ObjectiveThe objective of this study is to compare the oral hygiene (dental and denture plaque) among residents in nursing homes that have implemented an oral healthcare programme (Gerodent) with that of residents in nursing homes that provide standard oral care.BackgroundGerodent is a comprehensive oral healthcare programme introduced in 2010, which includes mobile on‐site professional oral care. Sixty‐two nursing homes have actively implemented Gerodent between 8 and 12 years preceding this study.MethodsA cross‐sectional study compared a cluster random sample of Gerodent nursing home residents to residents of matched control nursing homes. Residents' dental (Turesky Index) and denture plaque (Augsburger & Elahi Index) scores were collected as primary outcome variables. Data on tongue plaque, oral hygiene aids and demographic characteristics were recorded. Data were collected between 2020 and 2023. Generalised estimating equations were used to compare the oral hygiene between both study groups.ResultsResidents in the Gerodent group (n = 171) had significantly lower mean dental and denture plaque scores than their counterparts in the non‐Gerodent group (n = 159; dental plaque 1.68 vs. 2.71; RR 0.32; 95% CI: 0.23–0.44; and denture plaque 1.60 vs. 2.21; RR 0.55; 95% CI: 0.42–0.72). While basic oral hygiene aids were available to most residents in both groups, denture brushes were more common in the Gerodent group.ConclusionResidents in Gerodent nursing homes had significantly better oral hygiene than those older people residing in non‐Gerodent nursing homes, although plaque scores were insufficient to prevent oral conditions. Oral health professionals need to work with and provide ongoing support in long‐term care facilities to further improve oral hygiene.

中文翻译：

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有和没有结构化口腔保健计划的疗养院口腔卫生的比较分析


目的本研究的目的是比较已实施口腔保健计划 (Gerodent) 的疗养院居民与提供标准口腔护理的疗养院居民的口腔卫生（牙齿和假牙菌斑）。 背景Gerodent 是一项综合性口腔护理2010 年推出的医疗保健计划，其中包括移动现场专业口腔护理。在本研究之前的 8 至 12 年间，有 62 家疗养院积极实施了 Gerodent。方法一项横断面研究将 Gerodent 疗养院居民的整群随机样本与匹配对照疗养院的居民进行了比较。收集居民的牙科（Turesky 指数）和假牙菌斑（Augsburger & Elahi 指数）评分作为主要结果变量。记录了舌菌斑、口腔卫生辅助工具和人口特征的数据。数据收集于 2020 年至 2023 年之间。使用广义估计方程来比较两个研究组之间的口腔卫生情况。结果 Gerodent 组的居民 (n = 171) 的平均牙齿和假牙菌斑评分显着低于非 Gerodent 组的居民组（n = 159；牙菌斑 1.68 vs. 2.71；RR 0.32；95% CI：0.23–0.44；假牙菌斑 1.60 vs. 2.21；RR 0.55；95% CI：0.42–0.72）。虽然两组中的大多数居民都可以获得基本的口腔卫生辅助工具，但在 Gerodent 组中，假牙刷更为常见。结论 Gerodent 疗养院的居民比居住在非 Gerodent 疗养院的老年人的口腔卫生状况明显更好，尽管牙菌斑评分不足以预防口腔疾病。口腔健康专业人员需要与长期护理机构合作并提供持续支持，以进一步改善口腔卫生。