Extending Dental Care to Nursing Home Residents to Reduce Mouth Infections and Incidence of Pneumonia and Improve Diabetic Glucose Control

Part of paid clinical trials in Jefferson City, Missouri.

Sponsor
Missouri Department of Health and Senior Services
Study ID
NCT06890676
Status
Recruiting
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Conditions

  • Diabetes
  • Gingivitis
  • Oral Infections
  • Periapical Infections
  • Periodontal Disease
  • Periodontal Infections
  • Periodontitis
  • Pneumonia

Eligibility Criteria

Sex
ALL
Age
60 Years - 100 Years
Healthy Volunteers
Accepted

Interventions

  • Comprehensive Oral Evaluation — OTHER
    A thorough check-up of teeth, gums, and surrounding tissues, including medical and dental history, to assess overall oral health and identify any infections.
  • Intraoral Complete Radiographic Series — OTHER
    A series of x-rays of the whole mouth intended to display the, teeth, roots, periapical areas, bone, and areas without teeth.
  • • Teledentistry-synchronous and asynchronous — OTHER
    The delivery or coordination of care for a patient using synchronous; real-time or aysnchronous communication between care providers or between care providers and a patient.
  • Periodontal Therapy — PROCEDURE
    A therapeutic procedure designed to remove plaque and calculus (hardened plaque) causing gum infections that can lead to tooth loss and other medical complications.
  • Periodontal Maintenance Procedure — PROCEDURE
    A periodic evaluation and therapeutic support procedure for patients with a history of gum infections.
  • Application of Caries Arresting Medicament — PROCEDURE
    Topical application of decay arresting or inhibiting medicament.
  • Oral Hygiene Assistance — OTHER
    Dental procedures aimed at educating patients on, and assisting patients with ,proper oral hygiene practices removing food debris, germ-laden plaque, and soft tartar using cloth wipes, toothbrush, floss, and using oral hygiene aids.
  • Referral for Treatment of Acute Oral Infection — PROCEDURE
    Diagnosis and treatment of oral infection outside the scope of a dental hygienist or Expanded Function Dental Assistant.

Study Details

The goal of this study is to learn if dental infection control treatment delivered to older adult nursing home residents at their place of residence will result in : * improved dental health * reduced risk of pneumonia * better glucose control for diabetic patients compared to the pre-project dental and general health evaluations of residents and the pre-project facility incidence of pneumonia. Dental infection control treatment includes treating gum infections, stopping or slowing decay with fluoride, and assisting residents with effective tooth brushing and denture cleaning daily. Previous studies indicate dental infections can be inhaled and cause pneumonia or make diabetes worse. A shortage of dentists has limited care for nursing home residents. This project will allow dental hygienists and specially trained dental assistants to treat nursing home residents using telehealth methods (computers, cameras, internet, and telephone) to talk and work with dentists in different locations.

Key Dates

Start date
Mar 1, 2024
Status verified
Mar 2025
Primary completion
Aug 28, 2026
Completion
Aug 28, 2026

Study Design

Enrollment
150 participants (estimated)
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT

Arms

  • Experimental: Infection Control Arm
    * Dental Hygienists and EFDA Teams travel to nursing homes and gather medical and dental data for residents participating in the study while collaborating with distant dentists using telehealth. * Clinical data is sent to the supervising dentist, who reviews medical history, assigns an ASA class and Frailty class, and prescribes an infection control treatment plan. * Emergent infections outside the scope of hygienists / EFDAs result in a transport order for care to an outside facility. * Hygienist/EFDA teams treat residents in their facility for gum infections, stabilize decay with fluoride and temporary fillings, and clean dentures. * The hygienist/EFDA team teaches LTCF staff oral hygiene assistance techniques to help residents with daily care and minimize reinfection. * The hygienist and EFDA team will continue to see LTCF residents at regular intervals to provide maintenance care, collect data, and monitor progress. * Treatment Outcome Data collected.

Primary Outcome Measure

Periodontal Health [ Time Frame: One year from the delivery of the infection control interventional care ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Office of Dental Health, Department of Health and Senior ServicesJefferson CityMissouri65102-

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Office of Dental Health, Department of Health and Senior Services· Jefferson City, MO

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