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Document Type |
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Article In Journal |
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Document Title |
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EFFECT OF VARIOUS PREVENTIVE MODALITIES ON ORAL HYGIENE AND PERIODONTAL DISEASE PROGRESSION IN INSTITUTIONALIZED ELDERS EFFECT OF VARIOUS PREVENTIVE MODALITIES ON ORAL HYGIENE AND PERIODONTAL DISEASE PROGRESSION IN INSTITUTIONALIZED ELDERS |
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Document Language |
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English |
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Abstract |
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Institutionalized elders might suffer from poor oral hygiene with higher periodontal
disease risk. This may be attributed to unavailability of dentists, inadequate knowledge of
elde~s and nursing staff about oral hygiene techniques and lack of dental insurance. Despite the current
attention and concern to the oral health status of older adults, few oral health promotion and
periodontal disease prevention studies have been conducted with geriatric. The purpose of this study
was to test and compare the effectiveness of commonly applied and accepted ~rrlOdalitieson oral hygiene
and periodontal disease progression in institutionalized elders.
Subjects and Methods: one hundred dentate elders of two geriatric institutions in Tanta city
who fulfilled the entry criteria were assigned equally into four groups. Control group (group 1) included
subjects who received emergency dental 'care. Group 11, included subjects who received
health education program for oral health promotion concerning home care, oral self examination, '
regular check-up and diet modification. Group Ill, received health education plus weekly rinsing
with 0.12 chlorhexidine mouth wash. Group IV, the same as group III plus semiannual scaling and
root planing throughout the two year study. At the start of the study, elders were categorized as high
and low periodontal risk according to CPI and BANA tests. All subjects were assessed at six
months, one and two years after onset using different indices. Bleeding on probing, gingival index
and CPI index in addition to P. gingivalis counting.
o
Results: There was statistically insignificant difference between groups at base-line regarding
knowledge and behavior of elders concerning oral health, BOP, GI, cpr and P. gingivalis counts.
Group 11, who received health education, showed improvement in periodontal disease progression
up to 'six months of follow up then worsened to reach to nearly the base-line level at the end of the •
study.' Group III experienced good results up to one year of follow up. Group IV had the best results
up to two years of the study. Home care and oral self examination were positively influenced
through health education throughout the two years study period in comparison to diet modification
and regular check-up. Scaling and root planing had significant effect on mean P. gingivalis counts
which was maintained throughout the study, that was not obtained through health education or chlorhexidine
mouth wash. Conclusion: Health education is an important item for oral hygiene and prevention
of periodontal diseases among institutionalized elders. Health education plus chIorhexidine
mouthwash increased the benefit obtained for a longer period of time. For long term prevention,
scaling and root planing must be added to the previous modalities. |
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ISSN |
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0 |
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Journal Name |
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Egyptian dental journal |
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Volume |
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50 |
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Issue Number |
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1 |
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Publishing Year |
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2004 AH
2004 AD |
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Article Type |
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Article |
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Added Date |
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Wednesday, January 2, 2008 |
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Researchers
| حاتم أمين | amin, Hatem | Investigator | Doctorate | hmohammed@kau.edu.sa |
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