The effect of oral massage intervention on oral hygiene at home care

Introduction Oral hygiene for individuals with disabilities living at home heavily relies on caregiver assistance. This study investigates differences in mouth opening, dental plaque index and halitosis grade among home‐dwelling individuals with and without oral massage intervention. It is important...

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Veröffentlicht in:International journal of dental hygiene 2025-02, Vol.23 (1), p.143-152
Hauptverfasser: Chen, I‐Chen, Lin, Chi‐Te, Hsu, Po‐Ya, Pai, Lee‐Wen, Yu, Chuan‐Hang, Liu, Hsin‐Li
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container_issue 1
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container_title International journal of dental hygiene
container_volume 23
creator Chen, I‐Chen
Lin, Chi‐Te
Hsu, Po‐Ya
Pai, Lee‐Wen
Yu, Chuan‐Hang
Liu, Hsin‐Li
description Introduction Oral hygiene for individuals with disabilities living at home heavily relies on caregiver assistance. This study investigates differences in mouth opening, dental plaque index and halitosis grade among home‐dwelling individuals with and without oral massage intervention. It is important to consider that extended bedridden periods, the presence of nasogastric tubes and difficulties in mouth opening can affect caregivers' oral cleaning effectiveness. Method This single‐blind controlled experiment spanned 12 weeks. Primary caregivers underwent a 15‐ to 20‐min demonstration. The experimental group received guidance on the Bass brushing method, instructions for using oral cleaning tools and training in oral massage. The control group received guidance on the Bass brushing method and instructions for oral cleaning tools. Measurement tools included basic participant information, oral examination records, mouth opening assessments, dental plaque index evaluations and halitosis ratings. Results The study included 38 subjects, all over 80 years old with disabilities. Dental plaque index significantly improved after massage (p = 0.001). Compared to their pre‐massage conditions, the experimental group showed significant improvements in maximum mouth opening (11.65–20.71 mm, p = 0.001), dental plaque index (98.04%–59.74%, p 
doi_str_mv 10.1111/idh.12824
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This study investigates differences in mouth opening, dental plaque index and halitosis grade among home‐dwelling individuals with and without oral massage intervention. It is important to consider that extended bedridden periods, the presence of nasogastric tubes and difficulties in mouth opening can affect caregivers' oral cleaning effectiveness. Method This single‐blind controlled experiment spanned 12 weeks. Primary caregivers underwent a 15‐ to 20‐min demonstration. The experimental group received guidance on the Bass brushing method, instructions for using oral cleaning tools and training in oral massage. The control group received guidance on the Bass brushing method and instructions for oral cleaning tools. Measurement tools included basic participant information, oral examination records, mouth opening assessments, dental plaque index evaluations and halitosis ratings. Results The study included 38 subjects, all over 80 years old with disabilities. Dental plaque index significantly improved after massage (p = 0.001). Compared to their pre‐massage conditions, the experimental group showed significant improvements in maximum mouth opening (11.65–20.71 mm, p = 0.001), dental plaque index (98.04%–59.74%, p &lt; 0.0001) and halitosis rating (4.12–3.76, p = 0.034). Conclusions Oral massage effectively improved mouth opening, reduced the dental plaque index and lowered halitosis ratings in the experimental group, underscoring its positive impact on oral hygiene. The study's insights can significantly benefit oral care for individuals with disabilities living at home.