Extending Dental Care to Nursing Home Residents to Reduce Mouth Infections and Incidence of Pneumonia and Improve Diabetic Glucose Control
Extending Infection Control Dental Care to Nursing Home Residents Using Telehealth-Mediated Supervision: a Novel Solution to Nursing Home Acquired Pneumonia Morbidity and Mortality.
Missouri Department of Health and Senior Services
150 participants
Mar 1, 2024
INTERVENTIONAL
Conditions
Summary
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
Inclusion Criteria4
- Adult \> 60 years of age residing in a nursing home or communal care setting;
- Review of Medical history results in an assigned American Society of Anesthesiologists Physical Status Evaluation of Class II or III;
- Frailty Assessment of Low or Moderate using the Modified FRAIL Questionnaire;
- Consent is required for study participation, disease control oral healthcare, and access to medical records.
Exclusion Criteria4
- Age \< 60;
- American Society of Anesthesiologists Physical Status Evaluation of Class IV or V;
- High frailty evaluation using the Modified FRAIL Questionnaire;
- Resident deemed behaviorally or physically difficult to treat by initial clinical assessment.
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
A thorough check-up of teeth, gums, and surrounding tissues, including medical and dental history, to assess overall oral health and identify any infections.
A series of x-rays of the whole mouth intended to display the, teeth, roots, periapical areas, bone, and areas without teeth.
The delivery or coordination of care for a patient using synchronous; real-time or aysnchronous communication between care providers or between care providers and a patient.
A therapeutic procedure designed to remove plaque and calculus (hardened plaque) causing gum infections that can lead to tooth loss and other medical complications.
A periodic evaluation and therapeutic support procedure for patients with a history of gum infections.
Topical application of decay arresting or inhibiting medicament.
Dental procedures aimed at educating patients on, and assisting patients with ,proper oral hygiene practices removing food debris, germ-laden plaque, and soft tartar using cloth wipes, toothbrush, floss, and using oral hygiene aids.
Diagnosis and treatment of oral infection outside the scope of a dental hygienist or Expanded Function Dental Assistant.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06890676