Carers’ education improves oral health of older people suffering from dementia – results of an intervention study

Andreas Zenthöfer,1 Inga Meyer-Kühling,2,3 Anna-Luisa Hufeland,1 Johannes Schröder,2,3 Tomas Cabrera,1 Dominik Baumgart,1 Peter Rammelsberg,1 Alexander J Hassel1 1Department of Prosthetic Dentistry, University of Heidelberg, 2Institute of Gerontology, University of Heidel...

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Autores principales: Zenthöfer A, Meyer-Kühling I, Hufeland AL, Schröder J, Cabrera T, Baumgart D, Rammelsberg P, Hassel AJ
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Publicado: Dove Medical Press 2016
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Acceso en línea:https://doaj.org/article/b2042a1ed8344520a85f6ba283d087cc
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spelling oai:doaj.org-article:b2042a1ed8344520a85f6ba283d087cc2021-12-02T03:50:41ZCarers’ education improves oral health of older people suffering from dementia – results of an intervention study1178-1998https://doaj.org/article/b2042a1ed8344520a85f6ba283d087cc2016-11-01T00:00:00Zhttps://www.dovepress.com/carersrsquo-education-improves-oral-health-of-older-people-suffering-f-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Andreas Zenthöfer,1 Inga Meyer-Kühling,2,3 Anna-Luisa Hufeland,1 Johannes Schröder,2,3 Tomas Cabrera,1 Dominik Baumgart,1 Peter Rammelsberg,1 Alexander J Hassel1 1Department of Prosthetic Dentistry, University of Heidelberg, 2Institute of Gerontology, University of Heidelberg, 3Section of Geriatric Psychiatry, Center of Psychiatry, University of Heidelberg, Heidelberg, Germany Aim: The aim of this study was to evaluate the effectiveness of carers’ education on improvements in oral health and denture hygiene of care-dependent and cognitively impaired older people in nursing homes compared to those without intervention. Methods: A total of 219 seniors living in 14 nursing homes in southwest Germany (intervention: n=144; control: n=75) were enrolled in this study. For each participant, Plaque Control Record (PCR), Gingival Bleeding Index (GBI), Denture Hygiene Index (DHI) and Community Periodontal Index of Treatment Needs (CPITN) were assessed at baseline and six months following the interventions. In addition, demographic parameters such as age, sex, chronic diseases, permanent medications, level of dependency and cognitive state were recorded. In the intervention homes, education for caregivers was provided and ultrasound baths for denture cleaning were implemented. Changes in the dental target variables PCR, GBI, CPITN and DHI during the six-month study period were compared between subjects in the intervention and the control groups as well as between subjects with and without dementia. Additionally, multivariate models were compiled for each dental index to evaluate possible confounders. Results: In the intervention group, PCR and DHI significantly improved during the study period (P<0.001). Oral health and denture hygiene improved likewise in subjects with and without dementia. In the control group, no significant improvements were observed (P>0.05). Conclusion: Carers’ education improves oral health of people in nursing homes over a clinically relevant period of time. Implementation of ultrasound baths is a simple and effective measure to improve denture hygiene of both institutionalized elderly people and seniors with dementia and in severe need of care. From a clinical standpoint, it is noteworthy that the respective interventions can be easily implemented in everyday care routine. Keywords: oral health, intervention, older people, nursing home, longitudinalZenthöfer AMeyer-Kühling IHufeland ALSchröder JCabrera TBaumgart DRammelsberg PHassel AJDove Medical Pressarticleoral healthinterventionolder peoplenursing homelongitudinalGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 1755-1762 (2016)
institution DOAJ
collection DOAJ
language EN
topic oral health
intervention
older people
nursing home
longitudinal
Geriatrics
RC952-954.6
spellingShingle oral health
intervention
older people
nursing home
longitudinal
Geriatrics
RC952-954.6
Zenthöfer A
Meyer-Kühling I
Hufeland AL
Schröder J
Cabrera T
Baumgart D
Rammelsberg P
Hassel AJ
Carers’ education improves oral health of older people suffering from dementia – results of an intervention study
description Andreas Zenthöfer,1 Inga Meyer-Kühling,2,3 Anna-Luisa Hufeland,1 Johannes Schröder,2,3 Tomas Cabrera,1 Dominik Baumgart,1 Peter Rammelsberg,1 Alexander J Hassel1 1Department of Prosthetic Dentistry, University of Heidelberg, 2Institute of Gerontology, University of Heidelberg, 3Section of Geriatric Psychiatry, Center of Psychiatry, University of Heidelberg, Heidelberg, Germany Aim: The aim of this study was to evaluate the effectiveness of carers’ education on improvements in oral health and denture hygiene of care-dependent and cognitively impaired older people in nursing homes compared to those without intervention. Methods: A total of 219 seniors living in 14 nursing homes in southwest Germany (intervention: n=144; control: n=75) were enrolled in this study. For each participant, Plaque Control Record (PCR), Gingival Bleeding Index (GBI), Denture Hygiene Index (DHI) and Community Periodontal Index of Treatment Needs (CPITN) were assessed at baseline and six months following the interventions. In addition, demographic parameters such as age, sex, chronic diseases, permanent medications, level of dependency and cognitive state were recorded. In the intervention homes, education for caregivers was provided and ultrasound baths for denture cleaning were implemented. Changes in the dental target variables PCR, GBI, CPITN and DHI during the six-month study period were compared between subjects in the intervention and the control groups as well as between subjects with and without dementia. Additionally, multivariate models were compiled for each dental index to evaluate possible confounders. Results: In the intervention group, PCR and DHI significantly improved during the study period (P<0.001). Oral health and denture hygiene improved likewise in subjects with and without dementia. In the control group, no significant improvements were observed (P>0.05). Conclusion: Carers’ education improves oral health of people in nursing homes over a clinically relevant period of time. Implementation of ultrasound baths is a simple and effective measure to improve denture hygiene of both institutionalized elderly people and seniors with dementia and in severe need of care. From a clinical standpoint, it is noteworthy that the respective interventions can be easily implemented in everyday care routine. Keywords: oral health, intervention, older people, nursing home, longitudinal
format article
author Zenthöfer A
Meyer-Kühling I
Hufeland AL
Schröder J
Cabrera T
Baumgart D
Rammelsberg P
Hassel AJ
author_facet Zenthöfer A
Meyer-Kühling I
Hufeland AL
Schröder J
Cabrera T
Baumgart D
Rammelsberg P
Hassel AJ
author_sort Zenthöfer A
title Carers’ education improves oral health of older people suffering from dementia – results of an intervention study
title_short Carers’ education improves oral health of older people suffering from dementia – results of an intervention study
title_full Carers’ education improves oral health of older people suffering from dementia – results of an intervention study
title_fullStr Carers’ education improves oral health of older people suffering from dementia – results of an intervention study
title_full_unstemmed Carers’ education improves oral health of older people suffering from dementia – results of an intervention study
title_sort carers’ education improves oral health of older people suffering from dementia – results of an intervention study
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/b2042a1ed8344520a85f6ba283d087cc
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