Extending Basic Dental Care to Nursing Home Residents to Reduce Mouth Infections and Reduce the Incidence of Pneumonia, a Leading Cause of Death.

Description

The goal of this study is to learn if dental infection control treatment delivered to older adult nursing home residents at their place of residence will result in : * improved dental health * reduced risk of pneumonia * better glucose control for diabetic patients compared to the pre-project dental and general health evaluations of residents and the pre-project facility incidence of pneumonia. Dental infection control treatment includes treating gum infections, stopping or slowing decay with fluoride, and assisting residents with effective tooth brushing and denture cleaning daily. Previous studies indicate dental infections can be inhaled and cause pneumonia or make diabetes worse. A shortage of dentists has limited care for nursing home residents. This project will allow dental hygienists and specially trained dental assistants to treat nursing home residents using telehealth methods (computers, cameras, internet, and telephone) to talk and work with dentists in different locations.

Conditions

Periodontitis, Gingivitis, Periodontal Disease, Periodontal Infections, Oral Infections, Periapical Infections, Pneumonia, Diabetes

Study Overview

Study Details

Study overview

The goal of this study is to learn if dental infection control treatment delivered to older adult nursing home residents at their place of residence will result in : * improved dental health * reduced risk of pneumonia * better glucose control for diabetic patients compared to the pre-project dental and general health evaluations of residents and the pre-project facility incidence of pneumonia. Dental infection control treatment includes treating gum infections, stopping or slowing decay with fluoride, and assisting residents with effective tooth brushing and denture cleaning daily. Previous studies indicate dental infections can be inhaled and cause pneumonia or make diabetes worse. A shortage of dentists has limited care for nursing home residents. This project will allow dental hygienists and specially trained dental assistants to treat nursing home residents using telehealth methods (computers, cameras, internet, and telephone) to talk and work with dentists in different locations.

Extending Infection Control Dental Care to Nursing Home Residents Using Telehealth-Mediated Supervision: A Novel Solution to Nursing Home Acquired Pneumonia Morbidity and Mortality.

Extending Basic Dental Care to Nursing Home Residents to Reduce Mouth Infections and Reduce the Incidence of Pneumonia, a Leading Cause of Death.

Condition
Periodontitis
Intervention / Treatment

-

Contacts and Locations

Jefferson City

Office of Dental Health, Department of Health and Senior Services, Jefferson City, Missouri, United States, 65102

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Adult \> 60 years of age residing in a nursing home or communal care setting;
  • * Review of Medical history results in an assigned American Society of Anesthesiologists Physical Status Evaluation of Class II or III;
  • * Frailty Assessment of Low or Moderate using the Modified FRAIL Questionnaire;
  • * Consent is required for study participation, disease control oral healthcare, and access to medical records.
  • * Age \< 60;
  • * American Society of Anesthesiologists Physical Status Evaluation of Class IV or V;
  • * High frailty evaluation using the Modified FRAIL Questionnaire;
  • * Resident deemed behaviorally or physically difficult to treat by initial clinical assessment.

Ages Eligible for Study

60 Years to 100 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

Missouri Department of Health and Senior Services,

Study Record Dates

2026-08-28