{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T11:27:12Z","timestamp":1786793232687,"version":"build-2736575974"},"reference-count":48,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Kamprad Family Foundation for Entrepreneurship","award":["20210055"],"award-info":[{"award-number":["20210055"]}]},{"name":"Research and Charity"},{"name":"Region Dalarna public dental service","award":["RD20\/03073"],"award-info":[{"award-number":["RD20\/03073"]}]},{"name":"Regional Research Council Mid Sweden","award":["RFR-939483"],"award-info":[{"award-number":["RFR-939483"]}]},{"name":"Regional Research Council Mid Sweden","award":["RFR-980070"],"award-info":[{"award-number":["RFR-980070"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Community Dental Health"],"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    The trial aimed to study the additive effect of domiciliary professional dental cleaning on root caries lesions (RCLs), oral hygiene outcomes and oral health-related quality of life (OHRQoL) in care-dependent older adults with in-home care that use high fluoride toothpaste, compared with oral care as usual for a year.\n                    <jats:bold>Basic research design:<\/jats:bold>\n                    Parallel-group evaluator-blinded randomized controlled trial.\n                    <jats:bold>Clinical settings:<\/jats:bold>\n                    Participants own home in Sweden.\n                    <jats:bold>Participants:<\/jats:bold>\n                    194 care-dependent with in-home care aged \u226565 years and \u22651 natural tooth were randomized (1:1) in blocks by computer-generated sequence. 149 were available at baseline (intervention (I) = 80, control (C) = 69). All were provided with toothbrushes and high-fluoride toothpaste (5,000 ppm F) for daily use.\n                    <jats:bold>Intervention:<\/jats:bold>\n                    Domiciliary professional dental cleaning and oral hygiene instructions by dental assistant, every third month.\n                    <jats:bold>Main outcomes:<\/jats:bold>\n                    The primary outcome was RCLs progression. Secondary outcomes were gingival bleeding, oral hygiene, hyposalivation and OHRQoL, registered at baseline and after 1\u00a0year by dental hygienists.\n                    <jats:bold>Results:<\/jats:bold>\n                    Due to high attrition (45%), 82 individuals remained (I = 50, C = 32) after 1\u00a0year resulting in an underpowered study. The number of subjects assessed with RCLs progression was 11 (22.0%) in I group and 9 (28.1%) in C. With the use of per protocol analysis, no significant differences between groups were seen for any of the outcomes.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Domiciliary professional dental cleaning to care-dependent older adults does not seem to have any additive preventing effect on RCLs to daily toothbrushing with high-fluoride toothpaste. This suggests that focus be maintaining good daily oral health routines rather than home-care visits to maintain oral health.\n                  <\/jats:p>","DOI":"10.1177\/0265539x261476626","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T07:07:49Z","timestamp":1786518469000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of home-based professional dental cleaning on oral health and oral health-related quality of life in care-dependent older adults \u2013 a randomized controlled trial"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1304-0661","authenticated-orcid":false,"given":"Elisabeth","family":"Mor\u00e9n","sequence":"first","affiliation":[{"name":"Karolinska Institute"},{"name":"Folktandv\u00e5rden Region Dalarna"},{"name":"Department of Public Health and Caring Sciences, Centre for Clinical Research Dalarna"},{"name":"Uppsala University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Gabre","sequence":"additional","affiliation":[{"name":"Uppsala University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petteri","family":"Sj\u00f6gren","sequence":"additional","affiliation":[{"name":"Sahlgrenska University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inger","family":"W\u00e5rdh","sequence":"additional","affiliation":[{"name":"Karolinska Institute"},{"name":"Karlstad University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Skott","sequence":"additional","affiliation":[{"name":"Karolinska Institute"},{"name":"Folktandv\u00e5rden Stockholm AB"},{"name":"Department of Dental Medicine, Karolinska Institute, the Public Dental Service, the Stockholm County Council, and the Stockholms Sjukhem Foundation, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12368"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.1990.54.11.tb02481.x"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.09.004"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000479352"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/phar.4605"},{"key":"e_1_3_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2021.103607"},{"issue":"9","key":"e_1_3_8_8_1","first-page":"2063","article-title":"Assessment of oral health related quality of life among completely edentulous patients in western India by using GOHAI","volume":"7","author":"Dable RA","year":"2013","unstructured":"Dable RA, Nazirkar GS, Singh SB, et al. 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