+ 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

Theoretical and hands-on guidance from dental hygienists promotes good oral health in elderly people living in nursing homes, a pilot study

Theoretical and hands-on guidance from dental hygienists promotes good oral health in elderly people living in nursing homes, a pilot study

International Journal of Dental Hygiene 16(4): 476-483

Oral health in nursing homes for elderly is often unsatisfactory, and oral health education to nursing staff has not shown sufficient results why there is need for novel approaches. The aim of the study was to trial a new oral healthcare educational programme and to evaluate the effects on residents' oral health. In addition, attitudes among the nursing staff in the intervention nursing home were explored. In a controlled clinical trial, two comparable nursing homes were randomly assigned for intervention or control. Interventions included weekly theoretical and hands-on guidance from dental hygienists on oral hygiene procedures and discussions on oral care routines. The residents' oral health, measured by the Revised Oral Assessment Guide (ROAG), dental plaque and gingival bleeding were evaluated at baseline and after 3 months. Attitudes among the staff to oral health care were measured at the intervention nursing home. Revised Oral Assessment Guide gums and lips scores showed a tendency to decrease in the intervention group, but remained high in the control group. Plaque levels improved significantly after intervention, and a trend towards less gingival bleeding was observed. The intervention nursing staff seemed to be more aware of their own limitations concerning oral health care after intervention and valued more frequent contact with dental services to a greater extent. The oral healthcare situation for elderly people today is so complex that theoretical education at the group level regarding different aspects of oral health is not sufficient. Individual hands-on guidance by dental hygienists on a regular basis in everyday care may be a new approach.

Please choose payment method:

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

Accession: 065600543

Download citation: RISBibTeXText

PMID: 29651816

DOI: 10.1111/idh.12343

Related references

Effect of Oral Health Care Program on Oral Health Status of Elderly People Living in Nursing Homes: a Quasi-experimental Study. Materia Socio-Medica 29(4): 263-267, 2017

Evaluation of depression in elderly people living in nursing homes: a study involving 35 people. La Tunisie Medicale 88(10): 710-713, 2010

Oral complaints of denture-wearing elderly people living in two nursing homes in Istanbul, Turkey. Oral Health and Dental Management 11(3): 107-115, 2012

Dental health in residential and nursing homes for elderly people in the south Birmingham health district. British Dental Journal 168(4): 167-169, 1990

Quality of care for elderly residents in nursing homes and elderly people living at home: controlled observational study. BMJ 326(7389): 580, 2003

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

Access and barriers to oral health care for dependent elderly people living in rest homes. Gerodontology 36(2): 149-155, 2019

A community living management program for people with disabilities who have moved out of nursing homes: a pilot study. Disability and Rehabilitation 38(8): 754-760, 2016

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, 2007

Dental care and treatment needs of elderly in nursing homes in the Saarland: perceptions and oral health status of the inhabitants. Journal of Public Health 22(1): 73-79, 2014

A nutritional screening tool for use by nurses in residential and nursing homes for elderly people: development and pilot study results. Journal of Human Nutrition and Dietetics 12(5): 437-443, 1999

Study for improvement of oral health among the elderly. Present status of dental care service at elderly homes. Nichidai Koku Kagaku 16(4): 470-477, 1990

Elderly people living in Florianópolis: self-perception of oral health conditions and use of dental services. Ciencia and Saude Coletiva 12(6): 1683-1690, 2008

Elderly people living in Florianopolis: self-perception of oral health conditions and use of dental services. 2007

Suffering and mental health among older people living in nursing homes-a mixed-methods study. Peerj 3: E1120, 2015