Journal of dental hygiene science (치위생과학회지)

The Korean Society of Dental Hygiene Science (한국치위생과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Professional Toothbrushing and Instruction in the Elderly: A Randomized Trial

  • Jo, Eun-Deok (Department of Dental Hygiene, College of Health Science, Gachon University) ;
  • Kim, Eun-Sol (Department of Health Science, Graduate School of Gachon University) ;
  • Hong, Hae-Kyung (Department of Dental Hygiene, Kyungdong University) ;
  • Han, Gyeong-Soon (Department of Dental Hygiene, College of Health Science, Gachon University)
  • Received : 2018.08.27
  • Accepted : 2018.10.01
  • Published : 2018.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to identify the effect of providing toothbrushing by professionals as part of oral hygiene education for the elderly. We randomly visited 12 centers in the metropolitan city and analyzed the data of 114 participants among 310 early registrants aged >65 years, who participated in the study at all 3 time points. The subjects were categorized into an experimental group (odd-numbered visits) and a control group (even-numbered visits). Oral hygiene practices were provided for both experimental and control groups, but professional toothbrushing was performed in a different manner in the experimental group. Differences in plaque index (PI) according to the subjects' general characteristics and oral health status were assessed using the t-test, and the effect of PI difference between the experimental and control groups was assessed by repeated measure two-way analysis of variance. A stepwise multiple regression analysis was used to analyze factors affecting the PI. At baseline, the mean overall PI was 61.82. In both experimental and control groups, the PI significantly reduced from the baseline (p<0.01). At 5 weeks, the experimental group showed a decrease of 27.16 points from the baseline, and the 10-week PI was similar to the 5-week PI. The control group showed a decrease of 14.87 points from the baseline, and the PI increased by 5.74 points at 10 weeks. PI-related factors were gender and self-xerostomia. The PI was lower in the female group and the group with self- xerostomia (p<0.01). It is important to select an appropriate method to educate elderly subjects on proper removal of dental plaque and to habituate correct behavior, which requires inclusion of a direct toothbrushing intervention by a specialist.

Keywords

References

  1. Budtz-Jorgensen E, Chung JP, Rapin CH: Nutrition and oral health. Best Pract Res Clin Gastroenterol 15: 885-896, 2001. https://doi.org/10.1053/bega.2001.0247
  2. Palmer LB, Albulak K, Fields S, Filkin AM, Simon S, Smaldone G: Oral clearance and pathogenic oropharyngeal colonization in the elderly. Am J Respir Crit Care Med 164: 464-468, 2001. https://doi.org/10.1164/ajrccm.164.3.2008149
  3. Lang NP, Mombelli A, Attstroom R: Oral biofilms and calculus. In: Lindhe J, Lang NP, Karring T, eds. Clinical periodontology and implant dentistry. 5th ed. Blackwell Munksgaard, Oxford, pp.183-206, 2008.
  4. Marik PE, Kaplan D: Aspiration pneumonia and dysphagia in the elderly. Chest 124: 328-336, 2003. https://doi.org/10.1378/chest.124.1.328
  5. Choi HN, Lim SR, Cho YS: The dental biofilm reduction effect & control difficulty level of university students through dental biofilm control program. J Dent Hyg Sci 12: 39-44, 2012.
  6. Chang KW: Professional dental plaque management: watanabe method. J Korean Dent Assoc 45: 21-24, 2007.
  7. Poyato-Ferrera M, Segura-Egea JJ, Bullon-Fernandez P: Comparison of modified bass technique with normal toothbrushing practices for efficacy in supragingival plaque removal. Int J Dent Hyg 1: 110-114, 2003. https://doi.org/10.1034/j.1601-5037.2003.00018.x
  8. Lee BJ: Professional oral health care program using toothpick method toothbrushing. J Korean Dent Assoc 47: 272-281, 2009.
  9. Choi MS, Kim DK: Reviews of literature on dental plaque control and oral hygiene education in Korea. J Dent Hyg Sci 17: 87-98, 2017. https://doi.org/10.17135/jdhs.2017.17.2.87
  10. Eom MR, Jeong DB, Park DY: Enhancement of plaque control score following individualized repeated instruction. J Korean Acad Dent Health 33: 10-18, 2009.
  11. Cohen J: Statistical power analysis for the behavioral sciences. 2nd ed. Lawrence Erlbaum, Hillsdale, pp.24-26, 1988.
  12. O'Leary TJ, Drake RB, Naylor JE: The plaque control record. J Periodontol 43: 38, 1972. https://doi.org/10.1902/jop.1972.43.1.38
  13. Briner WW: Plaque in relation to dental caries and periodontal disease. Int Dent J 21: 293-301, 1971.
  14. Kim SH: The effect of plaque control (tooth brushing instruction) for oral health improvement on periodontitis patients. J Korean Soc Dent Hyg 11: 293-301, 2011.
  15. Bakdash MB: Patient motivation and education: a conceptual model. Clin Prev Dent 1: 10-14, 1979.
  16. Fisher EB, Brownson CA, O'Toole ML, Shetty G, Anwuri VV, Glasgow RE: Ecological approaches to self-management: the case of diabetes. Am J Public Health 95: 1523-1535, 2005. https://doi.org/10.2105/AJPH.2005.066084
  17. Hoogstraten J, Moltzer G: Effects of dental health care instruction on knowledge, attitude, behavior and fear. Community Dent Oral Epidemiol 11: 278-282, 1983. https://doi.org/10.1111/j.1600-0528.1983.tb01893.x
  18. Cho MM, Lee YH, Kim JB, Lee JH: Promotion of periodontal health through professional toothbrushing and education on the use of the interdental brush in the elderly. J Korean Acad Dent Health 37: 123-140, 2013. https://doi.org/10.11149/jkaoh.2013.37.3.132
  19. An HH, Lee MH, Seo HJ: Oral hygiene performance ability according to toothbrushing instruction. J Korea Soc Health Inform Stat 37: 43-52, 2012.
  20. Kim YH, Kim YG, Yoo JA, Park JE: The effect of the cariview test and professional brushing training on the reduction of PHP index of dental hygiene students. J Korean Soc Dent Hyg 17: 993-1001, 2017. https://doi.org/10.13065/jksdh.2017.17.06.993

Cited by

  1. Oral health profile of the elderly people in the Pandalungan community vol.53, pp.4, 2018, https://doi.org/10.20473/j.djmkg.v53.i4.p217-222