Periodontal Disease
Conditions
Keywords
oral inflammation, systemic inflammation, compliance, power toothbrushing, nursing home residents
Brief summary
The purpose of this study is to investigate whether brushing the teeth of nursing home residents with a power toothbrush as compared with standard care typically provided in nursing homes, will increase caregiver compliance with the provision of daily oral care as well as lower oral and systemic inflammation.
Detailed description
It is well recognized worldwide that residents of nursing homes have poor oral health primarily due to caregiver resistance in the provision of daily oral hygiene care. Fear of being bitten or assaulted by the resident as well as lack of time and discomfort with working in the mouth, are reasons cited for this resistance. It is also now recognized that inflammation in the mouth can raise overall inflammation within the body potentially leading to serious health consequences. Numerous studies involving periodic professional interventions as well as education and training of caregivers in oral care provision have not met with a great deal of success. Caregivers in some studies have indicated preference to power toothbrushes as they are bulkier and longer eliminating the need for insertion of fingers into the mouth and subsequently alleviating fears of being bitten. This study hypothesizes that caregiver utilization of a power toothbrush may increase their compliance with daily oral care provision and could potentially result in elimination of oral and systemic inflammation.
Interventions
DEVICERotating-oscillating Power Toothbrush
A power toothbrush will be used twice daily for performing daily oral care on nursing home residents by their caregivers.
OTHERStandard Care
Standard daily oral hygiene care by caregivers of nursing home residents whatever that standard care may be.
Sponsors
Canadian Foundation for Dental Hygiene Research and Education
University of Manitoba
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Residents of Nursing Home * Presence of any natural teeth * Non-aggressive behavior * Presence of Periodontal inflammation
Exclusion criteria
* Smoking * Comatose * On a ventilator * Aggressive behavior * Presence of communicable disease * On antibiotics
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver Compliance | 6 weeks | Compliance with power toothbrushing vs standard oral hygiene care will be measured by means of a wall chart filled out by caregivers in the residents rooms. |
| Systemic Inflammation | 6 weeks | Systemic inflammation will be measured using a high sensitivity C-reactive protein test (hsCRP. Blood will be drawn at baseline and at 6 weeks to facilitate this test for both intervention and control groups. |
| Oral Inflammation | 6 weeks | Oral inflammation will be measured at baseline and 6 weeks by means of 2 tests: The Modified Gingival Index (Lobene, 1979) and the Papillary Bleeding Score (Loesche, 1989) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oral Plaque on Teeth | 6 weeks | Changes in plaque accumulation on the teeth for both intervention and control groups will be measured using The Turesky Modification (1970) of the Quigley & Hein Plaque Index (1962) |
Countries
Canada
Outcome results
None listed