Evidence map›Paper›PMID 32982191›Full record

Trial reportClinical interventions in aging2020

Effects of Domiciliary Professional Oral Care for Care-Dependent Elderly in Nursing Homes - Oral Hygiene, Gingival Bleeding, Root Caries and Nursing Staff's Oral Health Knowledge and Attitudes.

Caroline Girestam Croonquist, Jesper Dalum, Pia Skott, Petteri Sjögren, Inger Wårdh, Elisabeth Morén

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical interventions in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05335239 (Domiciliary Professional Cleaning for Care Dependent Older Adults - A Randomized Controlled Trial), which is not on this map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05335239 nacompletednot on this mapstarted 2021, after this paper: background citation

Domiciliary Professional Cleaning for Care Dependent Older Adults - A Randomized Controlled Trial

TypeinterventionalSponsorKarolinska InstitutetRan2021 to 2024Enrolled194ConditionsDental Caries of Root Surface, AgingArmsProfessional dental cleaning
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Professional oral health care prevents mouth-lung infection in long-term care homes: a systematic review.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2023
    Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Home Care for the Elderly: An Integrated Approach to Perception, Quality of Life, and Cognition.International journal of environmental research and public health · 2024
    Article
  18. Article
  19. Estimation of Oral Disease Burden among Older Adults in LTC: A Scoping Review.International journal of environmental research and public health · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Caroline Girestam CroonquistFolktandvården Stockholm AB, Stockholm, Sweden.
Jesper DalumDepartment Of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.ORCID 0000-0002-2555-0135
Pia SkottFolktandvården Stockholm AB, Stockholm, Sweden.
Petteri SjögrenOral Care AB, Stockholm, Sweden.
Inger WårdhAcademic Centre Of Geriatric Dentistry, Stockholm, Sweden.
Elisabeth MorénDepartment Of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.ORCID 0000-0003-1304-0661
Karolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe primary aim was to describe the effects for nursing home residents of monthly professional cleaning and individual oral hygiene instruction provided by registered dental hygienists (RDHs), in comparison with daily oral care as usual. The secondary aim was to study the knowledge and attitudes among nursing staff regarding oral health care and needs. PATIENTS AND

methodsIn this randomised controlled trial (RCT), 146 residents were recruited from nine nursing homes in Regions of Stockholm and Sörmland and were randomly assigned (on nursing home level) to either intervention group (I; n=72) or control group (C; n=74). Group I received monthly professional cleaning, individual oral hygiene instructions and information given by an RDH. Group C proceeded with daily oral care as usual (self-performed or nursing staff-assisted). Oral health-related data was registered with the mucosal-plaque score index (MPS), the modified sulcus bleeding index (MSB), and root caries. The nursing staff's attitudes and knowledge were analysed at baseline and at six-month follow-up. Statistical analysis was performed by Fisher's exact test and two-way variance analysis (ANOVA).

resultsImprovements were seen in both Group I and Group C concerning MPS, MSB and active root caries. The nursing staff working with participants in Group I showed significant improvements regarding the Nursing Dental Coping Beliefs Scale (DCBS) in two of four dimensions, oral health care beliefs (p=0.0331) and external locus of control (p=0.0017) compared with those working with Group C. The knowledge-based questionnaire showed improvement (

conclusionMonthly professional oral care, combined with individual oral health care instructions, seems to improve oral hygiene and may reduce root caries among nursing home residents. This may also contribute to a more positive attitude regarding oral hygiene measures among nursing home staff, as compared with daily oral care as usual.

Indexed as

AgedAged, 80 and overFemaleGingival HemorrhageGingivitisHome Care ServicesHumansMaleNursing HomesOral HealthOral HygienePeriodontal DiseasesRoot CariesSurveys and Questionnairesagedattitude of health personneldental carenursing stafforal healthresidential facilities

Identifiers

PMID32982191
PMCPMC7495352
OpenAlexW3047077735

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.