Improving dental care for nursing home residents to reduce infections and enhance diabetes control
Extending Infection Control Dental Care to Nursing Home Residents Using Telehealth-Mediated Supervision: a Novel Solution to Nursing Home Acquired Pneumonia Morbidity and Mortality.
This study tests if better dental care for nursing home residents can help reduce infections and improve diabetes control.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 150 (estimated) |
| Ages | 60 Years to 100 Years |
| Sex | All |
| Sponsor | Missouri Department of Health and Senior Services Academic / other |
| Locations | 1 site (Jefferson City, Missouri) |
| Trial ID | NCT06890676 on ClinicalTrials.gov |
What this trial studies
This study aims to provide dental infection control treatment to older adult residents in nursing homes, assessing its impact on dental health, pneumonia incidence, and glucose control in diabetic patients. The intervention includes treating gum infections, applying fluoride, and assisting with daily oral hygiene through telehealth methods involving dental hygienists and assistants. The effectiveness of this approach will be evaluated by comparing health outcomes before and after the treatment over a one-year period. The study also includes a mentoring program for nursing home staff to improve oral hygiene practices.
Who should consider this trial
Good fit: Ideal candidates are adults over 60 years old residing in nursing homes or communal care settings with manageable health conditions.
Not a fit: Patients under 60 years old or those with severe health issues that complicate treatment may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly improve dental health and overall well-being for nursing home residents, potentially reducing pneumonia and enhancing diabetes management.
How similar studies have performed: Previous studies have indicated that addressing dental infections can lead to improved health outcomes, suggesting this approach may be effective.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult \> 60 years of age residing in a nursing home or communal care setting; * Review of Medical history results in an assigned American Society of Anesthesiologists Physical Status Evaluation of Class II or III; * Frailty Assessment of Low or Moderate using the Modified FRAIL Questionnaire; * Consent is required for study participation, disease control oral healthcare, and access to medical records. Exclusion Criteria: * Age \< 60; * American Society of Anesthesiologists Physical Status Evaluation of Class IV or V; * High frailty evaluation using the Modified FRAIL Questionnaire; * Resident deemed behaviorally or physically difficult to treat by initial clinical assessment.
Where this trial is running
Jefferson City, Missouri
- Office of Dental Health, Department of Health and Senior Services — Jefferson City, Missouri, United States (Recruiting)
Study contacts
- Study coordinator: Julie Boeckman
- Email: julie.boeckman@health.mo.gov
- Phone: 573-751-6249
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.