Evaluating the effectiveness of fluoride varnish in preventing caries amongst Long‐Term Care Facility Residents

Autor: Niamh Kelly, Sinead Watson, Gerald McKenna, Aoife Nic Iomhair, Joe McGarry, Eman Jabir, Murali Srinivasan, Grainne Quinn, Catherine McGrade
Přispěvatelé: University of Zurich, McKenna, Gerald John
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Jabir, E, McGrade, C, Quinn, G, McGarry, J, Nic Íomhair, A, Kelly, N, Watson, S, Srinivasan, M & McKenna, G 2021, ' Evaluating the effectiveness of fluoride varnish in preventing caries amongst Long Term Care Facility Residents ', Gerodontology . https://doi.org/10.1111/ger.12563
DOI: 10.5167/uzh-211417
Popis: ObjectiveTo evaluate the effectiveness of professionally applied fluoride varnish on the incidence of dental caries amongst older adults resident in LTCFs in Northern Ireland.BackgroundThe oral health status of older adults within Long-Term Care Facilities (LTCFs) is significantly worse than their community living peers. Whilst evidence suggests an important role for fluoride varnish in preventing caries in this population, very few studies have evaluated this intervention.Materials and MethodsA quality improvement project was undertaken with dentate residents (n = 190) in nine LTCFs who had fluoride varnish applied by Dental Care Professionals on two separate occasions during a 12-month period (intervention group). Nine LTCFs were chosen as matched controls (control group) with comparable numbers of residents of similar medical status (n = 217). For the intervention group, oral hygiene training was also provided for the care home staff.ResultsA total of 407 patients (n = 271 female) were included in the analyses (mean age [SD]: 84.1 [6.6] years). After 12 months, the intervention group recorded a significant reduction in mean number of carious teeth (mean [95% CI]: −0.85 [−1.12, −0.58]; P P = .012), mean plaque score (mean [95% CI]: 1.16 [0.28, 2.04]; P = .010) and mean DMFT score (mean [95% CI]: 0.13 [0.04, 0.22]; P = .004).ConclusionsThis study demonstrates the potential role of fluoride varnish in combination with oral hygiene training for staff in the prevention and arrest of carious lesions among older adults in LTCFs.
Databáze: OpenAIRE