Oral health in care-home residents Oral Health
Conditions
Interventions
Three workstreams (WSs) are proposed. WS1 will be a two-arm cluster-randomised controlled trial, with a 3-month internal pilot. Recruitment will be a two-stage process. The first stage will be the rec
medium 11-49 beds
large 50+). The researchers will seek to balance these factors a priori using NWORTH’s dynamic adaptive algorithm (http://nworth-ctu.bangor.ac.uk/randomisation/index.php.en) and will adjust for these
Sponsors
Bangor University
Eligibility
Sex/Gender
All
Age
65 Years to 120 Years
Inclusion criteria
Inclusion criteria: Care homes: 1. Care homes are expected to have a minimum of ten residents over the age of 65 years Residents: 1. Over the age of 65 years 2. Dentate or partially dentate (at least six natural teeth) 3. Full-time resident in a care facility
Exclusion criteria
Exclusion criteria: Care home: 1. High-dependency units 2. Current participation in TOPIC, Gwên am Byth or other oral health programme 3. Care-homes that specialize in end-of-life or palliative care Residents: 1. Residents who are receiving end-of-life or palliative care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Plaque coverage measured using the Silness & Loë plaque index measured at baseline, 6 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Oral health measured using bleeding on probing at baseline, 6 and 12 months 2. Pain measured by asking the participating resident if they have experienced any episodes of sensitive teeth, episodes of toothache or abscess or swelling in the mouth (no = healthy, yes = adverse event – mild, moderate or severe) at baseline, 6 and 12 months 3. Oral health-related quality of life using the OIDP at baseline, 6 and 12 months 4. Health-related quality of life using EuroQol’s five dimensions (EQ-5D5L) at baseline, 6 and 12 months 5. Episodes of unscheduled care reported weekly by care home staff and at baseline, 6 and 12 months by researchers 6. New coronal and root caries lesions reported weekly by care home staff and at baseline, 6 and 12 months by researchers | — |
Countries
United Kingdom
Contacts
Public ContactAlison Jenkins
Outcome results
None listed