Efficacy of regular professional brushing by a dental nurse for 3 months in nursing home residents—A randomized, controlled clinical trial

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

doi:10.1111/idh.12389

Cited by 23 publications

(34 citation statements)

References 32 publications

(33 reference statements)

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“…Comparison groups were largely usual care or no additional intervention (median: n = 25, range: 17 to 141). Overall, the addition of professional care improved oral health/hygiene and reduced caries [81][82][83][84][85][86][87][88][89][90], although some studies did not find meaningful differences for clinical or microbiological outcomes [91].…”

Section: Plos Onementioning

confidence: 99%

Models of provider care in long-term care: A rapid scoping review

et al. 2021

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Introduction One of the current challenges in long-term care homes (LTCH) is to identify the optimal model of care, which may include specialty physicians, nursing staff, person support workers, among others. There is currently no consensus on the complement or scope of care delivered by these providers, nor is there a repository of studies that evaluate the various models of care. We conducted a rapid scoping review to identify and map what care provider models and interventions in LTCH have been evaluated to improve quality of life, quality of care, and health outcomes of residents. Methods We conducted this review over 10-weeks of English language, peer-reviewed studies published from 2010 onward. Search strategies for databases (e.g., MEDLINE) were run on July 9, 2020. Studies that evaluated models of provider care (e.g., direct patient care), or interventions delivered to facility, staff, and residents of LTCH were included. Study selection was performed independently, in duplicate. Mapping was performed by two reviewers, and data were extracted by one reviewer, with partial verification by a second reviewer. Results A total of 7,574 citations were screened based on the title/abstract, 836 were reviewed at full text, and 366 studies were included. Studies were classified according to two main categories: healthcare service delivery (n = 92) and implementation strategies (n = 274). The condition/ focus of the intervention was used to further classify the interventions into subcategories. The complex nature of the interventions may have led to a study being classified in more than one category/subcategory. Conclusion Many healthcare service interventions have been evaluated in the literature in the last decade. Well represented interventions (e.g., dementia care, exercise/mobility, optimal/appropriate medication) may present opportunities for future systematic reviews. Areas with less research (e.g., hearing care, vision care, foot care) have the potential to have an impact on balance, falls, subsequent acute care hospitalization.

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Section: Plos Onementioning

confidence: 99%

Models of provider care in long-term care: A rapid scoping review

et al. 2021

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“…Developing an interprofessional collaboration by enabling expanded functions dental auxiliaries (eg, dental hygienists) to practice in AL facilities will help address this issue. Dental hygienist can provide periodic oral exams, perform professional toothbrushing and facilitate dental referrals for residents in needs 47 . Additionally, dental and nursing professionals should also work together to include oral assessment and mouth care training in the nursing aid training curriculum.…”

Section: Discussionmentioning

confidence: 99%

How accurate is the assessment of certified nursing assistants on resident's oral self‐care function in three North Carolina assisted‐living facilities?

Chen

D’Souza

Comnick

et al. 2020

Special Care in Dentistry

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Aims To examine the association between the assessments of certified nursing assistants (CNAs) on resident's oral self‐care function and resident's oral hygiene outcomes in three North Carolina assisted‐living (AL) facilities. Methods and results Sixty‐five dentate AL residents were included in this secondary analysis. CNAs were asked to rate the AL residents’ overall oral self‐care function using a 6‐point Likert scale. Their assessments were then compared with the objective, performance‐based Dental Activities Test and the oral hygiene and gingival health measures. The analysis showed that nearly 90% of the participants presented with at least one untreated decayed or broken tooth. On average, nearly two‐thirds of the surfaces were covered by soft deposits (Debris Index = 1.83, SD = 0.60). Generalized mild to moderate inflammation (Gingival Index = 1.51, SD = 0.53) commonly presented on residents’ gingiva. CNAs were able to accurately identify the residents with substantial impairment in oral self‐care function, yet they tended to overestimate the oral self‐care function of residents with mild to moderate impairment. CNAs assessments were also not significantly correlated with residents’ oral hygiene measures. Conclusion CNAs failed to identify and provide assistance to AL residents with impaired oral self‐care function, contributing to poor oral oral hygiene in these vulnerable individuals.

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“…Finally, home visiting dental services [180][181][182] for dental check-up and education could help tackle PD patients' difficulties in receiving those services at dental clinics. Domiciliary professional oral care [183], with regular professional toothbrushing [184,185] could improve the quality of oral hygiene and may contribute to better nutritional status and quality of life, although this has yet to be demonstrated in cohorts of PD patients.…”

Section: Towards Better Assessment and Carementioning

confidence: 99%

Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye

Auffret

Meuric

Boyer

et al. 2021

JPD

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Despite clinical evidence of poor oral health and hygiene in Parkinson’s disease (PD) patients, the mouth is often overlooked by both patients and the medical community, who generally focus on motor or psychiatric disorders considered more burdensome. Yet, oral health is in a two-way relationship with overall health—a weakened status triggering a decline in the quality of life. Here, we aim at giving a comprehensive overview of oral health disorders in PD, while identifying their etiologies and consequences. The physical (abnormal posture, muscle tone, tremor, and dyskinesia), behavioral (cognitive and neuropsychiatric disorders), and iatrogenic patterns associated with PD have an overall detrimental effect on patients’ oral health, putting them at risk for other disorders (infections, aspiration, pain, malnutrition), reducing their quality of life and increasing their isolation (anxiety, depression, communication issues). Interdisciplinary cooperation for prevention, management and follow-up strategies need to be implemented at an early stage to maintain and improve patients’ overall comfort and condition. Recommendations for practice, including (non-)pharmacological management strategies are discussed, with an emphasis on the neurologists’ role. Of interest, the oral cavity may become a valuable tool for diagnosis and prognosis in the near future (biomarkers). This overlooked but critical issue requires further attention and interdisciplinary research.

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Efficacy of regular professional brushing by a dental nurse for 3 months in nursing home residents—A randomized, controlled clinical trial

Cited by 23 publications

References 32 publications

Models of provider care in long-term care: A rapid scoping review

Models of provider care in long-term care: A rapid scoping review

How accurate is the assessment of certified nursing assistants on resident's oral self‐care function in three North Carolina assisted‐living facilities?

Oral Health Disorders in Parkinson’s Disease: More than Meets the Eye

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