open access
메뉴ISSN : 0376-4672
Purpose : The purpose of this study was to compare the plaque removal effects of vacuum oral cleaner developed for the patients with limited mobility with those of manual toothbrushes and high pressure injection oral cleaner (dental water jet). Meterials and methods : Thirty human subjects were measured with Patient Hygiene Performance index (PHP index) and O’Leary index before and after the use of toothbrush, high pressure injection oral cleaner and vacuum oral cleaner. These three different oral hygiene methods were conducted with seven-day intermittence. Then the statistical analysis was carried out to define plaque removal rate of three different oral hygiene methods ( = 0.05). Results : According to the efficacy analysis of plaque removal before and after the oral cleaning using each of three methods, significant reduction in plaque after the treatment compared to the previous state when using toothbrush, high pressure injection oral cleaner, and vacuum oral cleaner was observed (P < 0.001). PHP index of tooth brushing was higher than that of the high pressure injection oral cleaner, while PHP index of vacuum oral cleaner did not show significant difference from either of the other two methods. There was no significance difference in O’Leary index among the three methods. Conclusion : Effect of plaque removal using the vacuum oral cleaner is comparable to that of manual tooth brush or high pressure injection oral cleaner, so it will be helpful for self-oral hygiene care of the patients with limited mobility.
1. Almomani F, Hamasha AA, Williams KB, Almomani M. Oral health status and physical, mental and cognitive disabilities among nursing home residents in Jordan. Gerodontology 2015; 32:90-9.
2. Chalmers JM, Carter KD, Spencer AJ. Oral diseases and conditions in community-living older adults with and without dementia. Spec Care Dentist 2003;23:7-17.
3. Stewart R, Sabbah W, Tsakos G, D'Aiuto F, Watt RG. Oral health and cognitive function in the Third National Health and Nutrition Examination Survey (NHANES III). Psychosom Med 2008;70:936-41.
4. Willumsen T, Fjaera B, Eide H. Oral health-related quality of life in patients receiving home-care nursing: associations with aspects of dental status and xerostomia. Gerodontology 2010;27:251-7.
5. Chalmers JM, Carter KD, Spencer AJ. Caries incidence and increments in community-living older adults with and without dementia. Gerodontology 2002;19:80-94.
6. Peltola P, Vehkalahti MM, Wuolijoki-Saaristo K. Oral health and treatment needs of the long-term hospitalised elderly. Gerodontology 2004;21:93-9.
7. Chalmers JM, Carter KD, Spencer AJ. Caries incidence and increments in Adelaide nursing home residents. Spec Care Dentist 2005;25:96-105.
8. Gift HC, Cherry-Peppers G, Oldakowski RJ. Oral health status and related behaviours of U.S. nursing home residents, 1995. Gerodontology 1997;14:89-99.
9. Holm-Pedersen P, Schultz-Larsen K, Christiansen N, Avlund K. Tooth loss and subsequent disability and mortality in old age. J Am Geriatr Soc 2008;56:429-35.
10. Minakuchi S, Takaoka S, Ito J, Shimoyama K, Uematsu H. Factors affecting denture use in some institutionalized elderly people. Spec Care Dentist 2006;26:101-5.
11. Buda LV. Ensuring Maintenance of Oral Hygiene in Persons with Special Needs. Dent Clin North Am 2016;60:593-604.
12. Shin CJ, Saeed S. Toothbrushing barriers for people with developmental disabilities: a pilot study. Spec Care Dentist 2013;33:269-74.
13. Dogan MC, Alacam A, Asici N, Odabas M, Seydaoglu G. Clinical evaluation of the plaqueremoving ability of three different toothbrushes in a mentally disabled group. Acta Odontol Scand 2004;62:350-4.
14. Rodrigues dos Santos MT, Masiero D, Novo NF, Simionato MR. Oral conditions in children with cerebral palsy. J Dent Child (Chic) 2003;70:40-6.
15. Yitzhak M, Sarnat H, Rakocz M, Yaish Y, Ashkenazi M. The effect of toothbrush design on the ability of nurses to brush the teeth of institutionalized cerebral palsy patients. Spec Care Dentist 2013;33:20-7.
16. Gonzalez EE, Nathe CN, Logothetis DD, Pizanis VG, Sanchez-Dils E. Training caregivers: disabilities and dental hygiene. Int J Dent Hyg 2013;11:293-7.
17. Axelsson P, Lindhe J, Nystrom B. On the prevention of caries and periodontal disease. Results of a 15-year longitudinal study in adults. J Clin Periodontol 1991;18:182-9.
18. Goyal CR, Lyle DM, Qaqish JG, Schuller R. Evaluation of the plaque removal efficacy of a water flosser compared to string floss in adults after a single use. J Clin dent 2013;24:37-42.
19. Barnes CM, Russell CM, Reinhardt RA, Payne JB, Lyle DM. Comparison of irrigation to floss as an adjunct to tooth brushing: effect on bleeding, gingivitis, and supragingival plaque. J Clin Dent 2005;16:71-7.
20. Jahn CA. The dental water jet: a historical review of the literature. J Dent Hyg 2010;84:114-20.
21. Ko SM, Lim SR. Oral Hygiene Care for Elderly in Care Facility. Taehan Chikkwa Uisa Hyophoe Chi 2015;53:678-87.
22. Park KD, Park WC, Bae KH, Jin BH, Baek DI. Comparing the efficacy of a high pressure spray oral hygiene appliance and a sonic vibration toothbrush in reducing dental plaque. Taehan Kugang Pogôn Hakhoe chi 2014;38:71-76.
23. Lee SY, Shin SC, Cho JW. A clinical study on plaque removal and gingival inflammation effect of AFT type toothbrush. Int J Clin Prev Dent 2005;1:19-28.
24. Chun JA, Cho MJ. The Standardization of Toothbrush Form for Korean Adult. Int J Clin Prev Dent 2014;10:227-36.
25. Benson BJ, Henyon G, Grossman E. Plaque removal efficacy of two children's toothbrushes: a one-month study. J Clin Dent 1993;4:6-10.
26. StatisticsKorea. Recuperation institutions status by establishment type. In: Health Insurance Review &Assessment Service, 2012.
27. Kwon SH, Park JR, Lee YK. A study on the elder care facility workers' attitude towards senior citizens and on the perception towards long-term care insurance system for senior citizens. Han'guk Ch'iwisaeng Hakhoe chi 2010;10:905-15.
28. Park SY, Cho NI, Jeong JH, Lee SH, Oh HW, Lee HS. Oral health care provided by nursing home employees to elderly residents. Taehan Kugang Pogôn Hakhoe chi 2013;37:200-7.
29. Muller F. Oral hygiene reduces the mortality from aspiration pneumonia in frail elders. J Dent Res 2015;94:14-6s.
30. O'Reilly M. Oral care of the critically ill: a review of the literature and guidelines for practice. Aust Crit Care 2003;16:101-10.
31. Berry AM, Davidson PM, Masters J, Rolls K. Systematic literature review of oral hygiene practices for intensive care patients receiving mechanical ventilation. Am J Crit Care 2007;16:552-63.
32. Hollaar V, van der Maarel-Wierink C, van der Putten GJ, de Swart B, de Baat C. Effect of daily application of a 0.05% chlorhexidine solution on the incidence of (aspiration) pneumonia in care home residents: design of a multicentre cluster randomised controlled clinical trial. BMJ Open 2015;5:e007889.