Cargando…

Impact of an Oral Hygiene Intervention in People with and without Dementia on Oral Health Parameters—Results from the Oral Health, Bite Force, and Dementia (OrBiD) Pilot Study

This study aimed to assess the influence of an oral hygiene intervention on oral health, depending on the degree of dementia. A clinical evaluation of oral health parameters (index of decayed, missing, and filled teeth (DMFT-index), periodontal screening index (PSI), oral hygiene index (OHI), and bl...

Descripción completa

Detalles Bibliográficos
Autores principales: Jockusch, Julia, Nitschke, Siri, Hopfenmüller, Werner, Schierz, Oliver, Hahnel, Sebastian, Nitschke, Ina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911423/
https://www.ncbi.nlm.nih.gov/pubmed/35268447
http://dx.doi.org/10.3390/jcm11051356
_version_ 1784666800704716800
author Jockusch, Julia
Nitschke, Siri
Hopfenmüller, Werner
Schierz, Oliver
Hahnel, Sebastian
Nitschke, Ina
author_facet Jockusch, Julia
Nitschke, Siri
Hopfenmüller, Werner
Schierz, Oliver
Hahnel, Sebastian
Nitschke, Ina
author_sort Jockusch, Julia
collection PubMed
description This study aimed to assess the influence of an oral hygiene intervention on oral health, depending on the degree of dementia. A clinical evaluation of oral health parameters (index of decayed, missing, and filled teeth (DMFT-index), periodontal screening index (PSI), oral hygiene index (OHI), and bleeding on probing (BOP)) was performed in 120 subjects assigned to five groups, based on the mini mental state examination (MMSE) at baseline and after 12 months. Each MMSE group (no dementia (noDem, MMSE 28–30), mild cognitive impairment (mCI, MMSE 25–27), mild dementia (mDem, MMSE 18–24), moderate dementia (modDem, MMSE 10–17), and severe dementia (sDem, MMSE ≤ 9)) was split into control (no intervention) and experimental groups (intervention on oral hygiene: increased frequency, daily usage of high-fluoride toothpaste). In total, 99 out of 120 subjects were included in the analysis. The dropout rate was high in subjects with modDem and sDem due to death. In subjects with noDem, mCI, and mDem, no changes in the DMFT were found, but improvements in the OHI, BOP, and PSI were observed. Subjects with modDem or sDem demonstrated a deterioration in DMFT; however, in these patients, OHI improved in all control and experimental groups, BOP improved in the experimental group only, and PSI did not improve at all. The scope of improving oral health parameters by increasing the recall frequency and by continuously using high fluoride toothpaste is at its limits in people with severe dementia. Multidimensional approaches should be sought to improve the oral health of vulnerable older patients.
format Online
Article
Text
id pubmed-8911423
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89114232022-03-11 Impact of an Oral Hygiene Intervention in People with and without Dementia on Oral Health Parameters—Results from the Oral Health, Bite Force, and Dementia (OrBiD) Pilot Study Jockusch, Julia Nitschke, Siri Hopfenmüller, Werner Schierz, Oliver Hahnel, Sebastian Nitschke, Ina J Clin Med Article This study aimed to assess the influence of an oral hygiene intervention on oral health, depending on the degree of dementia. A clinical evaluation of oral health parameters (index of decayed, missing, and filled teeth (DMFT-index), periodontal screening index (PSI), oral hygiene index (OHI), and bleeding on probing (BOP)) was performed in 120 subjects assigned to five groups, based on the mini mental state examination (MMSE) at baseline and after 12 months. Each MMSE group (no dementia (noDem, MMSE 28–30), mild cognitive impairment (mCI, MMSE 25–27), mild dementia (mDem, MMSE 18–24), moderate dementia (modDem, MMSE 10–17), and severe dementia (sDem, MMSE ≤ 9)) was split into control (no intervention) and experimental groups (intervention on oral hygiene: increased frequency, daily usage of high-fluoride toothpaste). In total, 99 out of 120 subjects were included in the analysis. The dropout rate was high in subjects with modDem and sDem due to death. In subjects with noDem, mCI, and mDem, no changes in the DMFT were found, but improvements in the OHI, BOP, and PSI were observed. Subjects with modDem or sDem demonstrated a deterioration in DMFT; however, in these patients, OHI improved in all control and experimental groups, BOP improved in the experimental group only, and PSI did not improve at all. The scope of improving oral health parameters by increasing the recall frequency and by continuously using high fluoride toothpaste is at its limits in people with severe dementia. Multidimensional approaches should be sought to improve the oral health of vulnerable older patients. MDPI 2022-03-01 /pmc/articles/PMC8911423/ /pubmed/35268447 http://dx.doi.org/10.3390/jcm11051356 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jockusch, Julia
Nitschke, Siri
Hopfenmüller, Werner
Schierz, Oliver
Hahnel, Sebastian
Nitschke, Ina
Impact of an Oral Hygiene Intervention in People with and without Dementia on Oral Health Parameters—Results from the Oral Health, Bite Force, and Dementia (OrBiD) Pilot Study
title Impact of an Oral Hygiene Intervention in People with and without Dementia on Oral Health Parameters—Results from the Oral Health, Bite Force, and Dementia (OrBiD) Pilot Study
title_full Impact of an Oral Hygiene Intervention in People with and without Dementia on Oral Health Parameters—Results from the Oral Health, Bite Force, and Dementia (OrBiD) Pilot Study
title_fullStr Impact of an Oral Hygiene Intervention in People with and without Dementia on Oral Health Parameters—Results from the Oral Health, Bite Force, and Dementia (OrBiD) Pilot Study
title_full_unstemmed Impact of an Oral Hygiene Intervention in People with and without Dementia on Oral Health Parameters—Results from the Oral Health, Bite Force, and Dementia (OrBiD) Pilot Study
title_short Impact of an Oral Hygiene Intervention in People with and without Dementia on Oral Health Parameters—Results from the Oral Health, Bite Force, and Dementia (OrBiD) Pilot Study
title_sort impact of an oral hygiene intervention in people with and without dementia on oral health parameters—results from the oral health, bite force, and dementia (orbid) pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911423/
https://www.ncbi.nlm.nih.gov/pubmed/35268447
http://dx.doi.org/10.3390/jcm11051356
work_keys_str_mv AT jockuschjulia impactofanoralhygieneinterventioninpeoplewithandwithoutdementiaonoralhealthparametersresultsfromtheoralhealthbiteforceanddementiaorbidpilotstudy
AT nitschkesiri impactofanoralhygieneinterventioninpeoplewithandwithoutdementiaonoralhealthparametersresultsfromtheoralhealthbiteforceanddementiaorbidpilotstudy
AT hopfenmullerwerner impactofanoralhygieneinterventioninpeoplewithandwithoutdementiaonoralhealthparametersresultsfromtheoralhealthbiteforceanddementiaorbidpilotstudy
AT schierzoliver impactofanoralhygieneinterventioninpeoplewithandwithoutdementiaonoralhealthparametersresultsfromtheoralhealthbiteforceanddementiaorbidpilotstudy
AT hahnelsebastian impactofanoralhygieneinterventioninpeoplewithandwithoutdementiaonoralhealthparametersresultsfromtheoralhealthbiteforceanddementiaorbidpilotstudy
AT nitschkeina impactofanoralhygieneinterventioninpeoplewithandwithoutdementiaonoralhealthparametersresultsfromtheoralhealthbiteforceanddementiaorbidpilotstudy