Findings

What do systematic reviews say?

5 questions · 7 findings · 2 reviews · Dental public health and special care

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No studies found 0 · 0%GRADE not reported 1 · 14.3%Very low 3 · 42.9%Low 3 · 42.9%Moderate 0 · 0%High 0 · 0%

Educational intervention with information and practical components (theoretical oral health education plus practical skills training) for nursing staff and/or residents vs (Optimised) usual care

Plaque · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

Educational intervention with information and practical components… showed no clear difference in dental plaque compared with (Optimised) usual care (low certainty).

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
3 to 60 months
MD -0.04 [-0.26, 0.17]
6 studies · 437 participants
Low

Educational intervention with information and practical components (theoretical oral health education plus practical skills training) for nursing staff and/or residents vs (Optimised) usual care

Denture plaque · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

Educational intervention with information and practical components… showed no clear difference in denture plaque compared with (Optimised) usual care (low certainty).

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
3 to 60 months
SMD -0.60 [-1.25, 0.05]
5 studies · 816 participants
Low

Electric toothbrush (self, carer or carer-assisted brushing) vs Manual toothbrush

Plaque · Children and adults with mixed levels of ID; setting home, residential, day care, school, mixed or not specified

Electric toothbrush (self, carer or carer-assisted brushing) showed no clear difference in plaque (medium term) compared with manual toothbrush (self, carer or carer-assisted brushing) (low certainty).

2 findings from 1 review

Oral hygiene interventions for people with intellectual disabilities 2019 · Cochrane All outcomes
Medium term (6 weeks to 12 months)
SMD 0.29 [-0.07, 0.65]
2 studies · 120 participants
Low
Oral hygiene interventions for people with intellectual disabilities 2019 · Cochrane All outcomes
Short term (<6 weeks)
Assorted plaque indices scale 0-5, 1-4 weeks; 247 participants (4 RCTs); Very Low. Uncertain effect on plaque short term: 2 studies (69 participants) favoured the electric toothbrush; 2 studies (178 participants)…
4 studies · 247 participants
Very low

Special manual toothbrush (self, carer or carer-assisted brushing) vs Manual toothbrush

Plaque · Children and adults with mixed levels of ID; setting home, residential, day care, school, mixed or not specified

It is very uncertain whether special manual toothbrush (self, carer or carer-assisted brushing) changes plaque (short term) compared with conventional manual toothbrush (self, carer or carer-assisted… (very low certainty).

2 findings from 1 review

Oral hygiene interventions for people with intellectual disabilities 2019 · Cochrane All outcomes
Short term (<6 weeks)
MD 0.20 [-0.45, 0.85]
1 study · 25 participants
Very low
Oral hygiene interventions for people with intellectual disabilities 2019 · Cochrane All outcomes
Medium term (6 weeks to 12 months)
MD -0.44 [-0.93, 0.05]
1 study · 18 participants
Very low

Educational intervention with information only (theoretical dental health education, no practical training) vs usual care

Denture plaque · Residents of institutions for elderly people (nursing staff and residents took part in the education programme)

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
One study (Schou 1989), at unclear risk of bias and analysing 114 residents, provided insufficient evidence to determine whether denture plaque scores are lower when educating residents or nursing staff without…
1 study · 114 participants
GRADE not reported