Journal article
Iowa nursing facility oral hygiene (INFOH) intervention: A clinical and microbiological pilot randomized trial
Special Care in Dentistry, Vol.38(6), pp.345-355
11/01/2018
DOI: 10.1111/scd.12327
PMCID: PMC6246798
PMID: 30194737
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.
Details
- Title: Subtitle
- Iowa nursing facility oral hygiene (INFOH) intervention: A clinical and microbiological pilot randomized trial
- Creators
- Leonardo Marchini - University of Iowa, Preventive and Community DentistryErica Recker - University of IowaJennifer Hartshorn - University of Iowa, Preventive and Community DentistryHoward Cowen - University of Iowa, Preventive and Community DentistryDavid Lynch - University of IowaDavid Drake - University of Iowa, Dental ResearchDerek R Blanchette - University of IowaDeborah V Dawson - University of Iowa, Dental ResearchMichael Kanellis - University of Iowa, Dental Clinic AdministrationDaniel Caplan - University of Iowa, Preventive and Community Dentistry
- Resource Type
- Journal article
- Publication Details
- Special Care in Dentistry, Vol.38(6), pp.345-355
- DOI
- 10.1111/scd.12327
- PMID
- 30194737
- PMCID
- PMC6246798
- NLM abbreviation
- Spec Care Dentist
- ISSN
- 0275-1879
- eISSN
- 1754-4505
- Publisher
- Wiley Subscription Services, Inc; Chicago
- Grant note
- Delta Dental of Iowa Foundation University of Iowa College of Dentistry and Dental Clinics
- Language
- English
- Date published
- 11/01/2018
- Academic Unit
- Preventive and Community Dentistry
- Record Identifier
- 9983763592302771
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