{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:49:23Z","timestamp":1789138163968,"version":"build-2803163510"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T00:00:00Z","timestamp":1720742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006359","name":"Blekinge Tekniska H\u00f6gskola","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008408","name":"H\u00f6gskolan Kristianstad","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008408","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The number of older individuals with mild cognitive impairment and neurocognitive diseases is increasing, which may rapidly deteriorate oral health and Quality of life. Therefore, removing dental biofilm is essential for maintaining good oral health. The present study aimed to investigate whether introducing a powered toothbrush reduces the presence of dental plaque, bleeding on probing, and periodontal pockets \u22654\u00a0mm, leading to maintained or improved oral health and improved Quality of life in a group of older individuals with mild cognitive impairment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two hundred and thirteen individuals aged 55 or older living without official home care with a Mini\u2013Mental State Examination (MMSE) score between 20 and 28 and a history of memory problems in the previous 6 months were recruited and screened for the study. The individuals received a powered toothbrush and thorough instructions on how to use it. Clinical oral examinations, Quality of life examinations, and MMSE tests were conducted at baseline, 6, 12, and 24 months. The intervention group was compared to control groups at baseline and 24\u2010month examination. It was divided into an MMSE high group with a score of more than 26 and an MMSE low group with a score of 26 and lower or decreasing two steps or more for 12 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>PI, BOP, and PPD\u22654\u00a0mm improved continuously in both MMSE groups during the 24 months of the study. The values for QoL\u2010AD deteriorated over time, while the oral health\u2010related Quality of life did not show any statistically significant changes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Introducing a powered toothbrush improved PI, BOP, and PPD\u22654\u00a0mm over 24 months, even among individuals with low or declining MMSE scores. Improved oral health is associated with a preserved OHR\u2010QoL.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.13040","type":"journal-article","created":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T08:58:02Z","timestamp":1720774682000},"page":"1700-1708","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The long\u2010term effect on oral health and quality of life using a powered toothbrush in individuals with mild cognitive impairment. An intervention trial"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9148-9582","authenticated-orcid":false,"given":"Johan","family":"Flyborg","sequence":"first","affiliation":[{"name":"Department of Health Blekinge Institute of Technology  Karlskrona Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Renvert","sequence":"additional","affiliation":[{"name":"Department of Health Blekinge Institute of Technology  Karlskrona Sweden"},{"name":"Faculty of Health Sciences Kristianstad University  Kristianstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9870-8477","authenticated-orcid":false,"given":"Peter","family":"Anderberg","sequence":"additional","affiliation":[{"name":"Department of Health Blekinge Institute of Technology  Karlskrona Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Sanmartin\u2010Berglund","sequence":"additional","affiliation":[{"name":"Department of Health Blekinge Institute of Technology  Karlskrona Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,12]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12213"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2020.05.018"},{"key":"e_1_2_15_4_1","unstructured":"Ageing and health.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/ageing\u2010and\u2010health"},{"key":"e_1_2_15_5_1","unstructured":"Hemstr\u00f6m\u00d6.Statistics Sweden\u2010Forecast on deaths and life expectancy in 2020.2020;23. ISSN: 1654-1510.www.scb.se"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67889-0"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2012.11.007"},{"key":"e_1_2_15_8_1","first-page":"317","article-title":"Diagnostic stability of mild cognitive impairment, and predictors of reversion to normal cognitive functioning","volume":"13","author":"Overton M","year":"2020","journal-title":"Dement Geriatr Cogn Disord"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(19)30283-2"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2010.00396.x"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14697"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2016.12.022"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcsm.13081"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2014.1931"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1533317516673155"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7296.1240"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-016-1934-9"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnz105"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2012.747083"},{"key":"e_1_2_15_20_1","doi-asserted-by":"crossref","unstructured":"YaacobM WorthingtonHV DeaconSA.Powered versus manual toothbrushing for oral health.Cochrane Database Syst Rev.2014;(6): Art. No.: CD002281.","DOI":"10.1002\/14651858.CD002281.pub3"},{"key":"e_1_2_15_21_1","first-page":"323","article-title":"The Oral\u2010B CrossAction manual toothbrush: a 5\u2010year literature review","volume":"72","author":"Cugini M","year":"2006","journal-title":"J Can Dent Assoc"},{"key":"e_1_2_15_22_1","unstructured":"Support.Monitoring and Reminder Technology for Mild Dementia | SMART4MD Project | Fact Sheet | H2020 | CORDIS | European Commission.https:\/\/cordis.europa.eu\/project\/id\/643399"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_15_24_1","article-title":"Mini\u2010Mental State Examination (MMSE) for the detection of Alzheimer's disease and other dementias in people with mild cognitive impairment (MCI)","volume":"2015","author":"Arevalo\u2010Rodriguez I","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_15_25_1","unstructured":"Oral\u2010B Genius 8000N Silver eltandborste | Oral\u2010B.https:\/\/www.oralb.se\/sv\u2010se\/produkter\/eltandborstar\/oral\u2010b\u2010genius\u20108000n\u2010silver\u2010eltandborste"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.1979.tb00670.x"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1996.67.6.555"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-200205000-00016"},{"key":"e_1_2_15_29_1","first-page":"3","article-title":"Development and evaluation of the Oral Health Impact Profile","volume":"11","author":"Slade GD","year":"1994","journal-title":"Community Dent Health"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016350410001496"},{"key":"e_1_2_15_31_1","unstructured":"SNAC.\u00c4ldrecentrumhttps:\/\/aldrecentrum.se\/snac\u2010k\/"},{"key":"e_1_2_15_32_1","unstructured":"SPSS Statistics | IBM.https:\/\/www.ibm.com\/products\/spss\u2010statistics"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12372"},{"key":"e_1_2_15_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12619"},{"key":"e_1_2_15_35_1","unstructured":"tandh\u00e4lsa.https:\/\/www.srat.se\/tandhygienistforening\/aktuellt\/2024\/5\/aldre\u2010har\u2010fler\u2010kvarvarande\u2010tander\/"},{"key":"e_1_2_15_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2011.00542.x"},{"key":"e_1_2_15_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/jnr.24745"},{"key":"e_1_2_15_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12992"},{"key":"e_1_2_15_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2016.09.013"},{"key":"e_1_2_15_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e31826ce640"},{"key":"e_1_2_15_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04064.x"},{"key":"e_1_2_15_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-017-2264-2"},{"key":"e_1_2_15_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-015-0300-y"},{"key":"e_1_2_15_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1981"},{"key":"e_1_2_15_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2019.08.015"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.13040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T13:45:07Z","timestamp":1731505507000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.13040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,12]]},"references-count":44,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/scd.13040"],"URL":"https:\/\/doi.org\/10.1111\/scd.13040","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"value":"0275-1879","type":"print"},{"value":"1754-4505","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,12]]},"assertion":[{"value":"2024-04-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}