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[Effect of an oral function improvement program based on remote intervention].

Haruko Sekiguchi1, Shuichi Obuchi, Narumi Kojima

  • 1Tokyo Metropolitan Institute of Gerontology.

Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
|July 10, 2010
PubMed
Summary

Remote intervention by dental hygienists significantly improved oral function in seniors. The program enhanced swallowing, articulation, chewing, and oral health-related quality of life (QOL) through non-specialist coordinators.

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Area of Science:

  • Gerontology
  • Dental Hygiene
  • Public Health

Context:

  • Aging populations face challenges in maintaining oral function.
  • Remote healthcare interventions are increasingly important for elderly populations.
  • Non-specialist assistants can bridge the gap in delivering specialized care.

Purpose:

  • To evaluate the effectiveness of a remote oral function improvement program for senior citizens.
  • To assess the role of non-specialist coordinators in facilitating remote dental hygiene interventions.
  • To measure changes in mastication, swallowing, articulation, and oral health-related quality of life (QOL).

Summary:

  • A 55-participant study involving senior citizens (≥65 years) on Pacific islands in the greater Tokyo area utilized a remote oral function improvement program.

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  • Dental hygienists trained non-specialist coordinators who acted as intermediaries for participants performing daily home-based exercises.
  • Weekly fax communication facilitated feedback and technical advice between dental hygienists and coordinators, ensuring program adherence and addressing participant queries.

    • Impact:

    • Significant improvements were observed in swallowing tests (saliva swallowing), articulation (oral diadochokinesis), and mastication ability.
    • Oral health-related quality of life (QOL), measured by the general oral health assessment index, significantly increased, with improvements noted in dental hygiene aspects.
    • The study demonstrates the efficacy of a remotely managed oral function program, highlighting the value of dental hygienist-led interventions facilitated by community coordinators for the elderly.