Effects of an oral health program on selected clinical parameters and salivary bacteria in a long-term care facility.
The aim of this study was to evaluate clinically and microbiologically the effects of a preventive oral health program in a long-term care facility. A total of 116 dentate elderly residents agreed to participate, and half of them were included in an experimental group. Almost all of the residents were mentally or physically handicapped, and many were dependent on care-givers for daily living activities. Oral examination and microbiological sampling were performed at baseline and 18 months later. The experimental group benefited from a preventive program, including an oral hygiene course for the health care providers and regular recalls by dental hygienists of the residents. After 18 months, the plaque indices were statistically similar to those at baseline in both groups. Mutans streptococci counts and active root caries at 18 months were lower compared to baseline in the experimental group but did not change significantly in the control group. Thus, it seems that, while the preventive program failed to decrease plaque indices, it was effective in reducing mutans streptococci colonisation and caries prevalence.
Division of Gerodontology and Removable Prosthodontics, University of Geneva, Switzerland. phillipe.mojon@medecine.unige.ch
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Mojon
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Rentsch
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Budtz-Jørgensen
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Baehni
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001419:Bacteria / Q000254:growth & development*; D017028:Caregivers; D015169:Colony Count, Microbial; D016321:Dental Care for Aged; D003730:Dental Care for Persons with Disabilities; D003731:Dental Caries / Q000517:prevention & control; D003756:Dental Hygienists; D003773:Dental Plaque / Q000517:prevention & control; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006267:Health Education, Dental; D006801:Humans; D008607:Intellectual Disability; D008134:Long-Term Care; D008297:Male; D009735:Nursing Homes; D009910:Oral Hygiene; D017213:Root Caries / Q000517:prevention & control; D012463:Saliva / Q000382:microbiology*; D013295:Streptococcus mutans / Q000254:growth & development; D014076:Tooth Diseases / Q000517:prevention & control*