The impact of a preventive and curative oral healthcare program on the prevalence and incidence of oral health problems in nursing home residents
To assess the impact of an oral healthcare program in nursing homes on the initial treatment backlog and residents' oral health stability. The study is a longitudinal cohort study in nursing home residents in Flanders, Belgium, to evaluate the oral healthcare programme Gerodent. The program con...
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| creator | Janssens, Barbara Vanobbergen, Jacques Petrovic, Mirko Jacquet, Wolfgang Schols, Jos Mga De Visschere, Luc |
| description | To assess the impact of an oral healthcare program in nursing homes on the initial treatment backlog and residents' oral health stability.
The study is a longitudinal cohort study in nursing home residents in Flanders, Belgium, to evaluate the oral healthcare programme Gerodent. The program consisted of: (1) the introduction of an oral healthcare team, (2) oral health education, (3) the implementation of oral health guidelines and protocols, and (4) regular visits of a mobile dental team. Data were extracted from the oral health records of 381 residents from 21 nursing homes who received treatments from the mobile dental team between October 2010 and March 2014 (mean follow-up period of 22.5 months). Oral health and treatment need between baseline and follow-up were compared.
The mean age at baseline was 82.4 years and the mean number of consultations per resident was 3.61 during the follow-up period. The proportion of residents with an oral treatment need was reduced from 65.9% to 31.3%. Among residents with natural teeth, there was significantly lower prevalence of caries (from 70.5% at baseline to 36.5% at follow-up; p |
| doi_str_mv | 10.1371/journal.pone.0198910 |
| format | Article |
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The study is a longitudinal cohort study in nursing home residents in Flanders, Belgium, to evaluate the oral healthcare programme Gerodent. The program consisted of: (1) the introduction of an oral healthcare team, (2) oral health education, (3) the implementation of oral health guidelines and protocols, and (4) regular visits of a mobile dental team. Data were extracted from the oral health records of 381 residents from 21 nursing homes who received treatments from the mobile dental team between October 2010 and March 2014 (mean follow-up period of 22.5 months). Oral health and treatment need between baseline and follow-up were compared.
The mean age at baseline was 82.4 years and the mean number of consultations per resident was 3.61 during the follow-up period. The proportion of residents with an oral treatment need was reduced from 65.9% to 31.3%. Among residents with natural teeth, there was significantly lower prevalence of caries (from 70.5% at baseline to 36.5% at follow-up; p<0.001), residual roots (from 54.2% to 25.1%; p<0.001), and need for fillings (from 31.9% to 17.1%; p<0.001) or extractions (from 64.3% to 31.6%; p<0.001). In the group with partial or full dentures (n = 223), 38.1% needed a repair, rebasing or renewal of their existing dentures at baseline and the respective figure at follow-up was 9.0% (p<0.001). In terms of oral health stability, 53% of the residents had no incident restorative and prosthetic treatment need throughout the follow-up period. A lower number of natural teeth at baseline (p<0.001) and a shorter follow-up period (p = 0.002) were associated with higher chances of oral health stability.
The oral healthcare program Gerodent significantly reduced the treatment backlog and contributed to a considerable proportion of residents being stable in terms of oral health without any incident treatment needs.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0198910</identifier><identifier>PMID: 29894494</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Aged, 80 and over ; Analysis ; Belgium - epidemiology ; Biology and Life Sciences ; Caregivers ; Clinical trials ; Cognitive ability ; Dementia ; Dental care ; Dental caries ; Dental Caries - epidemiology ; Dental Caries - prevention & control ; Dental materials ; Dental roots ; Dental schools ; Dentistry ; Dentists ; Dentures ; Female ; Health aspects ; Health care ; Health Education ; Health problems ; Health Services - standards ; Hospitals ; Humans ; Incidence ; Longitudinal Studies ; Male ; Medicine and Health Sciences ; Mouth diseases ; Nursing home patients ; Nursing homes ; Nursing Homes - statistics & numerical data ; Older people ; Onsite ; Oral Health - standards ; Oral hygiene ; Oral Hygiene - education ; Oral Hygiene - nursing ; Prevalence ; Prevalence studies (Epidemiology) ; Prostheses ; Public health ; Stability ; Teeth ; Wellness programs</subject><ispartof>PloS one, 2018-06, Vol.13 (6), p.e0198910-e0198910</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Janssens et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Janssens et al 2018 Janssens et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-da921feb8111bbce444711d9f46b225a5848448f78666a6e456a68ecfc4865793</citedby><cites>FETCH-LOGICAL-c692t-da921feb8111bbce444711d9f46b225a5848448f78666a6e456a68ecfc4865793</cites><orcidid>0000-0003-3490-0114</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997339/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997339/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29894494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Lalloo, Ratilal</contributor><creatorcontrib>Janssens, Barbara</creatorcontrib><creatorcontrib>Vanobbergen, Jacques</creatorcontrib><creatorcontrib>Petrovic, Mirko</creatorcontrib><creatorcontrib>Jacquet, Wolfgang</creatorcontrib><creatorcontrib>Schols, Jos Mga</creatorcontrib><creatorcontrib>De Visschere, Luc</creatorcontrib><title>The impact of a preventive and curative oral healthcare program on the prevalence and incidence of oral health problems in nursing home residents</title><title>PloS one</title><addtitle>PLoS One</addtitle><description><![CDATA[To assess the impact of an oral healthcare program in nursing homes on the initial treatment backlog and residents' oral health stability.
