目的:比较试验(超声波清洗剂结合义齿清洗剂溶液浸泡)和对照(义齿清洗剂溶液浸泡,然后常规刷牙)义齿清洗干预措施在提高义齿清洁度方面的效果,减少义齿口腔炎,提高患者满意度。
方法:前瞻性,单盲,块随机化,两周期交叉,进行了一项为期3个月的干预的优势对照临床试验.研究设计包括干预前(2周),干预期一(3个月),冲洗期(2周),和干预期2(3个月)。共有56名社区居住的老年人被分组随机分为序列测试/控制或序列控制/测试。干预,period,以及广泛的局部和完整的丙烯酸义齿清洁度变化的遗留效果,义齿口炎,使用广义估计方程模型估计患者满意度的变化。
结果:斑块面积覆盖率,患者满意度,干预组和控制组3个月后,义齿口腔炎均有明显改善(P<0.05)。与对照臂相比,干预臂可以显着提高义齿清洁度(P<0.001)和患者满意度(P=0.002)。假牙佩戴习惯和假牙年龄也与假牙覆盖的变化显著相关(P<0.05)。然而,与对照组相比,测试干预对义齿性口腔炎的影响没有显着差异(P=0.284)。
结论:本研究显示,在提高社区老年人义齿清洁度和患者满意度方面,试验干预组比对照组更有效。建议使用此测试干预措施,以保持老年人的最佳义齿卫生。
结论:可移动义齿可以携带机会病原体,强调需要使用超声波清洁器结合浸入义齿清洁剂溶液进行有效的义齿卫生干预,以消除社区居住的老年人的义齿生物膜。
OBJECTIVE: To compare the efficacy of test (ultrasonic cleaner combined with immersion in denture cleanser solution) and control (immersion in denture cleanser solution followed by conventional brushing) denture cleaning interventions in enhancing denture cleanliness, reducing denture stomatitis, and improving patient satisfaction.
METHODS: A prospective, single-blind, block-randomised, two-period crossover, superiority-controlled clinical
trial was conducted of a 3-month intervention. The
study design included a pre-intervention period (2 weeks), intervention period one (3 months), washout period (2 weeks), and intervention period two (3 months). A total of 56 community-dwelling elders were block-randomized into either sequence Test/Control or sequence Control/Test. The intervention, period, and carryover effects for the changes in the cleanliness of extensive partial and complete acrylic dentures, denture stomatitis, and changes in patient satisfaction were estimated using Generalized Estimating Equations models.
RESULTS: Percentage plaque area coverage, patient satisfaction, and denture stomatitis were significantly improved for both intervention and control arms after 3 months (P < 0.05). The intervention arm was found to significantly improve denture cleanliness (P < 0.001) and patient satisfaction (P = 0.002) more than the control arm. Denture-wearing habits and denture age were also significantly associated with the changes in denture plaque coverage (P < 0.05). However, the effect of the test intervention on denture stomatitis was not significantly different compared to the control arm (P = 0.284).
CONCLUSIONS: This
study revealed that the test intervention group was significantly more effective than the control group in improving denture cleanliness and patient satisfaction among community-dwelling elders. This test intervention is recommended for maintaining optimum denture hygiene among older adults.
CONCLUSIONS: Removable dentures can harbor opportunistic pathogens, emphasizing the need for effective denture hygiene intervention using ultrasonic cleaner combined with immersion in denture cleanser solution to eliminate denture biofilm in community-dwelling elders.