Provision of oral hygiene services as a potential method for preventing periodontal disease and control hypertension and diabetes in a community health centre in Korea
This study aimed to evaluate the effects of a community‐based oral hygiene service on general and periodontal health indicators of patients with hypertension and type 2 diabetes mellitus visiting a community health centre in Korea. The study used a one‐group pretest–posttest and interrupted time‐ser...
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Published in | Health & social care in the community Vol. 26; no. 3; pp. e378 - e385 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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England
Hindawi Limited
01.05.2018
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Abstract | This study aimed to evaluate the effects of a community‐based oral hygiene service on general and periodontal health indicators of patients with hypertension and type 2 diabetes mellitus visiting a community health centre in Korea. The study used a one‐group pretest–posttest and interrupted time‐series design. A total of 151 participants (45% male), with a mean age of 63 ± 8.4 years, were included in the study; these included patients with hypertension (62%), diabetes (12%) and both hypertension and diabetes (26%). Two dental hygienists dedicated 2 days per week to this project, providing oral hygiene services to 10–13 participants per day. Four oral hygiene service sessions were provided per patient. The objective oral hygiene status and subjective self‐reported periodontal status were compared before and after the service. The changes in blood pressure and glycosylated haemoglobin levels were also assessed. A lower frequency of subjective swelling was reported at the fourth session (37.9%) compared to the first (55.6%) session. Further, significantly fewer cases of calculus and bleeding were observed (p < .05), and significantly more patients reported having no gum problems at the fourth session (43.1% vs. 27.2%; p < .05) than at the first session. Finally, the participants maintained stable blood pressures at each of the four sessions, and their glycosylated haemoglobin levels were significantly lower at the fourth session. In conclusion, the findings of this study suggest that community oral hygiene services provided by dental hygienists can promote objective oral hygiene and subjective periodontal status in the local community, and may help in the control of hypertension and diabetes. |
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AbstractList | This study aimed to evaluate the effects of a community‐based oral hygiene service on general and periodontal health indicators of patients with hypertension and type 2 diabetes mellitus visiting a community health centre in Korea. The study used a one‐group pretest–posttest and interrupted time‐series design. A total of 151 participants (45% male), with a mean age of 63 ± 8.4 years, were included in the study; these included patients with hypertension (62%), diabetes (12%) and both hypertension and diabetes (26%). Two dental hygienists dedicated 2 days per week to this project, providing oral hygiene services to 10–13 participants per day. Four oral hygiene service sessions were provided per patient. The objective oral hygiene status and subjective self‐reported periodontal status were compared before and after the service. The changes in blood pressure and glycosylated haemoglobin levels were also assessed. A lower frequency of subjective swelling was reported at the fourth session (37.9%) compared to the first (55.6%) session. Further, significantly fewer cases of calculus and bleeding were observed (p < .05), and significantly more patients reported having no gum problems at the fourth session (43.1% vs. 27.2%; p < .05) than at the first session. Finally, the participants maintained stable blood pressures at each of the four sessions, and their glycosylated haemoglobin levels were significantly lower at the fourth session. In conclusion, the findings of this study suggest that community oral hygiene services provided by dental hygienists can promote objective oral hygiene and subjective periodontal status in the local community, and may help in the control of hypertension and diabetes. This study aimed to evaluate the effects of a community‐based oral hygiene service on general and periodontal health indicators of patients with hypertension and type 2 diabetes mellitus visiting a community health centre in Korea. The study used a one‐group pretest–posttest and interrupted time‐series design. A total of 151 participants (45% male), with a mean age of 63 ± 8.4 years, were included in the study; these included patients with hypertension (62%), diabetes (12%) and both hypertension and diabetes (26%). Two dental hygienists dedicated 2 days per week to this project, providing oral hygiene services to 10–13 participants per day. Four oral hygiene service sessions were provided per patient. The objective oral hygiene status and subjective self‐reported periodontal status were compared before and after the service. The changes in blood pressure and glycosylated haemoglobin levels were also assessed. A lower frequency of subjective swelling was reported