+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Professional oral health care by dental hygienists reduced respiratory infections in elderly persons requiring nursing care

Professional oral health care by dental hygienists reduced respiratory infections in elderly persons requiring nursing care

International Journal of Dental Hygiene 5(2): 69-74

Respiratory infection is a major cause of death in the elderly. We have evaluated the role of professional oral health care (POHC) by dental hygienists in reducing respiratory infections in elderly persons requiring nursing care. Two populations of elderly persons, one receiving POHC and one not, were examined to determine numbers of microorganisms, potent pathogens of respiratory infection, enzymatic activity in saliva, fevers, prevalence of fatal aspiration pneumonia and prevalence of influenza. In the first population, we found a high prevalence of potent respiratory pathogens such as Staphylococcus species, Pseudomonas aeruginosa and Candida albicans. Patients who received POHC showed a lower prevalence for these pathogens than those who did not. The ratio of fatal aspiration pneumonia in POHC patients was significantly lower than that in patients without POHC (non-POHC) over a 24-month period (P < 0.05). The prevalence of a fever of 37.8 degrees C or more in POHC patients was significantly lower than that in the non-POHC group (P < 0.05). In the second study population, we investigated the effects of POHC on infection with influenza over a 6-month period. In the POHC group, neuraminidase and trypsin-like protease activities decreased, and one of 98 patients was diagnosed with influenza; whereas, in the non-POHC group, nine of 92 patients were diagnosed with influenza. The relative risk of developing influenza while under POHC was 0.1 (95% CI 0.01-0.81, P = 0.008). These results suggest that POHC by dental hygienists is effective in preventing respiratory infections in elderly persons requiring nursing care.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 055203705

Download citation: RISBibTeXText

PMID: 17461957

DOI: 10.1111/j.1601-5037.2007.00233.x

Related references

A study on the effects of short-, medium- and long-term professional oral care in elderly persons requiring long-term nursing care at a chronic or maintenance stage of illness. Gerodontology 20(1): 50-56, 2003

Health care professionals' perspectives on oral care for long-term care residents: nursing staff, speech-language pathologists and dental hygienists. Gerodontology 29(2): E525-E535, 2012

Oral health care for the elderly patient. The role of dental hygienists. Dental Hygiene 57(10): 14-17, 1983

Identification of oral bacteria by 16S rRNA gene analysis in elderly persons requiring nursing care. Journal of Infection and ChemoTherapy 17(1): 40-44, 2011

Managed care: oral health care for the future. American Dental Hygienists' Association. Journal 75(4): 44-45, 1996

Oral health of community-living elderly. 1. Condition of teeth, use of professional dental care and oral hygiene habits. Nederlands Tijdschrift Voor Tandheelkunde 107(12): 499-504, 2000

Access to care and the allied oral health care workforce in Kansas: perceptions of Kansas dental hygienists and scaling dental assistants. Journal of Dental Education 70(3): 263-278, 2006

Effect of professional oral health care on the elderly living in nursing homes. Oral Surgery Oral Medicine Oral Pathology Oral Radiology & Endodontics 94(2): 191-195, 2002

A randomized controlled trial assessing the effectiveness of professional oral care by dental hygienists. International Journal of Dental Hygiene 6(1): 63-67, 2008

Dental care practices and oral health training for professional caregivers in long-term care facilities: An interdisciplinary approach to address oral health disparities. Geriatric Nursing 38(4): 296-301, 2017

A model for oral health care for elderly persons in nursing homes with an estimate of the resources needed. Acta Odontologica Scandinavica 47(4): 199-204, 1989

A center for oral health promotion: establishing an inter-professional paradigm for dental hygiene, health care management and nursing education. Journal of Dental Hygiene 86(2): 63-70, 2012

A qualitative analysis of oral health care needs in arkansas nursing facilities: the professional role of the dental hygienist. Journal of Dental Hygiene 88(6): 353-363, 2014

Oral health and dental care in aged care facilities in New South Wales, Australia. Part 3 concordance between residents' perceptions and a professional dental examination. Gerodontology 33(3): 363-372, 2018

Dental hygienists and access to oral health care. Journal of Dental Hygiene 78(2): 323-324, 2004