</description><identifier>ISSN: 1601-5029</identifier><identifier>ISSN: 1601-5037</identifier><identifier>EISSN: 1601-5037</identifier><identifier>DOI: 10.1111/idh.12824</identifier><identifier>PMID: 38773918</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aged, 80 and over ; Caregivers ; Caregivers - education ; Dental plaque ; Dental Plaque - prevention &amp; control ; Dental Plaque Index ; Disabled Persons ; Female ; Halitosis ; Halitosis - prevention &amp; control ; home care ; Home Care Services ; Humans ; Hygiene ; Immobilization ; Male ; Massage - methods ; Mouth ; Off odor ; Oral hygiene ; Oral Hygiene - education ; Oral Hygiene - methods ; oral massage ; Plaque index ; Single-Blind Method ; Toothbrushing - methods</subject><ispartof>International journal of dental hygiene, 2025-02, Vol.23 (1), p.143-152</ispartof><rights>2024 John Wiley &amp; Sons A/S. 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This study investigates differences in mouth opening, dental plaque index and halitosis grade among home‐dwelling individuals with and without oral massage intervention. It is important to consider that extended bedridden periods, the presence of nasogastric tubes and difficulties in mouth opening can affect caregivers' oral cleaning effectiveness. Method This single‐blind controlled experiment spanned 12 weeks. Primary caregivers underwent a 15‐ to 20‐min demonstration. The experimental group received guidance on the Bass brushing method, instructions for using oral cleaning tools and training in oral massage. The control group received guidance on the Bass brushing method and instructions for oral cleaning tools. Measurement tools included basic participant information, oral examination records, mouth opening assessments, dental plaque index evaluations and halitosis ratings. Results The study included 38 subjects, all over 80 years old with disabilities. Dental plaque index significantly improved after massage (p = 0.001). Compared to their pre‐massage conditions, the experimental group showed significant improvements in maximum mouth opening (11.65–20.71 mm, p = 0.001), dental plaque index (98.04%–59.74%, p &lt; 0.0001) and halitosis rating (4.12–3.76, p = 0.034). Conclusions Oral massage effectively improved mouth opening, reduced the dental plaque index and lowered halitosis ratings in the experimental group, underscoring its positive impact on oral hygiene. The study's insights can significantly benefit oral care for individuals with disabilities living at home.</description><subject>Aged, 80 and over</subject><subject>Caregivers</subject><subject>Caregivers - education</subject><subject>Dental plaque</subject><subject>Dental Plaque - prevention &amp; control</subject><subject>Dental Plaque Index</subject><subject>Disabled Persons</subject><subject>Female</subject><subject>Halitosis</subject><subject>Halitosis - prevention &amp; control</subject><subject>home care</subject><subject>Home Care Services</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Immobilization</subject><subject>Male</subject><subject>Massage - methods</subject><subject>Mouth</subject><subject>Off odor</subject><subject>Oral hygiene</subject><subject>Oral Hygiene - education</subject><subject>Oral Hygiene - methods</subject><subject>oral massage</subject><subject>Plaque index</subject><subject>Single-Blind Method</subject><subject>Toothbrushing - methods</subject><issn>1601-5029</issn><issn>1601-5037</issn><issn>1601-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LAzEQhoMotlYP_gEJeNHDtpmk2Y-jtGoLBS_1HLLZSbtlP2qyVfrv3bq1B8FMYAbm4WF4CbkFNoT2jfJsPQQe8_EZ6UPIIJBMROenmSc9cuX9hjHelrwkPRFHkUgg7pPpco0UrUXT0NrS2umCltp7vUKaVw26T6yavK7o4R-W6_0qxwqpbui6LpEa7fCaXFhdeLw59gF5f3leTmbB4u11PnlaBEaAGAccpeUskiGkJo2RSRBhlulxkoaxCZMsDW2YGYESpJEaGSQZaomoObfGpigG5KHzbl39sUPfqDL3BotCV1jvvBJMxqGIJIcWvf-Dbuqdq9rrlAApBAAD1lKPHWVc7b1Dq7YuL7XbK2DqEK1qo1U_0bbs3dG4S0vMTuRvli0w6oCvvMD9_yY1n8465TdBOYGH</recordid><startdate>202502</startdate><enddate>202502</enddate><creator>Chen, I‐Chen</creator><creator>Lin, Chi‐Te</creator><creator>Hsu, Po‐Ya</creator><creator>Pai, Lee‐Wen</creator><creator>Yu, Chuan‐Hang</creator><creator>Liu, Hsin‐Li</creator><general>Blackwell Publishing Ltd</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>7QP</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>202502</creationdate><title>The effect of oral massage intervention on oral hygiene at home care</title><author>Chen, I‐Chen ; Lin, Chi‐Te ; Hsu, Po‐Ya ; Pai, Lee‐Wen ; Yu, Chuan‐Hang ; Liu, Hsin‐Li</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3134-2e5f207561bcb8e05136dda49b68c69db6f6dc3e515c5ae019dea5eea22fcfbe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Aged, 80 and over</topic><topic>Caregivers</topic><topic>Caregivers - education</topic><topic>Dental plaque</topic><topic>Dental Plaque - prevention &amp; control</topic><topic>Dental Plaque Index</topic><topic>Disabled Persons</topic><topic>Female</topic><topic>Halitosis</topic><topic>Halitosis - prevention &amp; control</topic><topic>home care</topic><topic>Home Care Services</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Immobilization</topic><topic>Male</topic><topic>Massage - methods</topic><topic>Mouth</topic><topic>Off odor</topic><topic>Oral hygiene</topic><topic>Oral Hygiene - education</topic><topic>Oral Hygiene - methods</topic><topic>oral massage</topic><topic>Plaque index</topic><topic>Single-Blind Method</topic><topic>Toothbrushing - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, I‐Chen</creatorcontrib><creatorcontrib>Lin, Chi‐Te</creatorcontrib><creatorcontrib>Hsu, Po‐Ya</creatorcontrib><creatorcontrib>Pai, Lee‐Wen</creatorcontrib><creatorcontrib>Yu, Chuan‐Hang</creatorcontrib><creatorcontrib>Liu, Hsin‐Li</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of dental hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, I‐Chen</au><au>Lin, Chi‐Te</au><au>Hsu, Po‐Ya</au><au>Pai, Lee‐Wen</au><au>Yu, Chuan‐Hang</au><au>Liu, Hsin‐Li</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of oral massage intervention on oral hygiene at home care</atitle><jtitle>International journal of dental hygiene</jtitle><addtitle>Int J Dent Hyg</addtitle><date>2025-02</date><risdate>2025</risdate><volume>23</volume><issue>1</issue><spage>143</spage><epage>152</epage><pages>143-152</pages><issn>1601-5029</issn><issn>1601-5037</issn><eissn>1601-5037</eissn><abstract>Introduction Oral hygiene for individuals with disabilities living at home heavily relies on caregiver assistance. This study investigates differences in mouth opening, dental plaque index and halitosis grade among home‐dwelling individuals with and without oral massage intervention. It is important to consider that extended bedridden periods, the presence of nasogastric tubes and difficulties in mouth opening can affect caregivers' oral cleaning effectiveness. Method This single‐blind controlled experiment spanned 12 weeks. Primary caregivers underwent a 15‐ to 20‐min demonstration. The experimental group received guidance on the Bass brushing method, instructions for using oral cleaning tools and training in oral massage. The control group received guidance on the Bass brushing method and instructions for oral cleaning tools. Measurement tools included basic participant information, oral examination records, mouth opening assessments, dental plaque index evaluations and halitosis ratings. Results The study included 38 subjects, all over 80 years old with disabilities. Dental plaque index significantly improved after massage (p = 0.001). Compared to their pre‐massage conditions, the experimental group showed significant improvements in maximum mouth opening (11.65–20.71 mm, p = 0.001), dental plaque index (98.04%–59.74%, p &lt; 0.0001) and halitosis rating (4.12–3.76, p = 0.034). Conclusions Oral massage effectively improved mouth opening, reduced the dental plaque index and lowered halitosis ratings in the experimental group, underscoring its positive impact on oral hygiene. The study's insights can significantly benefit oral care for individuals with disabilities living at home.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>38773918</pmid><doi>10.1111/idh.12824</doi><tpages>10</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aged, 80 and over
Caregivers
Caregivers - education
Dental plaque
Dental Plaque - prevention & control
Dental Plaque Index
Disabled Persons
Female
Halitosis
Halitosis - prevention & control
home care
Home Care Services
Humans
Hygiene
Immobilization
Male
Massage - methods
Mouth
Off odor
Oral hygiene
Oral Hygiene - education
Oral Hygiene - methods
oral massage
Plaque index
Single-Blind Method
Toothbrushing - methods
title The effect of oral massage intervention on oral hygiene at home care
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