Universität zu Köln

Barbe, Anna Greta, Kuepeli, Lydia Suzan, Hamacher, Stefanie ORCID: 0000-0003-2158-9101 and Noack, Michael Johannes (2020). Impact of regular professional toothbrushing on oral health, related quality of life, and nutritional and cognitive status in nursing home residents. Int. J. Dent. Hyg., 18 (3). S. 238 - 251. HOBOKEN: WILEY. ISSN 1601-5037

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Abstract

Objectives The oral hygiene of nursing home residents is poor. We aimed to investigate the efficacy of professional brushing using a specialized brush every three weeks and its impact on geriatric outcomes. Methods Nursing home residents received professional brushing with a three-headed brush by a dental nurse every three weeks for three months. Controls comprised subjects from an earlier investigation. Their general clinical, geriatric and oral health (number of teeth, periodontitis, Gingivitis Index, Plaque Index, Root Caries Index, Volpe-Manhold Index [VMI]) were investigated, and Geriatric Oral Health Assessment Index (GOHAI) was obtained before and after three months. Results Forty nursing home residents were included. Seventy-six percent of participants suffered from periodontitis, while 48% had partial and 20% total dentures. After three months, VMI had decreased vs baseline (P < .001). An improvement in nutritional status (P = .012) was found in residents with dementia after the intervention, as well as an improvement in the GOHAI (P = .031) in all participants. Gingivitis and plaque indices did not improve. Conclusions The oral health of nursing home residents is poor for various reasons, and nursing home staff cannot fully address the increased oral hygiene risk with increasing multimorbidity. Professional brushing performed regularly by a dental nurse is an efficient method to improve oral hygiene in nursing home residents and may contribute to better nutritional status and quality of life. However, brushing every three weeks with a three-headed brush was not effective at improving gingivitis or plaque and was inferior to the two-week brushing interval with a manual toothbrush.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Barbe, Anna Greta UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuepeli, Lydia Suzan UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamacher, Stefanie UNSPECIFIED orcid.org/0000-0003-2158-9101 UNSPECIFIED Noack, Michael Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-334083
DOI:	10.1111/idh.12439
Journal or Publication Title:	Int. J. Dent. Hyg.
Volume:	18
Number:	3
Page Range:	S. 238 - 251
Date:	2020
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1601-5037
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CARE FACILITIES; PEOPLE; INTERVENTION; MNA Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33408