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口衛三章璦華研究成果”A randomized clinic trial of an oral health care program for the dementia elderly in Taiwan: A pilot study” 投稿被2019美國口腔健康研討會(National Oral Health Conference)接受,預計4月13號前往美國分享研究成果

 

A randomized clinical trial of an oral health care program for the dementla elderly in Taiwan: A pilot study 

Ai-Hua Chang1; Ming-An Chen2; Shun-Te Huang1; Hsiao-Ling Huang1 

1Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University 

2School of Dentistry, College of Dental Medicine, Kaohsiung Medical University 

Objective: 

Well oral care training for the elderly and their primary caregivers, can help to reduce 

the rapid deterioration of oral diseases and the incidence of aspiration pneumonia, 

further improve their health and quality of life. In this pilot study, we aimed to 

evaluate a newly developed oral health care program for the dementia elderly. 

Method: 

We used randomized controlled trail. Overall, 17 and 19 patients with mild dementia 

were randomly assigned to the experimental group (EG) or control group (CG). 

Patients and their caregivers in EG received a 30-min one-on-one oral health care 

session including oral hygiene skill, chewing and swallowing practices, safe eating 

methods, and oral function rehabilitation training by a well-trained dental hygienist. 

The participants in EG were encourage to do it themselves at home at least once a 

day. Participants also received a monthly phone call to remind them of oral care. The 

baseline and 3 month follow-up data regarding oral health care behaviors, simple 

mental status, dry mouth conditions, swallowing conditions, plaque index (PI), 

Winkel tongue coating index (CI), repetitive saliva swallowing test(RSST), 

measurement of the diadochokinetic (DDK) rate were collected by questionnaire and 

dental examination record. 

Results: 

Swallowing problem was significantly decreased in EG compared to CG (P=0.023). 

Patients in EG significantly improved in the DDK rate (P=0.004) and dry mouth 

(P=0.046) between baseline and 3 month follow-up.

Conclusion: 

The oral health care method may effective on swallowing, oral function and dry 

mouth.

 

Fund: National Health Research Institutes, Taiwan 

 

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