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Volume 34, Issue 1 (1-2024)
JHNM 2024, 34(1): 48-63 |
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Azami-Aghdash S, Pournaghi-Azar F, Nouri M, Mohseni M, Aghaei M H. Effectiveness of Community-based Interventions in Improving the Oral & Dental Health of the Elderly People: A Systematic Review and Meta-analysis. JHNM 2024; 34 (1) :48-63
URL: http://hnmj.gums.ac.ir/article-1-2257-en.html
URL: http://hnmj.gums.ac.ir/article-1-2257-en.html
Saber Azami-Aghdash1 
, Fatemeh Pournaghi-Azar2 , Mahdi Nouri3 , Mohammad Mohseni4 , Mir Hossein Aghaei *5
, Fatemeh Pournaghi-Azar2 , Mahdi Nouri3 , Mohammad Mohseni4 , Mir Hossein Aghaei *5
1- Assistant Professor, Department of Health Policy, Research Center for Evidence Based Medicine (RCEBM), Tabriz University of Medical Sciences, Tabriz, Iran.
2- Associate Professor, Department of Restorative Dentistry, Research Center for Evidence Based Medicine (RCEBM), Tabriz University of Medical Sciences, Tabriz, Iran.
3- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
4- Assistant Professor, Department of Health Policy,Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
5- Assistant Professor, Department of Nursing, Institute of Health Education, Ardabil University of Medical Science, Ardabil, Iran. ,mirhosseinaghaei69@yahoo.com
2- Associate Professor, Department of Restorative Dentistry, Research Center for Evidence Based Medicine (RCEBM), Tabriz University of Medical Sciences, Tabriz, Iran.
3- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
4- Assistant Professor, Department of Health Policy,Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
5- Assistant Professor, Department of Nursing, Institute of Health Education, Ardabil University of Medical Science, Ardabil, Iran. ,
Abstract: (1030 Views)
Introduction: Considering the rapid growth in the number of aged people and their oral & dental health problems, there is a need for effective community-based interventions to improve their oral health.
Objective: This study aims to investigate the effectiveness of community-based interventions in improving the oral & dental health of elderly people.
Materials and Methods: This is a systematic review and meta-analysis. The related studies published from January 2000 to March 2023 were searched in PubMed, Scopus, Cochrane Oral Health’s Trials Register, and Web of Science databases. The risk of bias in the included studies was assessed using the Cochrane tool.
Results: Nineteen articles were included in the review. Interventions were divided into four groups: educational interventions, oral & dental health care interventions, chewing gum, and combined interventions. A total of 95 indicators were examined in the studies, 53 of which were not statistically significant. Regarding the overall effectiveness of the interventions, 10 studies reported them as completely effective, 5 studies as relatively effective, and 4 as ineffective. Chewing gum had the highest effectiveness. The results of the meta-analysis showed that the mean difference in the dental plaque index between the intervention and control groups was -0.65 (95% CI; -2.03%, 0.74%, Q=59.6, df=5, P=0.001, I2=97.8%) the mean difference in the denture plaque index was -0.20 (95% CI; -0.38%, -0.02%, Q=3.22, df=3, P=0.36, I2=21.3%), and the mean difference in the gingival index was -0.36 (95% CI; -0.99%, 0.27%; Q=5.2, df=1, P=0.02, I2=80.9%).
Conclusion: There are no clear advantages or evidence about the effectiveness of community-based interventions in improving the oral & dental health of elderly people.
Objective: This study aims to investigate the effectiveness of community-based interventions in improving the oral & dental health of elderly people.
Materials and Methods: This is a systematic review and meta-analysis. The related studies published from January 2000 to March 2023 were searched in PubMed, Scopus, Cochrane Oral Health’s Trials Register, and Web of Science databases. The risk of bias in the included studies was assessed using the Cochrane tool.
Results: Nineteen articles were included in the review. Interventions were divided into four groups: educational interventions, oral & dental health care interventions, chewing gum, and combined interventions. A total of 95 indicators were examined in the studies, 53 of which were not statistically significant. Regarding the overall effectiveness of the interventions, 10 studies reported them as completely effective, 5 studies as relatively effective, and 4 as ineffective. Chewing gum had the highest effectiveness. The results of the meta-analysis showed that the mean difference in the dental plaque index between the intervention and control groups was -0.65 (95% CI; -2.03%, 0.74%, Q=59.6, df=5, P=0.001, I2=97.8%) the mean difference in the denture plaque index was -0.20 (95% CI; -0.38%, -0.02%, Q=3.22, df=3, P=0.36, I2=21.3%), and the mean difference in the gingival index was -0.36 (95% CI; -0.99%, 0.27%; Q=5.2, df=1, P=0.02, I2=80.9%).
Conclusion: There are no clear advantages or evidence about the effectiveness of community-based interventions in improving the oral & dental health of elderly people.
Keywords: Oral health, Community-based interventions, Elderly, Dental plaque, Denture plaque, Gingival
Article Type : Research |
Subject:
General
Received: 2022/09/5 | Accepted: 2023/05/31 | Published: 2024/01/1
Received: 2022/09/5 | Accepted: 2023/05/31 | Published: 2024/01/1
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