Evidence map›Paper›PMID 34313976›Full record

ArticleEuropean geriatric medicine2022

Oral hygiene and health-related quality of life in institutionalized older people.

Riitta K T Saarela, Kaija Hiltunen, Hannu Kautiainen, Hanna-Maria Roitto, Päivi Mäntylä, Kaisu H Pitkälä

3 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in European geriatric medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT05720104 nawithdrawnnot on this mapstarted 2023, after this paper: background citation

Effect of Regular Antibacterial Photodynamic Therapy on Oral Hygiene in the Elderly 24-hour Care Residents

TypeinterventionalSponsorKoite Health OyRan2023 to 2026Enrolled0ConditionsInflamed Gums, Dryness Oral, PlaqueArmsLumoral Treatment, Standard oral hygiene instructions
NCT05853679 nacompletednot on this map

Effect of Regular Antibacterial Photodynamic Therapy on Oral Hygiene in Elderly Residents of a 24-hour Care Facility

TypeinterventionalSponsorKoite Health OyRan2022 to 2023Enrolled31ConditionsDental Plaque, Pus Collection, Oral Disease, Dryness OralArmsLumoral Treatment, Standard oral hygiene instructions according to the Finnish Dental Association
NCT06576063 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of the Regular Use of Antibacterial Photodynamic Therapy as an Adjunctive Treatment on Oral Hygiene in Elderly Persons Living at Home or at Care Homes

TypeinterventionalSponsorKoite Health OyRan2025 to 2027Enrolled100ConditionsDental Plaque, Bleeding of Subgingival Space, Oral ComplicationArmsLumoral Treatment, Standard oral hygiene methods
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Oral care measures for preventing nursing home-acquired pneumonia.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Beneficial Effects of Xylitol Chewing Gum and Candies on Oral Health in Older People and Individuals With Disabilities: A Systematic Review.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Pooled it
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  17. Oral Microbiome Changes During Hospitalization in Older Adults Not Receiving Mechanical Ventilation.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025
    Observational
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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 4 institutions in 2 countries.

Riitta K T SaarelaDepartment of Social Services and Health Care, City of Helsinki, Oral Health Care, P.O. Box 6009, 00099, Helsinki, Finland. riitta.saarela@hel.fi.ORCID 0000-0002-1850-1757
Kaija HiltunenDepartment of Oral and Maxillofacial Diseases, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-3307-6605
Hannu KautiainenPrimary Health Care Unit, Kuopio University Hospital, Kuopio, Finland.ORCID 0000-0003-0786-0858
Hanna-Maria RoittoDepartment of Social Services and Health Care, City of Helsinki, Geriatric Outpatient Clinic, Helsinki, Finland.ORCID 0000-0002-5466-2873
Päivi MäntyläInstitute of Dentistry, University of Eastern Finland, Kuopio, Finland.
Kaisu H PitkäläDepartment of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland. kaisu.pitkala@helsinki.fi.ORCID 0000-0001-9659-6985
University of Helsinki · FIDepartment of Social Services · AUKuopio University Hospital · FIUniversity of Eastern Finland · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe evaluated the level of oral hygiene and its association with oral health status and need for oral treatment among older residents in long-term care facilities. In addition, the association between oral hygiene level and health-related quality of life (HRQoL) was explored.

methodsThis cross-sectional study assessed 231 dentate residents in long-term care facilities (71% female, mean age 81 years, 70% had dementia). Nurses assessed residents and completed questionnaires on participants' background information, diagnoses, oral healthcare habits, and HRQoL with the 15D instrument. Two qualified dentists performed clinical oral examinations (number of teeth, plaque index, periodontal condition, open caries lesions, and dry mouth). We used a modified plaque index (PI) to measure the level of oral hygiene (good, moderate, and poor) and calculated the clinical Asymptotic Dental Score (ADS) to determine the oral inflammation burden.

resultsOf the residents, 21% had good, 35% moderate, and 44% poor oral hygiene according to PI. Poor oral hygiene was associated with poorer cognitive status (P = 0.010) and higher oral inflammation burden (P < 0.001). Moreover, poor oral hygiene was associated with poorer HRQoL in a correlation analysis adjusted for age and gender.

conclusionsOral hygiene of older individuals in long-term care is insufficient. Poor oral hygiene is a marker for poor HRQoL. Residents also have a high burden of oral inflammatory diseases and a need for dental care. Older residents' oral hygiene and HRQoL may be improved with oral care education of caregivers and regular dental check-ups.

Indexed as

Oral HygieneQuality of LifeAgedAged, 80 and overCross-Sectional StudiesFemaleHumansLong-Term CareMaleOral HealthAgedHealth-related quality of lifeInstitutional careOral hygiene

Identifiers

PMID34313976
PMCPMC8860786
OpenAlexW3186696367

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.