patients with measures of MetS and periodontal diseases. Ovid MEDLI...
Article
Background: Several epidemiological studies have reported an association between metabolic syndrome (MetS) and periodontal diseases (PDs). The aim of this systematic review was to investigate the existence and magnitude of this association. Materials and methods: A systematic search of the literature was conducted looking for case-control, cross...
Conference Paper
Objectives: To investigate microbiological changes in dental plaque following hospitalisation in a Critical Care Unit (CCU) over a two week period in terms of: total number of cultivable bacteria and colonisation by hospital-acquired pneumonia (HAP) pathogens. Methods: Observational study in CCU of University College Hospital, London. Participant...
Article
To investigate the effect of hospitalization on oral health as assessed by dental plaque. Observational study in a critical care unit (CCU). Participants were recruited within 24 h of admission. Dental plaque amount was assessed at baseline, 1 and 2 weeks using the Debris index-soft deposits (Greene & Vermillion 1960). Fifty participants were recru...
Article
Full-text available
Objective The objective of this paper is to examine the effect of alveolar ridge preservation (ARP) compared to unassisted socket healing. Methods Systematic review with electronic and hand search was performed. Randomised controlled trials (RCT), controlled clinical trials (CCT) and prospective cohort studies were eligible. Results Eight RCTs and...
Chapter
This is the protocol for a review and there is no abstract. The objectives are as follows: To evaluate the effects of triclosan-containing toothpastes on gingival health. The following null hypothesis will be tested: There is no difference in gingival health of children and adults who have received triclosan-containing toothpaste as compared to tho...
Article
Guided tissue regeneration (GTR) and enamel matrix derivatives (EMD) are two popular regenerative treatments for periodontal infrabony lesions. Both have been used in conjunction with other regenerative materials. We conducted a Bayesian network meta-analysis of randomized controlled trials on treatment effects of GTR, EMD and their combination the...
Article
There is a lack of consensus on measures to assess implant performance in clinical research. To investigate the outcomes measures and reference groups employed to evaluate and compare implant success and failure. MEDLINE (OVID) and Web of Science with searching reference lists of included papers. Inclusion: root form, titanium implants in dentate o...
Article
Poor oral health of hospitalized patients is associated with an increased risk of hospital-acquired infections and reduced life quality. To systematically review the evidence on oral health changes during hospitalization. Cochrane library, Medline, OldMedline, Embase and CINAHL without language restrictions. Observational longitudinal studies. DATA...
Article
To investigate the effect of a powered toothbrush on colonization of dental plaque by ventilator-associated pneumonia (VAP)-associated organisms and dental plaque removal. Parallel-arm, single-centre, examiner- and analyst-masked randomized controlled trial. Forty-six adults were recruited within 48 h of admission. Test intervention: powered toothb...
Article
Tabakkonsum wurde als wesentlicher Risikofaktor für krankhafte Veränderungen im Mundbereich erkannt, z. B. für Parodontalerkrankungen und Krebs. Ein Ausstieg aus dem Tabakkonsum bietet die Möglichkeit einer Rückbildung von Krebsvorstufen, einem verbesserten Langzeiterfolg einer Parodontalbehandlung und einem verbesserten Parodontalstatus im Verglei...
Article
Background: Glycaemic control is a key issue in the care of people with diabetes mellitus (DM). Some studies have suggested a bidirectional relationship between glycaemic control and periodontal disease. Objectives: To investigate the relationship between periodontal therapy and glycaemic control in people with diabetes and to identify the appropri...
Article
Bridging the gap between research and dental practice, EBD provides a single source of ground breaking issues in Dentistry. We filter out the best range of evidence from a wide range of sources, presenting clear, comprehensive and easily digestible summaries.
Article
A sizeable proportion of patients in clinical practice will have some form of periodontal disease and most of these patients can be well managed in primary care. Unfortunately, dento-legal claims regarding inappropriate periodontal care are increasing rapidly and are now one of the most common reasons for litigation in dentistry. In this paper we w...
Conference Paper
Objective: To evaluate the effect of various materials and techniques for alveolar ridge preservation (ARP) following tooth extraction on ridge dimensions and histological healing characteristics. Methods: A systematic electronic search in MEDLINE, EMBASE, CENTRAL and LILACS and a hand search in selected dental journals were performed. Randomised c...
Conference Paper
Objectives: To investigate the effect of a powered toothbrush on colonisation of dental plaque by ventilator associated pneumonia (VAP) associated pathogens and dental plaque removal. Methods: Parallel-arm, single-centre, examiner and analyst masked randomised controlled trial. Trial registration: ISRCTN21526533. Setting: Intensive care unit (ICU)...
Article
A Medline search and handsearching of the following journals were carried out: International Journal of Periodontics and Restorative Dentistry, Journal of Clinical Periodontology, Journal of Periodontal Research and Journal of Periodontology as well as reference lists of publications selected. To be eligible for inclusion in this review, studies ha...
Article
Long-term control of blood sugar levels is considered to be of critical importance in preventing complications associated with diabetes. Research evidence has suggested that treating gum disease in people with diabetes may assist in lowering blood sugar levels. The aim of this review was to investigate the relationship of treating gum disease on bl...