at the fourth session (37.9%) compared to the first (55.6%) session. Further, significantly fewer cases of calculus and bleeding were observed (p < .05), and significantly more patients reported having no gum problems at the fourth session (43.1% vs. 27.2%; p < .05) than at the first session. Finally, the participants maintained stable blood pressures at each of the four sessions, and their glycosylated haemoglobin levels were significantly lower at the fourth session. In conclusion, the findings of this study suggest that community oral hygiene services provided by dental hygienists can promote objective oral hygiene and subjective periodontal status in the local community, and may help in the control of hypertension and diabetes. This study aimed to evaluate the effects of a community-based oral hygiene service on general and periodontal health indicators of patients with hypertension and type 2 diabetes mellitus visiting a community health centre in Korea. The study used a one-group pretest-posttest and interrupted time-series design. A total of 151 participants (45% male), with a mean age of 63 ± 8.4 years, were included in the study; these included patients with hypertension (62%), diabetes (12%) and both hypertension and diabetes (26%). Two dental hygienists dedicated 2 days per week to this project, providing oral hygiene services to 10-13 participants per day. Four oral hygiene service sessions were provided per patient. The objective oral hygiene status and subjective self-reported periodontal status were compared before and after the service. The changes in blood pressure and glycosylated haemoglobin levels were also assessed. A lower frequency of subjective swelling was reported at the fourth session (37.9%) compared to the first (55.6%) session. Further, significantly fewer cases of calculus and bleeding were observed (p < .05), and significantly more patients reported having no gum problems at the fourth session (43.1% vs. 27.2%; p < .05) than at the first session. Finally, the participants maintained stable blood pressures at each of the four sessions, and their glycosylated haemoglobin levels were significantly lower at the fourth session. In conclusion, the findings of this study suggest that community oral hygiene services provided by dental hygienists can promote objective oral hygiene and subjective periodontal status in the local community, and may help in the control of hypertension and diabetes. |
Author | Kim, Nam‐Hee Park, Su‐Kyung Kim, Chun‐Bae Lee, Min‐Young Lee, Ga‐Yeong Kim, Yeun‐Ju |
Author_xml | – sequence: 1 givenname: Nam‐Hee orcidid: 0000-0001-5463-0073 surname: Kim fullname: Kim, Nam‐Hee email: nami71@yonsei.ac.kr organization: Yonsei University – sequence: 2 givenname: Ga‐Yeong surname: Lee fullname: Lee, Ga‐Yeong organization: Yonsei University – sequence: 3 givenname: Su‐Kyung surname: Park fullname: Park, Su‐Kyung organization: Yonsei University – sequence: 4 givenname: Yeun‐Ju surname: Kim fullname: Kim, Yeun‐Ju organization: Yonsei University – sequence: 5 givenname: Min‐Young surname: Lee fullname: Lee, Min‐Young organization: Yonsei University – sequence: 6 givenname: Chun‐Bae surname: Kim fullname: Kim, Chun‐Bae organization: Hongcheon‐gun Hypertension and Diabetes Registration and Education Center |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29285823$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_3390_jcm11061517 crossref_primary_10_11149_jkaoh_2019_43_1_26 crossref_primary_10_1186_s12889_023_16012_z crossref_primary_10_1186_s12903_023_03272_9 crossref_primary_10_1186_s12889_022_14026_7 crossref_primary_10_1093_ajh_hpac119 crossref_primary_10_17135_jdhs_2018_18_6_327 |
Cites_doi | 10.1034/j.1600-051X.2002.290903.x 10.1016/j.evalprogplan.2009.05.001 10.1007/s10900-015-0102-5 10.11149/jkaoh.2015.39.3.207 10.1902/jop.2011.110227 10.5507/bp.2014.005 10.1111/idh.12102 10.1016/j.jdent.2014.03.006 10.1016/j.jebdp.2012.09.013 10.1093/ajh/hpv117 10.1038/sj.bdj.4806481 10.1111/j.1600-051X.2010.01587.x 10.1111/j.1600-051X.2004.00606.x 10.1111/j.1600-051X.1977.tb01889.x 10.4178/epih/e2015033 10.1111/jcpe.12637 10.1177/0193841X12474275 10.1016/j.pdpdt.2015.12.002 10.11149/jkaoh.2015.39.1.63 10.1111/jcpe.12290 10.1586/14779072.2016.1107477 10.1902/jop.2011.110327 10.1016/j.cct.2015.01.011 |
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Copyright | 2017 John Wiley & Sons Ltd 2017 John Wiley & Sons Ltd. Copyright © 2018 John Wiley & Sons Ltd |
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Keywords | chronic disease management integrated care oral hygiene services diabetes hypertension community intervention |
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SubjectTerms | Bleeding Blood pressure chronic disease management Community Community health services community intervention Dental hygienists Diabetes Gum disease Health indicators Health problems Health services Health status Hemoglobin Hygiene Hypertension integrated care Oral hygiene oral hygiene services Patients Prevention Type 2 diabetes mellitus |
Title | Provision of oral hygiene services as a potential method for preventing periodontal disease and control hypertension and diabetes in a community health centre in Korea |
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