{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T17:40:16Z","timestamp":1789494016406,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,4,12]],"date-time":"2018-04-12T00:00:00Z","timestamp":1523491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006128","name":"Svenska Frimurarorden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006128","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Oral health in nursing homes for elderly is often unsatisfactory, and oral health education to nursing staff has not shown sufficient results why there is need for novel approaches. The aim of the study was to trial a new oral healthcare educational programme and to evaluate the effects on residents\u2019 oral health. In addition, attitudes among the nursing staff in the intervention nursing home were explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a controlled clinical trial, two comparable nursing homes were randomly assigned for intervention or control. Interventions included weekly theoretical and hands\u2010on guidance from dental hygienists on oral hygiene procedures and discussions on oral care routines. The residents\u2019 oral health, measured by the Revised Oral Assessment Guide (ROAG), dental plaque and gingival bleeding were evaluated at baseline and after 3\u00a0months. Attitudes among the staff to oral health care were measured at the intervention nursing home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Revised Oral Assessment Guide gums and lips scores showed a tendency to decrease in the intervention group, but remained high in the control group. Plaque levels improved significantly after intervention, and a trend towards less gingival bleeding was observed. The intervention nursing staff seemed to be more aware of their own limitations concerning oral health care after intervention and valued more frequent contact with dental services to a greater extent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The oral healthcare situation for elderly people today is so complex that theoretical education at the group level regarding different aspects of oral health is not sufficient. Individual hands\u2010on guidance by dental hygienists on a regular basis in everyday care may be a new approach.<\/jats:p><\/jats:sec>","DOI":"10.1111\/idh.12343","type":"journal-article","created":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T02:03:46Z","timestamp":1523585026000},"page":"476-483","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Theoretical and hands\u2010on guidance from dental hygienists promotes good oral health in elderly people living in nursing homes, a pilot study"],"prefix":"10.1111","volume":"16","author":[{"given":"B","family":"Seleskog","sequence":"first","affiliation":[{"name":"Public Dental Health Norrstrand V\u00e4rmland  Karlstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Lindqvist","sequence":"additional","affiliation":[{"name":"Preventive Dentistry Department Public Dental Health V\u00e4rmland  Karlstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0939-802X","authenticated-orcid":false,"given":"I","family":"W\u00e5rdh","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine Academic Centre of Geriatric Dentistry Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Engstr\u00f6m","sequence":"additional","affiliation":[{"name":"Preventive Dentistry Department Public Dental Health V\u00e4rmland  Karlstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"von B\u00fcltzingsl\u00f6wen","sequence":"additional","affiliation":[{"name":"Preventive Dentistry Department Public Dental Health V\u00e4rmland and Institute of Odontology Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2007.00446.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016350701278898"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945917734159"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.12.004"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.2009.00673.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0528.2001.290408.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12068"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2005.09.002"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14260"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0140711"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12016"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-6712.2003.00214.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2010.00366.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1996.tb00837.x"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2002.tb00268.x"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016356408993968"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016356309011240"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1998.tb01640.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2003.tb00292.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2001.00007.x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2001.72.3.383"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13452"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2012.00279.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2006.01803.x"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2011.00562.x"},{"key":"e_1_2_9_27_1","first-page":"302","article-title":"Executive directors\u2019 perceptions of oral healthcare of aging adults in long\u2010term care settings","volume":"88","author":"Wintch PM","year":"2014","journal-title":"J Dent Hyg"},{"key":"e_1_2_9_28_1","first-page":"799","article-title":"Nursing staff's understanding of oral healthcare for patients with cancer diagnosis: an intervention study","volume":"8","author":"W\u00e5rdh I","year":"2008","journal-title":"J Clin Nurs"},{"key":"e_1_2_9_29_1","first-page":"125","article-title":"Oral health of individuals aged 3\u201080\u00a0years in J\u00f6nk\u00f6ping, Sweden during 30\u00a0years (1973\u20102003). 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