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  • Sam Currin posted an update 6 days, 14 hours ago

    There was also a strong association between the frequency of tooth brushing and the level of assistance required by residents with their oral hygiene, with nearly half of the residents who did not require assistance cleaning their teeth twice Selleckchem Selisistat daily, while only 8.7% of residents who required some or total assistance were having their teeth cleaned twice daily, and 29.3% were having their teeth cleaned only several times per week or less (��2?=?43.50, p?<?0.001). Overall, periodontal health was also extremely poor, with no dentate residents assessed as having healthy periodontal tissues and more than half of the residents having calculus present. The prevalence of periodontal disease (periodontal probing depths of 4?mm+) was 35.6%, with moderate�Csevere disease (periodontal probing depths of 6?mm+) present in 10.2% of the sample population. The prevalence of periodontitis increased from 20.6% in residents aged <64?years to 45.7% for residents aged 75�C84?years, then declined to 14.3% for residents aged 95?+? years, although these older residents had fewer teeth present than the younger residents (Table?4). When controlling for the number of teeth present, it was the number of teeth rather than the age of the resident that was related to the prevalence of periodontitis, with more teeth present increasing the likelihood of periodontitis being present. Frequency of brushing was associated with having 6?mm+ periodontal pockets. There was a strong association between oral hygiene status and periodontal disease, with subjects with the poorest periodontal health also displaying the poorest oral hygiene (Fig.?2) (��2?= 35.17, p?<?0.001). Logistic regression found that age, gender, number of teeth present and oral hygiene were all strongly associated with the prevalence of 4?mm+ periodontal pockets (Table?5) although no associations were found with 6?mm+ periodontal pockets. In the present study, the prevalence of periodontal disease was estimated using a partial mouth index, rather than a full mouth examination of clinical attachment loss. However, it has been reported that the CPI is a reliable index for estimating the prevalence of periodontal disease in a population group28. Numerous studies have demonstrated poor oral health and oral hygiene of residents in nursing homes, and linked this to low levels of oral health knowledge of the carers and nursing staff responsible for the daily care of residents29�C36. Inadequate knowledge of oral and dental problems and the ineffective provision of oral hygiene care may be related to the fact that oral care is often not taught in nurse training or given a high priority37. Previous studies have also shown that self-dependent residents had better oral hygiene than more dependent residents, suggesting that staff responsible for oral hygiene care did not have sufficient training to ensure good oral hygiene36.