Effects of Professional Toothbrushing and Instruction in the Elderly: A Randomized Trial
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (20)
- Ejvind Budtz-Jørgensen, "Nutrition and oral health", Best Practice & Research Clinical Gastroenterology, 15(6), pp.885~896 (2001), Elsevier BV[DOI]
- LUCY B. PALMER, "Oral Clearance and Pathogenic Oropharyngeal Colonization in the Elderly", American Journal of Respiratory and Critical Care Medicine, 164(3), pp.464~468 (2001), American Thoracic Society[DOI]
- Lang NP, "Clinical periodontology and implant dentistry", pp.183~206 (2008), Blackwell Munksgaard
- Paul E. Marik, "Aspiration Pneumonia and Dysphagia in the Elderly", Chest, 124(1), pp.328~336 (2003), Elsevier BV[DOI]
- 최하나, "일부 대학생에서 치면세균막 관리 프로그램에 의한 치면세균막 감소 효과 및 관리 난이도", 치위생과학회지, 12(1), pp.39~44 (2012), 한국치위생과학회
- 장기완, "전문가 치면세균막 관리술 -Watanabe method를 중심으로-", 대한치과의사협회지, 45(1), pp.21~24 (2007), 대한치과의사협회[DOI]
- M Poyato-Ferrera, "Comparison of modified Bass technique with normal toothbrushing practices for efficacy in supragingival plaque removal", International Journal of Dental Hygiene, 1(2), pp.110~114 (2003), Wiley[DOI]
- 이병진, "Toothpick 잇솔질을 이용한 전문가구강건강관리 프로그램", 대한치과의사협회지, 47(5), pp.272~281 (2009), 대한치과의사협회[DOI]
- 최문실, "치면세균막관리와 구강보건교육에 관한 국내문헌고찰", 치위생과학회지, 17(2), pp.87~98 (2017), 한국치위생과학회[DOI]
- 엄미란, "맞춤형 반복교육에 따른 치면세균막관리점수 개선 효과", 대한구강보건학회지, 33(1), pp.10~18 (2009), 대한예방치과·구강보건학회
- Cohen J, "Statistical power analysis for the behavioral sciences", pp.24~26 (1988), Lawrence Erlbaum
- Timothy J. O'Leary, "The Plaque Control Record", Journal of Periodontology, 43(1), pp.38~38 (1972), Wiley[DOI]
- Briner WW, "Plaque in relation to dental caries and periodontal disease", Int Dent J, 21, pp.293~301 (1971)
- 김설희, "치주질환자 구강관리능력 향상을 위한 치면세균막관리(잇솔질교육)에 관한 연구", 한국치위생학회지, 11(2), pp.293~301 (2011), 한국치위생학회
- Bakdash MB, "Patient motivation and education: a conceptual model", Clin Prev Dent, 1, pp.10~14 (1979)
- Edwin B. Fisher, "Ecological Approaches to Self-Management: The Case of Diabetes", American Journal of Public Health, 95(9), pp.1523~1535 (2005), American Public Health Association[DOI]
- Joh Hoogstraten, "Effects of dental health care instruction on knowledge, attitude, behavior and fear", Community Dentistry and Oral Epidemiology, 11(5), pp.278~282 (1983), Wiley[DOI]
- 조문미, "노인에서 전문가잇솔질과 치간잇솔 사용교육의 치주건강증진 효과", 대한구강보건학회지, 37(3), pp.132~140 (2013), 대한예방치과·구강보건학회[DOI]
- 안현희, "잇솔질 교육방법이 구강위생관리능력에 미치는 영향", 보건정보통계학회지, 37(1), pp.43~52 (2012), 한국보건정보통계학회
- 김연화, "Cariview test와 전문가 칫솔질 교육이 치위생(학)과 신입생의 PHP index 감소에 미치는 효과", 한국치위생학회지, 17(6), pp.993~1001 (2017), 한국치위생학회[DOI]