{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:01:08Z","timestamp":1790769668077,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To substantiate the effectiveness of shortened outreach periodontal therapy in nursing home residents with periodontitis, we evaluated additional professional brushing every two weeks in a prospective extension study using historical comparison groups from a previously published randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>\n                      Participants receiving shortened outreach periodontal therapy with additional professional brushing every two weeks (intervention with brushing, IWB) were prospectively enrolled and compared with historical participants from a previously published randomized trial, including an intervention\u2010only group (IO) and untreated controls. Primary outcome: bleeding on probing (BOP); secondary outcomes: plaque index (PI), probing pocket depth (PPD). Assessments were made at baseline and three months. Fifty\u2010four participants (18 per group) were included. At three months, only IWB reduced BOP compared with baseline (\u0394BOP \u221220 \u00b1 20 percentage points;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.002), with greater reductions than controls (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) but not IO (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.203). Both PI and PPD decreased with IWB (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005 and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.001\u00a0vs. baseline, respectively) and IO (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.014 and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005), but not in controls. The reduction in PPD (but not PI) was greater with IWB and IO than in controls (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Additional professional brushing every two weeks provided clinical benefits beyond shortened outreach periodontal therapy, particularly regarding periodontal inflammation, but did not fully compensate for inadequate daily oral hygiene.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration<\/jats:bold>\n                      : German Clinical Trials Register (DRKS), registration number DRKS00029392\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70270","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:30:18Z","timestamp":1790767818000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Professional Brushing Following Shortened Outreach Periodontal Therapy in Nursing Home Residents: A Prospective Extension Study With Historical Comparisons"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0169-2582","authenticated-orcid":false,"given":"Anna Greta","family":"Barbe","sequence":"first","affiliation":[{"name":"Faculty of Medicine and University Hospital Cologne, Polyclinic for Operative Dentistry and Periodontology University of Cologne  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5631-2869","authenticated-orcid":false,"given":"Franka","family":"Lefering","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and University Hospital Cologne, Polyclinic for Operative Dentistry and Periodontology University of Cologne  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5174-928X","authenticated-orcid":false,"given":"Martin","family":"Hellmich","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and University Hospital Cologne, Institute of Medical Statistics and Computational Biology (IMSB) University of Cologne  K\u00f6ln Germany"},{"name":"Department of Medical Statistics University Medical Center G\u00f6ttingen Georg\u2010August\u2010University  G\u00f6ttingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7390-1557","authenticated-orcid":false,"given":"Max von","family":"Kohout","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and University Hospital Cologne, Institute of Medical Statistics and Computational Biology (IMSB) University of Cologne  K\u00f6ln Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2239-6010","authenticated-orcid":false,"given":"Sonja H. M.","family":"Derman","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and University Hospital Cologne, Polyclinic for Operative Dentistry and Periodontology University of Cologne  Cologne Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5294-8853","authenticated-orcid":false,"given":"Dirk","family":"Bleiel","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and University Hospital Cologne, Polyclinic for Operative Dentistry and Periodontology University of Cologne  Cologne Germany"},{"name":"Joint Dental Practice Dres. Pia und Dirk Bleiel  Rheinbreitbach Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010019\u201041207\u2010z"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13020"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100501.2007.01459.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1002\/j.0022-0337.2005.69.9.tb03995.x","article-title":"Dental Care for Aging Populations in Denmark, Sweden, Norway, United kingdom, and Germany","volume":"69","author":"Holm\u2010Pedersen P.","year":"2005","journal-title":"Journal of Dental Education"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16214132"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12724"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741\u20102358.2012.00651.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955\u2010015\u20100300\u2010y"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741\u20102358.2012.00637.x"},{"key":"e_1_2_11_11_1","first-page":"144","article-title":"An Umbrella Review of Systematic Reviews of the Evidence of a Causal Relationship Between Periodontal Microbes and respiratory Diseases: Position Paper From the Canadian Dental Hygienists Association","volume":"54","author":"Lavigne S. 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