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Barbe, Anna Greta, Kottmann, Hannah E., Derman, Sonja H. M. and Noack, Michael J. (2019). Efficacy of regular professional brushing by a dental nurse for 3 months in nursing home residents-A randomized, controlled clinical trial. Int. J. Dent. Hyg., 17 (4). S. 327 - 336. HOBOKEN: WILEY. ISSN 1601-5037

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Abstract

Objectives The oral health of nursing home residents is poor for various reasons. Many require help for oral hygiene. Regular professional brushing by a dental nurse should improve oral hygiene. This study aimed to determine the efficacy of regular tooth brushing by a dental nurse on the oral health of nursing home residents. Methods This controlled trial randomized participants (n = 50; mean age 83 +/- 8 years) to brushing by a dental nurse every 2 weeks for 3 months (n = 25; test group) or oral hygiene procedures performed/controlled by nursing home staff (n = 25; control group). Personal, general and oral health, as well as various oral hygiene parameters-plaque index (PI), gingivitis index (GI), papilla bleeding index (PBI), oral hygiene index (OHI) and Volpe-Manhold Index (VMI)-were evaluated at baseline, after initial professional dental cleaning and before last brushing. Results At baseline, oral health was impaired according to investigated indices in both groups. After professional brushing for 3 months, there were improvements in PI, GI and PBI, with significant increases compared with the control group in OHI and VMI (P = 0.017 and P < 0.001, respectively). Among the control group, the number of teeth decreased while the root caries index increased (P = 0.002 between groups). Conclusions Regular professional brushing every 2 weeks by a dental nurse can be recommended for nursing homes residents to improve oral health parameters and to help reduce root caries incidence as a basis to preserve the number of teeth. Such oral hygiene procedures will maintain and improve the oral health of nursing home residents.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Barbe, Anna Greta UNSPECIFIED UNSPECIFIED UNSPECIFIED Kottmann, Hannah E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Derman, Sonja H. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Noack, Michael J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-129887
DOI:	10.1111/idh.12389
Journal or Publication Title:	Int. J. Dent. Hyg.
Volume:	17
Number:	4
Page Range:	S. 327 - 336
Date:	2019
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1601-5037
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ORAL-HEALTH-CARE; DRY MOUTH; XEROSTOMIA; RADIOTHERAPY; PREVALENCE; HYGIENE; PEOPLE; OLDER Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12988