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Assistive technologies for improving the oral hygiene of leprosy patients residing in a former leprosy colony in Betim, Minas Gerais, Brazil

BACKGROUND: This study deals with management of a group of elderly patients with a history of leprosy and hand deformities by a multidisciplinary team of dentists and occupational therapists. Assistive technology devices have been developed to allow such patients to obtain independence in oral self-...

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Autores principales: Ferreira, Raquel Conceição, Ribeiro, Marco Tulio de Freitas, Vargas-Ferreira, Fabiana, Sampaio, Aline Araujo, Pereira, Ana Cristina Marinho, Vargas, Andrea Maria Duarte, de Jesus, Rafaella Mendes, Ferreira, Efigênia Ferreira e
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6059442/
https://www.ncbi.nlm.nih.gov/pubmed/30044849
http://dx.doi.org/10.1371/journal.pone.0200503
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author Ferreira, Raquel Conceição
Ribeiro, Marco Tulio de Freitas
Vargas-Ferreira, Fabiana
Sampaio, Aline Araujo
Pereira, Ana Cristina Marinho
Vargas, Andrea Maria Duarte
de Jesus, Rafaella Mendes
Ferreira, Efigênia Ferreira e
author_facet Ferreira, Raquel Conceição
Ribeiro, Marco Tulio de Freitas
Vargas-Ferreira, Fabiana
Sampaio, Aline Araujo
Pereira, Ana Cristina Marinho
Vargas, Andrea Maria Duarte
de Jesus, Rafaella Mendes
Ferreira, Efigênia Ferreira e
author_sort Ferreira, Raquel Conceição
collection PubMed
description BACKGROUND: This study deals with management of a group of elderly patients with a history of leprosy and hand deformities by a multidisciplinary team of dentists and occupational therapists. Assistive technology devices have been developed to allow such patients to obtain independence in oral self-care and can be a cost-effective approach to improving oral care in this population. The objective of this study was to describe the development of assistive devices to facilitate daily oral hygiene in older people with enduring leprosy-related impairments. METHODOLOGY: Case study realized among elders with a history of leprosy residents in a former isolation colony in Betim, Minas Gerais, Brazil. The elders were evaluated for dependence on others for denture hygiene and mouthwash using the Daily Oral Hygiene Activity Index (ADOH). Those deemed partially or completely dependent on others were eligible for an intervention based on assistive technology. We adopted a personalized approach to each case, taking into account medical history, physical impairment and living environment. Six months after the intervention, the participants were assessed again using the ADOH and an unstructured interview about use of the devices. PRINCIPAL FINDINGS: Assistive devices for denture hygiene and mouthwash were developed for 16 elders. These devices facilitated oral hygiene in most patients and there was no worsening in any of the cases. Patients’ report suggested they were satisfied with the devices provided. CONCLUSIONS: This study demonstrated that assistive devices can facilitate oral hygiene activities in leprosy patients. It also reinforces the importance of using a multidisciplinary team for the rehabilitation of these patients.
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spelling pubmed-60594422018-08-09 Assistive technologies for improving the oral hygiene of leprosy patients residing in a former leprosy colony in Betim, Minas Gerais, Brazil Ferreira, Raquel Conceição Ribeiro, Marco Tulio de Freitas Vargas-Ferreira, Fabiana Sampaio, Aline Araujo Pereira, Ana Cristina Marinho Vargas, Andrea Maria Duarte de Jesus, Rafaella Mendes Ferreira, Efigênia Ferreira e PLoS One Research Article BACKGROUND: This study deals with management of a group of elderly patients with a history of leprosy and hand deformities by a multidisciplinary team of dentists and occupational therapists. Assistive technology devices have been developed to allow such patients to obtain independence in oral self-care and can be a cost-effective approach to improving oral care in this population. The objective of this study was to describe the development of assistive devices to facilitate daily oral hygiene in older people with enduring leprosy-related impairments. METHODOLOGY: Case study realized among elders with a history of leprosy residents in a former isolation colony in Betim, Minas Gerais, Brazil. The elders were evaluated for dependence on others for denture hygiene and mouthwash using the Daily Oral Hygiene Activity Index (ADOH). Those deemed partially or completely dependent on others were eligible for an intervention based on assistive technology. We adopted a personalized approach to each case, taking into account medical history, physical impairment and living environment. Six months after the intervention, the participants were assessed again using the ADOH and an unstructured interview about use of the devices. PRINCIPAL FINDINGS: Assistive devices for denture hygiene and mouthwash were developed for 16 elders. These devices facilitated oral hygiene in most patients and there was no worsening in any of the cases. Patients’ report suggested they were satisfied with the devices provided. CONCLUSIONS: This study demonstrated that assistive devices can facilitate oral hygiene activities in leprosy patients. It also reinforces the importance of using a multidisciplinary team for the rehabilitation of these patients. Public Library of Science 2018-07-25 /pmc/articles/PMC6059442/ /pubmed/30044849 http://dx.doi.org/10.1371/journal.pone.0200503 Text en © 2018 Ferreira et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ferreira, Raquel Conceição
Ribeiro, Marco Tulio de Freitas
Vargas-Ferreira, Fabiana
Sampaio, Aline Araujo
Pereira, Ana Cristina Marinho
Vargas, Andrea Maria Duarte
de Jesus, Rafaella Mendes
Ferreira, Efigênia Ferreira e
Assistive technologies for improving the oral hygiene of leprosy patients residing in a former leprosy colony in Betim, Minas Gerais, Brazil
title Assistive technologies for improving the oral hygiene of leprosy patients residing in a former leprosy colony in Betim, Minas Gerais, Brazil
title_full Assistive technologies for improving the oral hygiene of leprosy patients residing in a former leprosy colony in Betim, Minas Gerais, Brazil
title_fullStr Assistive technologies for improving the oral hygiene of leprosy patients residing in a former leprosy colony in Betim, Minas Gerais, Brazil
title_full_unstemmed Assistive technologies for improving the oral hygiene of leprosy patients residing in a former leprosy colony in Betim, Minas Gerais, Brazil
title_short Assistive technologies for improving the oral hygiene of leprosy patients residing in a former leprosy colony in Betim, Minas Gerais, Brazil
title_sort assistive technologies for improving the oral hygiene of leprosy patients residing in a former leprosy colony in betim, minas gerais, brazil
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6059442/
https://www.ncbi.nlm.nih.gov/pubmed/30044849
http://dx.doi.org/10.1371/journal.pone.0200503
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