PMID- 25677603
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20161230
IS  - 1364-6915 (Electronic)
IS  - 1360-7863 (Linking)
VI  - 20
IP  - 3
DP  - 2016
TI  - Improving oral health of institutionalized older people with diagnosed dementia.
PG  - 303-8
LID - 10.1080/13607863.2015.1008986 [doi]
AB  - OBJECTIVE: Previous research has revealed poor oral hygiene and health among 
      older people suffering from dementia. To evaluate the oral health and denture 
      hygiene of older people with and without dementia, six months after carer have 
      followed a dental education programme. METHOD: Ninety-three older people living 
      in four long-term care homes in south-western Germany were included in this 
      longitudinal cohort study. All participants were allocated into two groups on 
      basis of the medical dementia diagnosis extracted from the medical records in the 
      care documentation: suffering from dementia (n = 33) or not (n = 60). For each 
      participant plaque control record, gingival bleeding index (GBI), community 
      periodontal index of treatment needs (CPITN), and denture hygiene index (DHI) 
      were assessed at baseline and six months after carer have followed a dental 
      education programme, and after use of ultrasonic devices for denture cleaning. 
      Differences between all target variables from baseline to follow-up, and between 
      participants with and without dementia, were evaluated by bivariate and 
      multivariate testing. RESULTS: In bivariate testing, participants with dementia 
      had a significantly lower DHI (p < 0.001), a lower GBI (p < 0.05), and a lower 
      CPITN (p < 0.01) at follow-up. In participants without dementia, only for DHI (p 
      < 0.001) a significant improvement was observed. In multivariate analyses, the 
      significant association could not be reproduced (p > 0.05). CONCLUSIONS: Use of 
      ultrasonic baths can be a successful means for improving denture hygiene among 
      older people in long-term care with and without dementia. Education for carer in 
      order to improve oral hygiene, however, seems to be of minor significance and to 
      be more effective for people with dementia.
FAU - Zenthofer, Andreas
AU  - Zenthofer A
AD  - a Department of Prosthodontics, Dental School , University of Heidelberg , 
      Heidelberg , Germany.
FAU - Cabrera, Tomas
AU  - Cabrera T
AD  - a Department of Prosthodontics, Dental School , University of Heidelberg , 
      Heidelberg , Germany.
FAU - Rammelsberg, Peter
AU  - Rammelsberg P
AD  - a Department of Prosthodontics, Dental School , University of Heidelberg , 
      Heidelberg , Germany.
FAU - Hassel, Alexander Jochen
AU  - Hassel AJ
AD  - a Department of Prosthodontics, Dental School , University of Heidelberg , 
      Heidelberg , Germany.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150213
PL  - England
TA  - Aging Ment Health
JT  - Aging & mental health
JID - 9705773
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Dementia/*epidemiology
MH  - Dentures/*statistics & numerical data
MH  - Female
MH  - Follow-Up Studies
MH  - Germany
MH  - Homes for the Aged/*statistics & numerical data
MH  - Humans
MH  - Long-Term Care
MH  - Male
MH  - Middle Aged
MH  - Nursing Homes/*statistics & numerical data
MH  - Oral Health/*statistics & numerical data
MH  - Oral Hygiene/*statistics & numerical data
OTO - NOTNLM
OT  - dementia
OT  - intervention
OT  - older people
OT  - oral health
OT  - oral hygiene
EDAT- 2015/02/14 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/02/14 06:00
PHST- 2015/02/14 06:00 [entrez]
PHST- 2015/02/14 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - 10.1080/13607863.2015.1008986 [doi]
PST - ppublish
SO  - Aging Ment Health. 2016;20(3):303-8. doi: 10.1080/13607863.2015.1008986. Epub 
      2015 Feb 13.