OBJECTIVE: To evaluate the effectiveness of oral health promotion interventions on clinical oral health. DESIGN: Single-blind randomized controlled trial conducted over 3 weeks of in-hospital rehabilitation. SETTING: Stroke rehabilitation ward in Hong Kong. PARTICIPANTS: Patients with stroke (N=102) admitted to the rehabilitation ward. INTERVENTIONS: Patients were randomly assigned either: (1) oral hygiene instruction, (2) oral hygiene instruction and chlorhexidine mouthrinse, or (3) oral hygiene instruction, chlorhexidine mouthrinse, and assisted brushing. MAIN OUTCOME MEASURES: Dental plaque, gingival bleeding, and oral functional status were assessed at baseline and review. Development of infectious complications were also monitored during the clinical trial. RESULTS:Poor oral hygiene and an overall neglect of oral hygiene practices were observed at baseline. Reductions in dental plaque were significantly greater in the 2 groups receiving chlorhexidine compared with the group receiving oral hygiene instruction alone (P<.001). Reductions in gingival bleeding scores were 3- to 4-fold greater in groups receiving chlorhexidine. No cases of pneumonia were observed during the course of the clinical trial. CONCLUSIONS: The oral health condition of patients may be safeguarded after acute stroke with the use of chlorhexidine mouthrinse in conjunction with a standard mechanical plaque removal tool, such as an electric toothbrush. These interventions are acceptable to the majority of patients, and their administration poses a minimal burden to rehabilitation ward staff.
RCT Entities:
OBJECTIVE: To evaluate the effectiveness of oral health promotion interventions on clinical oral health. DESIGN: Single-blind randomized controlled trial conducted over 3 weeks of in-hospital rehabilitation. SETTING:Stroke rehabilitation ward in Hong Kong. PARTICIPANTS: Patients with stroke (N=102) admitted to the rehabilitation ward. INTERVENTIONS:Patients were randomly assigned either: (1) oral hygiene instruction, (2) oral hygiene instruction and chlorhexidine mouthrinse, or (3) oral hygiene instruction, chlorhexidine mouthrinse, and assisted brushing. MAIN OUTCOME MEASURES: Dental plaque, gingival bleeding, and oral functional status were assessed at baseline and review. Development of infectious complications were also monitored during the clinical trial. RESULTS: Poor oral hygiene and an overall neglect of oral hygiene practices were observed at baseline. Reductions in dental plaque were significantly greater in the 2 groups receiving chlorhexidine compared with the group receiving oral hygiene instruction alone (P<.001). Reductions in gingival bleeding scores were 3- to 4-fold greater in groups receiving chlorhexidine. No cases of pneumonia were observed during the course of the clinical trial. CONCLUSIONS: The oral health condition of patients may be safeguarded after acute stroke with the use of chlorhexidine mouthrinse in conjunction with a standard mechanical plaque removal tool, such as an electric toothbrush. These interventions are acceptable to the majority of patients, and their administration poses a minimal burden to rehabilitation ward staff.
Authors: Mary Lyons; Craig Smith; Elizabeth Boaden; Marian C Brady; Paul Brocklehurst; Hazel Dickinson; Shaheen Hamdy; Susan Higham; Peter Langhorne; Catherine Lightbody; Giles McCracken; Antonieta Medina-Lara; Lise Sproson; Angus Walls; Dame Caroline Watkins Journal: Eur Stroke J Date: 2018-05-08
Authors: Normaliza Ab Malik; Sa'ari Mohamad Yatim; Otto Lok Tao Lam; Lijian Jin; Colman Patrick Joseph McGrath Journal: J Med Internet Res Date: 2017-03-31 Impact factor: 5.428
Authors: Hsiao-Jung Chen; Jean-Lon Chen; Chung-Yao Chen; Megan Lee; Wei-Han Chang; Tzu-Ting Huang Journal: Int J Environ Res Public Health Date: 2019-06-24 Impact factor: 3.390