Findings

What do systematic reviews say?

2,556 questions · 2,794 findings · 119 reviews · Oral Health

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No studies found 489 · 17.5%GRADE not reported 1,719 · 61.5%Very low 399 · 14.3%Low 128 · 4.6%Moderate 58 · 2.1%High 1 · 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

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

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

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

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
6 to 18 months
SoF: Caries/root caries (follow-up 6 to 18 months). No meta-analysis. 178 participants (2 RCTs); low quality. Comment: 2 studies at unclear (Frenkel 2001) or high risk of bias (Mojon 1998) showed no apparent…
2 studies · 178 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

Nutritional status · 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 nutritional status compared with (Optimised) usual care; GRADE not reported.

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
OR 1.0 [0.3, 3.1]
1 study
GRADE not reported

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

Oral health-related attitude of nursing staff · Nursing home nursing staff (approximately 95% female in the two contributing studies)

Educational intervention with information and practical components… showed no clear difference in oral health-related attitude of nursing staff compared with (Optimised) usual care; GRADE not reported.

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
SMD 0.30 [-0.23, 0.83]
2 studies · 459 participants
GRADE not reported

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

Oral health-related knowledge of nursing staff · Nursing home nursing staff (approximately 95% female in the two contributing studies)

Educational intervention with information and practical components… showed no clear difference in oral health-related knowledge of nursing staff compared with (Optimised) usual care; GRADE not reported.

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
SMD 0.94 [-0.04, 1.92]
2 studies · 453 participants
GRADE not reported

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

Incidence of respiratory diseases and pneumonia · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

The review found no eligible studies for this question.

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
None of the included studies assessed incidence of respiratory diseases or pneumonia.
0 studies
No studies found

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

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

The review found no eligible studies for this question.

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
SoF row 'Oral health': Illustrative risks -, relative effect -, participants/studies -, quality -; Comment: Outcome not reported. Not measured in any included study.
0 studies
No studies found

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

Oral health-related behaviour of residents · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
One study (Bellomo 2005) assessed oral health-related behaviour of residents; 60 residents were interviewed about toothbrushing habits. Use of toothbrushes and the frequency of brushing during the study period were…
1 study · 60 participants
GRADE not reported

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

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
6 to 18 months
SoF: Denture-induced stomatitis (method of Budtz-Jorgensen; follow-up 6 to 18 months). No meta-analysis (data not comparable). 417 participants (2 RCTs); low quality. Comment: 2 studies at unclear (Frenkel 2001) or…
2 studies · 417 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

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

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
3 to 6 months
SoF: Gingivitis (Gingival Bleeding Index and method of Suomi; follow-up 3 to 6 months). No meta-analysis (data not comparable). 245 participants (3 RCTs); low quality. Comment: 3 studies at unclear risk of bias showed…
3 studies · 245 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

Oral health-related quality of life · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

The review found no eligible studies for this question.

1 finding from 1 review

Oral health educational interventions for nursing home staff and residents 2016 · Cochrane All outcomes
SoF row 'Oral health-related quality of life': Illustrative risks -, relative effect -, participants/studies -, quality -; Comment: Outcome not reported. Not measured in any included study.
0 studies
No studies found

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

A 10-minute film followed by the same 30-minute one-to-one hygienist instruction on sugar consumption and dental health, plus oral hygiene, fluoride and regular visits (a multi-intervention) vs No special instructions (control)

Mean sugar consumption (self-reported, 1 to 5 scale; higher score = more positive behaviour) · Adults newly registered at a group dental practice in a suburban Dutch village, the Netherlands

1 finding from 1 review

One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes
6 to 12 months
Table 3, mean (SD) sugar consumption (1-5 scale): film-plus-instruction group 3.53 (1.27) at baseline to 3.06 (1.12) at follow-up (significant versus baseline); control 2.89 (0.99) to 2.88 (1.27). Results judged…
1 study
GRADE not reported

30 minutes of one-to-one instruction by a dental hygienist covering the relationship between sugar consumption and dental health, plus oral hygiene, fluoride and regular dental visits (a multi-intervention) vs No special instructions (control)

Mean sugar consumption (self-reported, 1 to 5 scale; higher score = more positive behaviour) · Adults newly registered at a group dental practice in a suburban Dutch village, the Netherlands