The study is a longitudinal cohort study in nursing home residents in Flanders, Belgium, to evaluate the oral healthcare programme Gerodent. The program consisted of: (1) the introduction of an oral healthcare team, (2) oral health education, (3) the implementation of oral health guidelines and protocols, and (4) regular visits of a mobile dental team. Data were extracted from the oral health records of 381 residents from 21 nursing homes who received treatments from the mobile dental team between October 2010 and March 2014 (mean follow-up period of 22.5 months). Oral health and treatment need between baseline and follow-up were compared.
The mean age at baseline was 82.4 years and the mean number of consultations per resident was 3.61 during the follow-up period. The proportion of residents with an oral treatment need was reduced from 65.9% to 31.3%. Among residents with natural teeth, there was significantly lower prevalence of caries (from 70.5% at baseline to 36.5% at follow-up; p<0.001), residual roots (from 54.2% to 25.1%; p<0.001), and need for fillings (from 31.9% to 17.1%; p<0.001) or extractions (from 64.3% to 31.6%; p<0.001). In the group with partial or full dentures (n = 223), 38.1% needed a repair, rebasing or renewal of their existing dentures at baseline and the respective figure at follow-up was 9.0% (p<0.001). In terms of oral health stability, 53% of the residents had no incident restorative and prosthetic treatment need throughout the follow-up period. A lower number of natural teeth at baseline (p<0.001) and a shorter follow-up period (p = 0.002) were associated with higher chances of oral health stability.
The oral healthcare program Gerodent significantly reduced the treatment backlog and contributed to a considerable proportion of residents being stable in terms of oral health without any incident treatment needs.]]></description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Belgium - epidemiology</subject><subject>Biology and Life Sciences</subject><subject>Caregivers</subject><subject>Clinical trials</subject><subject>Cognitive ability</subject><subject>Dementia</subject><subject>Dental care</subject><subject>Dental caries</subject><subject>Dental Caries - epidemiology</subject><subject>Dental Caries - prevention & control</subject><subject>Dental materials</subject><subject>Dental roots</subject><subject>Dental schools</subject><subject>Dentistry</subject><subject>Dentists</subject><subject>Dentures</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health Education</subject><subject>Health problems</subject><subject>Health Services - standards</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Mouth diseases</subject><subject>Nursing home patients</subject><subject>Nursing homes</subject><subject>Nursing Homes - statistics & numerical data</subject><subject>Older people</subject><subject>Onsite</subject><subject>Oral Health - standards</subject><subject>Oral hygiene</subject><subject>Oral Hygiene - education</subject><subject>Oral Hygiene - nursing</subject><subject>Prevalence</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Prostheses</subject><subject>Public health</subject><subject>Stability</subject><subject>Teeth</subject><subject>Wellness programs</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7rr6D0QDgujFjM1HO8mNsCx-DCws6OptSNPTNkubzCbtoD_Df2w67S5T2QsptMnp877JOclJkpc4XWO6wR9u3OCtatc7Z2GdYsEFTh8lp1hQsspJSh8fjU-SZyHcpGlGeZ4_TU5IpBkT7DT5c90AMt1O6R65Cim087AH25s9IGVLpAevDhPnVYsaUG3faOUhcq72qkPOor6Bg0y1YPUkM1ab8jCLpkfSUVa00IVIIDv4YGyNGtcB8hBGRR-eJ08q1QZ4MX_Pkh-fP11ffF1dXn3ZXpxfrnQuSL8qlSC4goJjjItCA2Nsg3EpKpYXhGQq44wzxqtNzDhXObAsvjnoSjOeZxtBz5LXk--udUHO1QySpBlL2YbRPBLbiSidupE7bzrlf0unjDwEnK-l8r3RLUheCFIqVuEyFUyTQmVaEJpnBS9iLB-9Ps6rDUUHpY6ZxqosTJd_rGlk7fYyE2JD6bjdd7OBd7cDhF52JmhoW2XBDdO-BeUU04i--Qd9OLuZquO5SWMrF9fVo6k8zxihjGYpj9T6ASo-JXRGx6tXmRhfCN4vBJHp4VdfqyEEuf3-7f_Zq59L9u0RO92m4NqhN86GJcgmUHsXgofqvsg4lWPn3FVDjp0j586JslfHB3QvumsV-hefrBT-</recordid><startdate>20180612</startdate><enddate>20180612</enddate><creator>Janssens, Barbara</creator><creator>Vanobbergen, Jacques</creator><creator>Petrovic, Mirko</creator><creator>Jacquet, Wolfgang</creator><creator>Schols, Jos Mga</creator><creator>De Visschere, Luc</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-3490-0114</orcidid></search><sort><creationdate>20180612</creationdate><title>The impact of a preventive and curative oral healthcare program on the prevalence and incidence of oral health problems in nursing home residents</title><author>Janssens, Barbara ; Vanobbergen, Jacques ; Petrovic, Mirko ; Jacquet, Wolfgang ; Schols, Jos Mga ; De Visschere, Luc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-da921feb8111bbce444711d9f46b225a5848448f78666a6e456a68ecfc4865793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Belgium - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Janssens, Barbara</au><au>Vanobbergen, Jacques</au><au>Petrovic, Mirko</au><au>Jacquet, Wolfgang</au><au>Schols, Jos Mga</au><au>De Visschere, Luc</au><au>Lalloo, Ratilal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of a preventive and curative oral healthcare program on the prevalence and incidence of oral health problems in nursing home residents</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-06-12</date><risdate>2018</risdate><volume>13</volume><issue>6</issue><spage>e0198910</spage><epage>e0198910</epage><pages>e0198910-e0198910</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract><![CDATA[To assess the impact of an oral healthcare program in nursing homes on the initial treatment backlog and residents' oral health stability.
