Wagner Stefan Rahr, Eriksen Cecilie Lautrup Dahl, Hede Børge, Christensen Lisa Bøge
Department of Electrical and Computer Engineering, Aarhus University, Finlandsgade 22, Aarhus, 8200, Denmark.
Department of Special Care Dentistry, City of Copenhagen, Tietgensgade 31B, 2, Copenhagen, 1704, Denmark.
Br Dent J. 2021 Jul 8. doi: 10.1038/s41415-021-3169-7.
Introduction Nursing home residents with cognitive and physical disabilities often depend on assistance from caregivers to perform personal hygiene tasks including toothbrushing. Only a minority receives the care needed and toothbrushing compliance levels are not registered.Aims To describe toothbrushing compliance levels in a nursing home setting and investigate the relevance and practicality of using telemonitoring-enabled powered toothbrushes for automated compliance tracking. Furthermore, to investigate changes in plaque and bleeding scores.Materials and methods Nursing home residents were provided with powered toothbrushes and telemonitoring gateways. Toothbrushing frequency and duration were automatically recorded by the telemonitoring gateways, and an email report was sent once a week to the nursing home manager. Plaque index and bleeding index were assessed by dentists at baseline, at the end of the intervention and at three months post-intervention.Results Data from 20 participants for 100 days (3,920 measurements) were collected and used to evaluate toothbrushing compliance. A minority of toothbrushings (5%) were in compliance with the two-minute toothbrushing duration recommendation, while around 30% achieved the one-minute toothbrushing minimum duration recommendation. Around 25% of participants would get only one toothbrushing per day, while 40% would get none. Both plaque and bleeding scores improved significantly during the project, but all progress was lost three months after the project's end.Conclusions It is relevant and practical to monitor toothbrushing compliance in the nursing home setting using telemonitoring-enabled powered toothbrushes. Despite finding limited compliance levels, a significant improvement in the plaque and bleeding index was found after the intervention, which was lost again three months after the telemonitoring gateways had been removed.
患有认知和身体残疾的养老院居民在进行包括刷牙在内的个人卫生任务时，通常依赖护理人员的协助。只有少数人得到所需的护理，且刷牙依从性水平未被记录。
描述养老院环境中的刷牙依从性水平，并调查使用具备远程监测功能的电动牙刷进行自动依从性跟踪的相关性和实用性。此外，调查牙菌斑和出血评分的变化。
为养老院居民提供电动牙刷和远程监测网关。刷牙频率和时长由远程监测网关自动记录，每周向养老院经理发送一次电子邮件报告。在基线、干预结束时和干预后三个月，由牙医评估牙菌斑指数和出血指数。
收集了20名参与者100天的数据（3920次测量），用于评估刷牙依从性。少数刷牙（5%）符合两分钟刷牙时长建议，而约30%达到了一分钟刷牙最短时长建议。约25%的参与者每天只刷一次牙，40%的参与者根本不刷牙。在项目期间，牙菌斑和出血评分均显著改善，但在项目结束三个月后，所有进展都消失了。
在养老院环境中使用具备远程监测功能的电动牙刷监测刷牙依从性是相关且实用的。尽管发现依从性水平有限，但干预后牙菌斑和出血指数有显著改善，在移除远程监测网关三个月后又再次下降。
