Universität zu Köln

Barbe, Anna Greta, Kottmann, Hannah Elisa, Hamacher, Stefanie ORCID: 0000-0003-2158-9101, Derman, Sonja Henny Maria and Noack, Michael Johannes (2019). Efficacy and acceptance of professional dental cleaning among nursing home residents. Clin. Oral Investig., 23 (2). S. 707 - 714. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1436-3771

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Abstract

ObjectivesTo determine the impact of general and oral health status of nursing home residents in Germany on efficacy and acceptance of professional dental cleaning performed by a dental nurse.Materials and methodsParticipants (N=41; mean age 838years) living in a nursing home were included. Personal and general health, oral health, oral hygiene habits, and needs were investigated. Individual acceptance regarding professional dental cleaning via different devices (scaler, interdental brushes, ultrasonic cleaning) was assessed, as was the efficacy of this method using after-cleaning indices.ResultsOral health among nursing home residents was impaired and independent from dementia status. Most residents (33/41) performed oral hygiene procedures independently and showed better index values than those in need of external help. Residents requiring help with oral hygiene showed increased risk profiles (higher age, more often immobile, demented, more xerostomia). The dental cleaning procedure required a mean time of 3711min, was widely accepted (36/41), and achieved clean results (plaque index 0.1 +/- 0.5, oral hygiene index 0.2 +/- 1.6, Volpe-Manhold index 0.4 +/- 1.6); food residues were reduced to 0 independent from cognitive status. Regarding the cleaning methods, scalers were accepted best without difference between demented and non-demented residents.Conclusions Professional dental cleaning in nursing homes is an accepted and efficacious oral hygiene procedure among nursing home residents.Clinical relevance Professional dental cleaning is an efficacious and accepted method as a first step in line with strategies to improve oral health and should be considered in nursing home residents.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Barbe, Anna Greta UNSPECIFIED UNSPECIFIED UNSPECIFIED Kottmann, Hannah Elisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamacher, Stefanie UNSPECIFIED orcid.org/0000-0003-2158-9101 UNSPECIFIED Derman, Sonja Henny Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Noack, Michael Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-158162
DOI:	10.1007/s00784-018-2487-x
Journal or Publication Title:	Clin. Oral Investig.
Volume:	23
Number:	2
Page Range:	S. 707 - 714
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1436-3771
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LONG-TERM-CARE; ORAL-HEALTH; OLDER-PEOPLE; HYGIENE; DEMENTIA Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15816