The study is a longitudinal cohort study in nursing home residents in Flanders, Belgium, to evaluate the oral healthcare programme Gerodent. The program consisted of: (1) the introduction of an oral healthcare team, (2) oral health education, (3) the implementation of oral health guidelines and protocols, and (4) regular visits of a mobile dental team. Data were extracted from the oral health records of 381 residents from 21 nursing homes who received treatments from the mobile dental team between October 2010 and March 2014 (mean follow-up period of 22.5 months). Oral health and treatment need between baseline and follow-up were compared.
The mean age at baseline was 82.4 years and the mean number of consultations per resident was 3.61 during the follow-up period. The proportion of residents with an oral treatment need was reduced from 65.9% to 31.3%. Among residents with natural teeth, there was significantly lower prevalence of caries (from 70.5% at baseline to 36.5% at follow-up; p<0.001), residual roots (from 54.2% to 25.1%; p<0.001), and need for fillings (from 31.9% to 17.1%; p<0.001) or extractions (from 64.3% to 31.6%; p<0.001). In the group with partial or full dentures (n = 223), 38.1% needed a repair, rebasing or renewal of their existing dentures at baseline and the respective figure at follow-up was 9.0% (p<0.001). In terms of oral health stability, 53% of the residents had no incident restorative and prosthetic treatment need throughout the follow-up period. A lower number of natural teeth at baseline (p<0.001) and a shorter follow-up period (p = 0.002) were associated with higher chances of oral health stability.
The oral healthcare program Gerodent significantly reduced the treatment backlog and contributed to a considerable proportion of residents being stable in terms of oral health without any incident treatment needs.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29894494</pmid><doi>10.1371/journal.pone.0198910</doi><tpages>e0198910</tpages><orcidid>https://orcid.org/0000-0003-3490-0114</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2018-06, Vol.13 (6), p.e0198910-e0198910 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2054047436 |
| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Aged Aged, 80 and over Analysis Belgium - epidemiology Biology and Life Sciences Caregivers Clinical trials Cognitive ability Dementia Dental care Dental caries Dental Caries - epidemiology Dental Caries - prevention & control Dental materials Dental roots Dental schools Dentistry Dentists Dentures Female Health aspects Health care Health Education Health problems Health Services - standards Hospitals Humans Incidence Longitudinal Studies Male Medicine and Health Sciences Mouth diseases Nursing home patients Nursing homes Nursing Homes - statistics & numerical data Older people Onsite Oral Health - standards Oral hygiene Oral Hygiene - education Oral Hygiene - nursing Prevalence Prevalence studies (Epidemiology) Prostheses Public health Stability Teeth Wellness programs |
| title | The impact of a preventive and curative oral healthcare program on the prevalence and incidence of oral health problems in nursing home residents |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-30T16%3A36%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20impact%20of%20a%20preventive%20and%20curative%20oral%20healthcare%20program%20on%20the%20prevalence%20and%20incidence%20of%20oral%20health%20problems%20in%20nursing%20home%20residents&rft.jtitle=PloS%20one&rft.au=Janssens,%20Barbara&rft.date=2018-06-12&rft.volume=13&rft.issue=6&rft.spage=e0198910&rft.epage=e0198910&rft.pages=e0198910-e0198910&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0198910&rft_dat=%3Cgale_plos_%3EA542343508%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2054047436&rft_id=info:pmid/29894494&rft_galeid=A542343508&rft_doaj_id=oai_doaj_org_article_8b92da4f1d094c2ba5c92365b8bf1d66&rfr_iscdi=true |