1 finding from 1 review

One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes
6 to 12 months
Table 3, mean (SD) sugar consumption (1-5 scale): instruction group 3.41 (1.50) at baseline to 3.58 (1.07) at follow-up (significant versus baseline); control 2.89 (0.99) to 2.88 (1.27). The review judges the results…
1 study
GRADE not reported

Individually designed, patient-centred preventive programme: dietary counselling (snacking timing, regular meals, fermentable carbohydrates) plus toothbrushing counselling, delivered by trained dental hygienists (a multi-intervention) vs Basic prevention offered as standard in public dental clinics

Nibbling less than daily · Children aged 11 to 12 years with at least one active initial caries lesion, screened in a town in Finland

1 finding from 1 review

One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes
2 to 4 years
Table 2: 52% (130) versus 53% (131) at follow-up (baseline 41% versus 44%). No significant change.
1 study · 497 participants
GRADE not reported

Individually designed, patient-centred preventive programme: dietary counselling (snacking timing, regular meals, fermentable carbohydrates) plus toothbrushing counselling, delivered by trained dental hygienists (a multi-intervention) vs Basic prevention offered as standard in public dental clinics

Eating candy less than daily · Children aged 11 to 12 years with at least one active initial caries lesion, screened in a town in Finland

1 finding from 1 review

One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes
2 to 4 years
Table 2: 86% (215) intervention versus 83% (205) control at follow-up (baseline 74% versus 77%). No significant change.
1 study · 497 participants
GRADE not reported

Individually designed, patient-centred preventive programme: dietary counselling (snacking timing, regular meals, fermentable carbohydrates) plus toothbrushing counselling, delivered by trained dental hygienists (a multi-intervention) vs Basic prevention offered as standard in public dental clinics

Drinking soft drinks less than daily · Children aged 11 to 12 years with at least one active initial caries lesion, screened in a town in Finland

1 finding from 1 review

One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes
2 to 4 years
Table 2: 77% (193) versus 75% (185) at follow-up (baseline 71% versus 69%). No significant change.
1 study · 497 participants
GRADE not reported

Individually designed, patient-centred preventive programme: dietary counselling (snacking timing, regular meals, fermentable carbohydrates) plus toothbrushing counselling, delivered by trained dental hygienists (a multi-intervention) vs Basic prevention offered as standard in public dental clinics

Caries increment on tooth surfaces (dmfs/DMFS) (prevented fraction) · Children aged 11 to 12 years with at least one active initial caries lesion, screened in a town in Finland

2 findings from 1 review

One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes
4 years
Mean (95% CI) DMFS increment after 4 years: intervention 2.56 (2.07 to 3.05) versus control 4.60 (3.99 to 5.21); significant difference favouring the intervention (P<0.0001; non-overlapping CIs). No between-group point…
1 study · 497 participants
GRADE not reported
One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes
2 years
Mean (95% CI) DMFS increment after 2 years: intervention 1.86 (1.50 to 2.21) versus control 2.44 (2.12 to 2.77); significant difference favouring the intervention (P<0.05, comparing intervention and control). No…
1 study · 497 participants
GRADE not reported

Individually designed, patient-centred preventive programme: dietary counselling (snacking timing, regular meals, fermentable carbohydrates) plus toothbrushing counselling, delivered by trained dental hygienists (a multi-intervention) vs Basic prevention offered as standard in public dental clinics

Eating healthy snacks at least twice per day · Children aged 11 to 12 years with at least one active initial caries lesion, screened in a town in Finland

1 finding from 1 review

One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes
2 to 4 years
Table 2: 71% (178) versus 68% (168) at follow-up (baseline 69% versus 65%). No significant change.
1 study · 497 participants
GRADE not reported

Individually designed, patient-centred preventive programme: dietary counselling (snacking timing, regular meals, fermentable carbohydrates) plus toothbrushing counselling, delivered by trained dental hygienists (a multi-intervention) vs Basic prevention offered as standard in public dental clinics

Eating warm meals more than twice per day · Children aged 11 to 12 years with at least one active initial caries lesion, screened in a town in Finland

1 finding from 1 review

One‐to‐one dietary interventions undertaken in a dental setting to change dietary behaviour 2012 · Cochrane All outcomes
2 to 4 years
Table 2: 77% (193) versus 81% (200) at follow-up (baseline 83% versus 74%, a significant baseline difference). No significant change at follow-up.
1 study · 497 participants
GRADE not reported