150 Participants Needed

Dental Care for Pneumonia Prevention

(NHOralHealth Trial)

JB
GD
Overseen ByGuy D Deyton, DDS
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Missouri Department of Health and Senior Services
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It focuses on dental care to prevent pneumonia and improve health outcomes.

What data supports the effectiveness of the treatment Extending Basic Dental Care to Nursing Home Residents for pneumonia prevention?

Research shows that improving oral hygiene through education and integrated dental care can reduce the risk of pneumonia in older nursing home residents. This suggests that extending basic dental care to these residents may help prevent pneumonia by addressing oral health issues.12345

Is the dental care treatment for pneumonia prevention safe for humans?

The research suggests that dental care treatments, including tooth brushing and using a chlorhexidine oral rinse, are generally safe for nursing home residents and can help reduce pneumonia risk.16789

How does the treatment 'Extending Basic Dental Care to Nursing Home Residents' differ from other treatments for pneumonia prevention?

This treatment is unique because it focuses on improving oral hygiene through regular tooth and gum brushing, using a chlorhexidine oral rinse, and ensuring proper feeding positions to prevent pneumonia, rather than relying on medications. It emphasizes the role of oral care in reducing pneumonia risk among nursing home residents.69101112

What is the purpose of this trial?

The goal of this study is to learn if dental infection control treatment delivered to older adult nursing home residents at their place of residence will result in :* improved dental health* reduced risk of pneumonia* better glucose control for diabetic patients compared to the pre-project dental and general health evaluations of residents and the pre-project facility incidence of pneumonia. Dental infection control treatment includes treating gum infections, stopping or slowing decay with fluoride, and assisting residents with effective tooth brushing and denture cleaning daily. Previous studies indicate dental infections can be inhaled and cause pneumonia or make diabetes worse. A shortage of dentists has limited care for nursing home residents. This project will allow dental hygienists and specially trained dental assistants to treat nursing home residents using telehealth methods (computers, cameras, internet, and telephone) to talk and work with dentists in different locations.

Eligibility Criteria

This trial is for older adult nursing home residents who may have dental health issues like gum disease or tooth abscesses. It aims to help those at risk of pneumonia or with diabetes needing better glucose control. Residents must not be currently receiving similar dental care.

Inclusion Criteria

Frailty Assessment of Low or Moderate using the Modified FRAIL Questionnaire
I agree to participate in the study and allow access to my medical records.
I am over 60 and live in a nursing home or similar place.
See 1 more

Exclusion Criteria

Resident deemed behaviorally or physically difficult to treat by initial clinical assessment
High frailty evaluation using the Modified FRAIL Questionnaire
I am under 60 years old.
See 1 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Treatment

Dental hygienists and EFDA teams provide dental infection control treatment to nursing home residents using telehealth methods

12 months
Regular intervals (in-person and virtual)

Follow-up

Participants are monitored for periodontal health, pneumonia incidence, and glucose control for one year after treatment

12 months
Data collection and monitoring at regular intervals

Oral Hygiene Assistance Instruction

Evaluation of an oral hygiene assistance mentoring program for nursing home staff

12 months

Treatment Details

Interventions

  • Extending Basic Dental Care to Nursing Home Residents
Trial Overview The study tests if on-site dental treatments, including infection control, fluoride application, and daily oral hygiene assistance, can improve dental health and reduce pneumonia risks. It also uses telehealth for dentist consultations.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Infection Control ArmExperimental Treatment8 Interventions
* Dental Hygienists and EFDA Teams travel to nursing homes and gather medical and dental data for residents participating in the study while collaborating with distant dentists using telehealth. * Clinical data is sent to the supervising dentist, who reviews medical history, assigns an ASA class and Frailty class, and prescribes an infection control treatment plan. * Emergent infections outside the scope of hygienists / EFDAs result in a transport order for care to an outside facility. * Hygienist/EFDA teams treat residents in their facility for gum infections, stabilize decay with fluoride and temporary fillings, and clean dentures. * The hygienist/EFDA team teaches LTCF staff oral hygiene assistance techniques to help residents with daily care and minimize reinfection. * The hygienist and EFDA team will continue to see LTCF residents at regular intervals to provide maintenance care, collect data, and monitor progress. * Treatment Outcome Data collected.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Missouri Department of Health and Senior Services

Lead Sponsor

Trials
1
Recruited
150+

References

Pilot testing of intervention protocols to prevent pneumonia in nursing home residents. [2022]
Effects of integrated dental care on oral treatment needs in residents of nursing homes older than 70 years. [2017]
[Dental service for nursing home residents in The Netherlands--the present situation]. [2006]
Nursing education and improvement in oral care delivery in long-term care. [2022]
An evidence-based oral hygiene education program for nursing staff. [2022]
A cluster-randomized controlled trial of a multicomponent intervention protocol for pneumonia prevention among nursing home elders. [2022]
Modification of the risk of mortality from pneumonia with oral hygiene care. [2022]
Efficacy and acceptance of professional dental cleaning among nursing home residents. [2021]
Daily oral care and cough reflex sensitivity in elderly nursing home patients. [2006]
[Oral care reduces pneumonia of elderly patients in nursing homes, irrespective of dentate or edentate status]. [2019]
11.United Statespubmed.ncbi.nlm.nih.gov
Cost-effectiveness of professional and mechanical oral care for preventing pneumonia in nursing home residents. [2023]
12.United Statespubmed.ncbi.nlm.nih.gov
Professional oral health care for preventing nursing home-acquired pneumonia: A cost-effectiveness and value of information analysis. [2018]
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