Efficacy of regular professional brushing by a dental nurse for 3 months in nursing home residents - a randomized, controlled clinical trial.

OBJECTIVES: The oral health of nursing home residents is poor for various reasons. Many require help for oral hygiene. Regular professional brushing by a dental nurse should improve oral hygiene. This study aimed to determine the efficacy of regular tooth brushing by a dental nurse on the oral health of nursing home residents.

METHODS: This controlled trial randomized participants (n=50; mean age 83±8 years) to brushing by a dental nurse every two weeks for three months (n=25) (test group) or oral hygiene procedures performed/controlled by nursing home staff (n=25) (control group). Personal, general and oral health, as well as various oral hygiene parameters - plaque index (PI), gingivitis index (GI), papilla bleeding index (PBI), oral hygiene index (OHI), and Volpe-Manhold Index (VMI) - were evaluated at baseline, after initial professional dental cleaning, and before last brushing.

RESULTS: At baseline, oral health was impaired according to investigated indices in both groups. After professional brushing for three months, there were improvements in PI, GI, and PBI, with significant increases compared with the control group in OHI and VMI (p=0.017 and p<0.001, respectively). Among the control group, the number of teeth decreased while the root caries index increased (p=0.002 between groups).

CONCLUSIONS: Regular professional brushing every two weeks by a dental nurse can be recommended for nursing homes residents to improve oral health parameters and to help reduce root caries incidence as a basis to preserve the number of teeth. Such oral hygiene procedures will maintain and improve the oral health of nursing home residents. This article is protected by copyright. All rights reserved.