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Iowa nursing facility oral hygiene (INFOH) intervention: A clinical and microbiological pilot randomized trial.


ABSTRACT: PURPOSE/AIM:The aim of this pilot study was to evaluate feasibility and gather initial data for a definitive study to test the clinical and microbiological effectiveness of a nursing facility (NF) customized oral hygiene protocol, intended to be delivered by dental hygienists and NF personnel. MATERIALS AND METHODS:A convenience sample of 8 Eastern Iowa NFs was recruited, and each NF was assigned to one of three intervention groups: (1) control (current oral hygiene practice), (2) educational program only, and (3) educational program plus 1% chlorhexidine varnish monthly application. Demographic information, systemic health data, patient centered data, oral health data, and microbiology samples were collected at baseline and after 6 months. RESULTS:Recruitment response rates were 21% for NFs and 23% for residents. A total of 81 residents were examined at baseline and of those, 49 were examined at 6 months (39.5% attrition). There were no statistically or clinically significant differences among the intervention groups at 6 months for any of the recorded clinical or microbiological outcomes. CONCLUSIONS:Recruitment and retention posed a significant challenge to this trial, even with a relatively short observation period. Results from this pilot study did not encourage further investigation of this customized oral hygiene protocol.

SUBMITTER: Marchini L 

PROVIDER: S-EPMC6246798 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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Iowa nursing facility oral hygiene (INFOH) intervention: A clinical and microbiological pilot randomized trial.

Marchini Leonardo L   Recker Erica E   Hartshorn Jennifer J   Cowen Howard H   Lynch David D   Drake David D   Blanchette Derek R DR   Dawson Deborah V DV   Kanellis Michael M   Caplan Daniel D  

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 20180908 6


<h4>Purpose/aim</h4>The aim of this pilot study was to evaluate feasibility and gather initial data for a definitive study to test the clinical and microbiological effectiveness of a nursing facility (NF) customized oral hygiene protocol, intended to be delivered by dental hygienists and NF personnel.<h4>Materials and methods</h4>A convenience sample of 8 Eastern Iowa NFs was recruited, and each NF was assigned to one of three intervention groups: (1) control (current oral hygiene practice), (2)  ...[more]

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