The Effect of Medicated Chewing Gums on Oral Health in Frail Older People: A 1‐Year Clinical Trial

Simons, D; Brailsford, Susan; Beighton, David

doi:10.1046/j.1532-5415.2002.50355.x

Cited by 59 publications

(48 citation statements)

References 29 publications

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“…Although attrition is often problematic in NH studies, with illness and death being cited as the main reasons, the attrition rate in this study, in comparison with other studies, was only 5.2%. This rate is much lower than the average attrition rate of 22.4% (range: 7.5%‐36.5%) reported in seven recent oral intervention NH trials . Death was the sole reason for attrition in this particular study.…”

Section: Discussioncontrasting

confidence: 59%

The effects of power toothbrushing on periodontal inflammation in a Canadian nursing home population: A randomized controlled trial

Lavigne

Doupe

Iacopino

et al. 2017

Int J Dental Hygiene

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Section: Discussioncontrasting

confidence: 59%

The effects of power toothbrushing on periodontal inflammation in a Canadian nursing home population: A randomized controlled trial

Lavigne

Doupe

Iacopino

et al. 2017

Int J Dental Hygiene

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“…Hyposalivation due to medication may be treated by altering the dosage of the medication or by replacing the medication by an equally effective, but not or less hyposalivation-inducing medication [30]. Also gustatory and mechanical salivary stimulating techniques may be helpful to relieve the feelings of xerostomia, such as consuming sugar-free chewing gum, candies, and mints, as well as acidic drinks and foods [30, 45]. Systemic medication of pilocarpine or cevimeline or application of physostigmine to the oral mucosal surface may improve saliva secretion, but the possible side effects should be determined and, if possible, anticipated or controlled [42, 46, 47].…”

Section: Discussionmentioning

confidence: 99%

The diagnostic suitability of a xerostomia questionnaire and the association between xerostomia, hyposalivation and medication use in a group of nursing home residents

Putten¹,

et al. 2010

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The study objective was to explore the diagnostic suitability of the Xerostomia Inventory and the association between xerostomia, hyposalivation and medication use in a group of nursing home residents. A cross-sectional study was carried out in 50 physically impaired nursing home residents (20 men) with a mean age of 78.1 years (range, 53–98) in The Netherlands. The Xerostomia Inventory-Dutch version was completed for all residents and the data were subjected to exploratory factor analysis to determine the diagnostic suitability. Residents’ data on xerostomia, whole saliva secretion rates and hyposalivation-related medications used were collected and statistically analyzed. The diagnostic suitability of the Xerostomia Inventory-Dutch version appeared restricted. The prevalence of xerostomia was 52%, without gender and age difference. The prevalence of hyposalivation was 24% for resting, 60% for chewing-stimulated and 18% for acid-stimulated whole saliva. All whole saliva secretion rates were significantly lower in women than in men and in older than in younger residents. Forty-four percent of all medications used were hyposalivation-related and women used significantly more medications than men. Xerostomia was significantly negatively correlated with the resting whole saliva secretion rate. The number of hyposalivation-related medications used was not significantly correlated with the various whole saliva secretion rates. In nursing home residents, xerostomia, hyposalivation and using hyposalivation-related medications seem common and partially associated features.

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“…Similarly, researchers have intervened successfully to improve residents' nutrition and hydration and minimize weight loss. 35–40 It is important to note that the intervention procedures used in the majority of the clinical intervention studies were of short duration — hours, days, weeks or a few months. These short durations were appropriate for testing limited and narrow interventions.…”

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confidence: 99%

Randomized Multilevel Intervention to Improve Outcomes of Residents in Nursing Homes in Need of Improvement

Rantz¹,

Zwygart-Stauffacher²,

Hicks³

et al. 2012

Journal of the American Medical Directors Association

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Purpose A comprehensive multilevel intervention was tested to build organizational capacity to create and sustain improvement in quality of care and subsequently improve resident outcomes in nursing homes in need of improvement. Intervention facilities (n=29) received a two-year multilevel intervention with monthly on-site consultation from expert nurses with graduate education in gerontological nursing. Attention control facilities (n=29) that also needed to improve resident outcomes received monthly information about aging and physical assessment of elders. Design and Methods Randomized clinical trial of nursing homes in need of improving resident outcomes of bladder and bowel incontinence, weight loss, pressure ulcers, and decline in activities of daily living (ADL). It was hypothesized that following the intervention, experimental facilities would have better resident outcomes, higher quality of care, higher staff retention, more organizational attributes of improved working conditions than control facilities, similar staffing and staff mix, and lower total and direct care costs. Results The intervention did improve quality of care (p=0.02); there were improvements in pressure ulcers (p=0.05), weight loss (p=0.05). Staff retention, organizational working conditions, staffing, and staff mix and most costs were not affected by the intervention. Leadership turnover was surprisingly excessive in both intervention and control groups. Implications Some facilities that are in need of improving quality of care and resident outcomes are able to build the organizational capacity to improve while not increasing staffing or costs of care. Improvement requires continuous supportive consultation and leadership willing to involve staff and work together to build the systematic improvements in care delivery needed.

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The Effect of Medicated Chewing Gums on Oral Health in Frail Older People: A 1‐Year Clinical Trial

Abstract: The use of a medicated chewing gum significantly improved oral health in older occupants of residential homes. Chewing gums should be considered as a potential adjunct to other oral hygiene procedures in older subjects.

Cited by 59 publications

References 29 publications

The effects of power toothbrushing on periodontal inflammation in a Canadian nursing home population: A randomized controlled trial

The effects of power toothbrushing on periodontal inflammation in a Canadian nursing home population: A randomized controlled trial

The diagnostic suitability of a xerostomia questionnaire and the association between xerostomia, hyposalivation and medication use in a group of nursing home residents

Randomized Multilevel Intervention to Improve Outcomes of Residents in Nursing Homes in Need of Improvement

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