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Less is known about the effect on the quality\/composition of the remaining oral flora.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Participants comprised 33 residents in the study and 35 in the control group. Dental status (\u226510 natural teeth and no removable dentures to be included), plaque score, salivary secretion rate and prescription medicines were recorded. Duplicate samples, collected from supragingival plaque and tongue, were analysed using cultivation technique. Differences between and within groups were analysed using one\u2010way and two\u2010way ANOVA, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At the baseline, the number of teeth in the participants (mean age, 83.7\u00a0\u00b1\u00a07.4\u00a0years) was 22.0\u00a0\u00b1\u00a04.5. The number of prescription medicines was 9.4\u00a0\u00b1\u00a04.5. Seventy\u2010six per cent had low salivary secretion rate. Fifty per cent had \u201cvisible thick\u201d supragingival plaque. At the 12\u2010month registration, \u201cno visible\u201d or \u201cvisible but thin\u201d plaque was recorded in 92% in the study group. The proportions of bacteria associated with good oral health and periodontal diseases were decreased over time, while the frequency and proportions of micro\u2010organisms associated with caries and soft tissue infection were unaffected or increased.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results indicate that assisted oral hygiene care alone is not sufficient to regain an oral microbial flora associated with good oral health in dentate, dependent elderly residents.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ger.12256","type":"journal-article","created":{"date-parts":[[2016,12,19]],"date-time":"2016-12-19T01:46:38Z","timestamp":1482111998000},"page":"240-248","source":"Crossref","is-referenced-by-count":7,"title":["Effect of 12\u2010month weekly professional oral hygiene care on the composition of the oral flora in dentate, dependent elderly residents: A prospective study"],"prefix":"10.1111","volume":"34","author":[{"given":"Maude","family":"Wikstr\u00f6m","sequence":"first","affiliation":[{"name":"Department of Oral Microbiology and Immunology Institute of Odontology Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Department of Dental Medicine and Academic Centre of Gerodontics Karolinska Institute  Huddinge Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kawa L.","family":"Kareem","sequence":"additional","affiliation":[{"name":"Department of Oral Microbiology and Immunology Institute of Odontology Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annica","family":"Almst\u00e5hl","sequence":"additional","affiliation":[{"name":"Department of Oral Microbiology and Immunology Institute of Odontology Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika","family":"Palmgren","sequence":"additional","affiliation":[{"name":"Department of Oral Microbiology and Immunology Institute of Odontology Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Lingstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Cariology Institute of Odontology Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inger","family":"W\u00e5rdh","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine and Academic Centre of Gerodontics Karolinska Institute  Huddinge Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2005.00083.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345010800010801"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2009.00274.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2011.00554.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2010.00448.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1741-2358.2003.00001.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000073401"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-0825.2009.01607.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034510379602"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2011.00599.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345990780080601"},{"key":"e_1_2_7_13_1","first-page":"1007","article-title":"Microflora in oral ecosystems in primary Sj\u00f6gren\u2032s syndrome","volume":"28","author":"Almst\u00e5hl A","year":"2001","journal-title":"J Rheumatol"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archoralbio.2015.04.004"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1159\/000071711"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016350500520318"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-010-9298-9"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2006.04.004"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-003-0236-1"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.1990.tb00029.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910808700602"},{"key":"e_1_2_7_22_1","unstructured":"The Swedish National Board of Health and Welfare.Teeth throughout life \u2010 a remuneration system for adult dental care.1998; SFS 1998:1338. 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