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Related Experiment Video

Updated: Oct 29, 2025

Oral Health Assessment by Lay Personnel for Older Adults
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Toothbrushing compliance tracking in a nursing home setting using telemonitoring-enabled powered toothbrushes.

Stefan Rahr Wagner1, Cecilie Lautrup Dahl Eriksen2, Børge Hede3

  • 1Department of Electrical and Computer Engineering, Aarhus University, Finlandsgade 22, Aarhus, 8200, Denmark. sw@ece.au.dk.

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Telemonitoring-enabled toothbrushes can track oral hygiene compliance in nursing homes. While toothbrushing compliance was low, plaque and bleeding scores improved, but gains were lost after monitoring ceased.

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Area of Science:

  • Gerontology
  • Oral Health
  • Health Informatics

Background:

  • Nursing home residents with disabilities often require assistance with personal hygiene, including toothbrushing.
  • Current methods for tracking toothbrushing compliance in this population are inadequate, with low adherence rates.
  • The need for effective monitoring of oral hygiene practices in long-term care facilities is critical.

Purpose of the Study:

  • To assess toothbrushing compliance levels among nursing home residents.
  • To evaluate the relevance and practicality of telemonitoring-powered toothbrushes for automated compliance tracking.
  • To investigate the impact of this intervention on plaque and bleeding scores.

Main Methods:

  • Twenty nursing home residents were equipped with telemonitoring-enabled powered toothbrushes.
  • Toothbrushing frequency and duration were automatically recorded over 100 days.
  • Plaque and bleeding indices were assessed by dentists at baseline, post-intervention, and three months later.

Main Results:

  • A minority (5%) met the 2-minute brushing recommendation; 30% met the 1-minute minimum.
  • Approximately 25% of participants brushed once daily, while 40% received no daily brushing.
  • Significant improvements in plaque and bleeding scores were observed during the intervention period.

Conclusions:

  • Telemonitoring-powered toothbrushes are a relevant and practical tool for monitoring oral hygiene compliance in nursing homes.
  • Despite low compliance, the intervention led to measurable improvements in oral health indicators.
  • The positive effects on plaque and bleeding scores were not sustained after the removal of the telemonitoring system.