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

Lavigne, SE; Doupe, MB; Iacopino, Anthony M.; Mahmud, Salah; Elliott, Lawrence

doi:10.1111/idh.12268

Cited by 7 publications

(22 citation statements)

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“…We included 30 RCTs published between 1993 and 2021, assessing interventions to improve oral health in CDOP 31,32 or in those residing in LTCF 33–62 . The studies used individual ( n = 15) or cluster ( n = 15) randomisation, and two were crossover trials.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies assessed the effect of mechanical interventions on the oral hygiene of LTCF residents. Three studies compared the use of electric toothbrushes to manual toothbrushes 33,39 or usual care, 60 and the fourth compared the use of sponges or mucosal brushes to usual care 57…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies reported oral hygiene measures in the short term (up to 5 months). Four assessed mechanical interventions and results suggest that the use of electric over manual toothbrushes or the use of a sponge or mucosal brushes over usual care may result in little to no difference in dental plaque scores or tongue coating index, respectively 33,39,57,60 . Two studies assessed chemical interventions; however, the evidence is very uncertain about the effect of chlorhexidine (CHX) spray or an alcohol‐free essential oil mouthwash on dental plaque 34,35 .…”

Section: Resultsmentioning

confidence: 99%

“…Four assessed mechanical interventions and results suggest that the use of electric over manual toothbrushes or the use of a sponge or mucosal brushes over usual care may result in little to no difference in dental plaque scores or tongue coating index, respectively. 33,39,57,60 Two studies assessed chemical interventions; however, the evidence is very uncertain about the effect of chlorhexidine (CHX) spray or an alcohol-free essential oil mouthwash on dental plaque. 34,35 One study assessed combined interventions and found that manual brushing and using a CHX mouthwash twice a day compared to once a day may result in little to no difference in dental plaque.…”

Section: Mechanical Chemical and Provider-dependent Interventionsmentioning

confidence: 99%

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Effect of oral health interventions for dependent older people—A systematic review

Salazar,

Andersen,

Øzhayat

2023

Gerodontology

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BackgroundThere is an increasing proportion of older people in the population worldwide, with a large group being dependent on the care of others. Dependent older people are more vulnerable to oral diseases, which can heavily impact their quality of life (OHRQoL) and general health.ObjectiveThe purpose of this systematic review was to comprehensively assess interventions to improve oral health or guarantee access and adherence to dental treatment of dependent older people.MethodsWe searched MEDLINE, EMBASE, CENTRAL and clinical trial registries. Two reviewers performed the selection, data extraction, risk of bias evaluation using the Cochrane Risk of Bias tool and assessment of certainty of the evidence. When possible, we conducted a meta‐analysis to calculate effect estimates and their 95%CIs. Primary outcomes were OHRQoL, oral/dental health, and use of the oral care system.ResultsWe included a total of 30 randomised clinical trials assessing educational and non‐educational interventions for community‐dwelling older people (n = 2) and those residing in long‐term care facilities (n = 28). Most studies assessed oral hygiene and showed that interventions may result in a reduction in dental plaque in the short term (with low certainty of evidence), but there is limited evidence for long‐term effectiveness. Only one study assessed OHRQoL, and none evaluated changes in the use of the oral health care system.ConclusionOur findings do not provide strong conclusions in favour of any specific intervention, mainly due to study quality and imprecision. There is limited information about the long‐term effect of interventions, and further research is needed, especially targeting community‐dwelling older people.PROSPERO ID: CRD42021231721.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%