Efficacy and acceptance of professional dental cleaning among nursing home residents

Barbe, Anna Greta; Kottmann, Hannah Elisa; Hamacher, Stefanie; Derman, Sonja Henny Maria; Noack, Michael

doi:10.1007/s00784-018-2487-x

Cited by 10 publications

(20 citation statements)

References 21 publications

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“…The study was registered under DRKS00010767 at the German Clinical Trials register (https://www.germanctr.de) before the first patient was enrolled. The time requirements and cost analysis were constructed using data from a study that evaluated the feasibility and acceptance of PDC provided to nursing home residents by a dental nurse . In this study, exclusion criteria were less than four remaining teeth, and life‐threatening conditions at risk of imminent demise of the resident.…”

Section: Methodsmentioning

confidence: 99%

“…The time requirements and cost analysis were constructed using data from a study that evaluated the feasibility and acceptance of PDC provided to nursing home residents by a dental nurse. 24 In this study, exclusion criteria were less than four remaining teeth, and life-threatening conditions at risk of imminent demise of the resident. General and oral health parameters, as well as parameters such as nursing grade, mobility, and number of months living in the nursing home, were obtained from the medical files of the nursing home or during a dental examination by the study dentist.…”

Section: Methodsmentioning

confidence: 99%

“…The plaque index (PI; ranging from 0 = no plaque to 3 = abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin), gingivitis index (GI; from 0 = normal gingiva to 3 = marked redness and edema/ulceration/tendency to bleed spontaneously), and the papilla bleeding index (from 0 = no bleeding to 4 = profuse bleeding after probing with blood flowing immediately into the marginal sulcus) had been obtained and documented in the prior feasibility study. 24,[26][27][28] The root caries index (RCI) was graded on a scale from RC1 (hard surface) to RC5 (soft surface). 29 Oral hygiene was documented using the oral hygiene index (OHI), 30 and the amount of calculus by the Volpe-Manhold index (VMI).…”

Section: Indicesmentioning

confidence: 99%

“…It may be combined with or followed by other long‐term strategies such as implementation of healthcare worker training, oral healthcare programs including mobile dental teams, the implementation of ultrasonic baths, Gerodent, or MOUTh programs . We have recently shown that the use of PDC is well accepted and improves oral health in both demented and nondemented nursing home residents . When planning the implementation of such strategies in nursing homes, awareness of the necessary time frames and costs involved is important, especially with regard to the additional time and effort required for demented or immobile residents.…”

Section: Introductionmentioning

confidence: 99%

“…23 We have recently shown that the use of PDC is well accepted and improves oral health in both demented and nondemented nursing home residents. 24 When planning the implementation of such strategies in nursing homes, awareness of the necessary time frames and costs involved is important, especially with regard to the additional time and effort required for demented or immobile residents. A profound knowledge of the additional equipment required and the personnel resources for PDC might reduce restraints when considering implementing such methods.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of time and resources required for professional dental cleaning in nursing home residents

Barbe

Kottmann

Müller

et al. 2019

Special Care in Dentistry

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Aim We aimed to describe time requirements and costs associated with professional dental cleaning (PDC) performed by a dental nurse in one German nursing home, and to reveal potential differences in required time for demented versus nondemented and mobile versus immobile residents. Methods and results We performed a retrospective, cross‐sectional analysis of treatment time and costs, including a transparent, easily adaptable path of action that allows implementation of PDC in nursing homes. Total mean (±SD) treatment time for one session per resident was documented, including differences in demented and immobile residents, and projected treatment costs (€/$) per resident. We found no differences in required time for one PDC (37 ± 11 minutes) in residents with or without dementia (P = 0.803) or, immobile versus mobile residents (P = 0.396). Mean projected treatment costs of PDC were €14.98/$17.07 per resident per cleaning session, resulting in total costs of €13.5 million ($15.4 million). Conclusion Cognitive status and mobility does not affect the mean time required to perform PDC by a dental nurse in nursing home residents. Main cost factor is working time of dental staff; consumable supplies have less impact. Our data may stimulate to include PDC as initial step toward implementation of long‐term oral hygiene strategies.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Indicesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of time and resources required for professional dental cleaning in nursing home residents

Barbe

Kottmann

Müller

et al. 2019

Special Care in Dentistry

Self Cite

View full text Add to dashboard Cite

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The underestimated problem of oral Candida colonization—An observational pilot study in one nursing home

Kottmann

Derman

Noack

et al. 2019

Clinical & Exp Dental Res

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ObjectivesOlder people are at increased risk of intraoral yeast colonization. In this observational case series, we assessed Candida colonization among nine nursing home residents to investigate possible correlations with their individual characteristics, general health parameters, and oral care. We also described the effect of professional dental cleaning (PDC) including prosthesis cleaning on colonization cases.Materials and methodsGeneral clinical and oral health was assessed in nine residents, and samples were taken from six oral mucosa sites or prosthetic surfaces. PDC was performed to achieve macroscopically clean results, and residents were re‐examined 2 weeks later.ResultsWe found that six residents were intraorally colonized with Candida albicans; four also had Candida glabrata. Prostheses were particularly infected. Dementia, multimorbidity, and presence of prostheses reduced oral hygiene ability; requiring assistance for oral hygiene care was a risk indicator for Candida colonization. PDC reduced C. albicans (at the expense of increased C. glabrata) but was not optimal for maintaining Candida reduction.ConclusionIn this pilot study, Candida colonization is prevalent among nursing home residents, especially those with cognitive impairment, multimorbidity, or reduced oral hygiene capacity. Potential negative effects on general health necessitate diagnostic and therapeutic guidelines. PDC alone did not maintain the reduction in Candida colonization; additional methods for daily oral care are necessary.

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Oral health in patients with dementia: A meta‐analysis of comparative and observational studies

Zeng

Zong

et al. 2020

Int J Geriat Psychiatry

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Objective Poor oral health is common in dementia, but findings of epidemiological studies have been inconsistent. This meta‐analysis examined oral health in patients with dementia diagnosed according to standardized diagnostic criteria. Methods Six international databases (PubMed, EMBASE, PsycINFO, Medline, Cochrane Library, and Web of Science) were searched from their commencement date until 8 November 2018. Oral health was measured by the Remaining Teeth (RT) and Decayed, Missing, and Filled Teeth (DMFT) Index. The mean differences (MD) and 95% confidence intervals (CI) of DMFT Index total and component scores were calculated using a random‐effect model. Results Twenty‐four studies were included for analyses. The pooled DMFT Index was 23.48 (95% CI: 22.34, 24.62), while the pooled score for each component was 2.38 (95% CI: 1.56, 3.20) in decayed teeth (DT), 18.39 (95% CI: 15.92, 20.87) in missing teeth (MT), 2.29 (95% CI: 0.62, 3.95) in filled teeth (FT), and 11.59 (95% CI: 9.14, 14.05) in RT. Compared to controls, people with dementia had significantly a higher DMFT Index total score (MD = 3.80, 95% CI: 2.21, 5.39, p < 0.00,001), and significantly lower number of RT (MD = −3.15, 95% CI: −4.23, −2.06, p < 0.00,001). Subgroup analyses revealed that higher DMFT Index score was significantly associated with year of survey (>2010), study design (case‐control study), percentage of females (≤54.3), and the Mini Mental State Examination score (≤18.2). Higher MT score was significantly associated with study design (cross‐sectional study), and lower FT score was significantly associated with year of survey (>2010). Conclusions Oral health was significantly poorer in people with dementia compared with controls. Regular screening and effective treatment should be implemented for this population.

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Efficacy and acceptance of professional dental cleaning among nursing home residents

Abstract: 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.

Cited by 10 publications

References 21 publications

Evaluation of time and resources required for professional dental cleaning in nursing home residents

Evaluation of time and resources required for professional dental cleaning in nursing home residents

The underestimated problem of oral Candida colonization—An observational pilot study in one nursing home

Oral health in patients with dementia: A meta‐analysis of comparative and observational studies

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