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Original Article The effectiveness of a desensitization technique for mitigating oral and facial tactile hypersensitivity in institutionalized older persons: A randomized controlled trial

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Title: Original Article The effectiveness of a desensitization technique for mitigating oral and facial tactile hypersensitivity in institutionalized older persons: A randomized controlled trial
Authors: Shirobe, Maki Browse this author
Hidaka, Rena Browse this author →KAKEN DB
Hirano, Hirohiko Browse this author →KAKEN DB
Ohara, Yuki Browse this author →KAKEN DB
Endo, Keiko Browse this author →KAKEN DB
Watanabe, Yutaka Browse this author →KAKEN DB
Hakuta, Chiyoko Browse this author →KAKEN DB
Keywords: Elderly people
Refusal to care
Tactile hyperesthesia
Oral health care
Nursing care
Issue Date: 16-Jul-2021
Publisher: Elsevier
Journal Title: Journal of dental sciences
Volume: 16
Issue: 3
Start Page: 987
End Page: 993
Publisher DOI: 10.1016/j.jds.2020.09.014
PMID: 34141114
Abstract: Background/purpose: Oral health care provision in long-term care settings is often limited by specific behaviors exhibited by residents, which may be interpreted as a refusal of care. Such behaviors can be attributed to oral tactile hypersensitivity (TH), which is characterized by aberrations in the perception of oral stimuli. TH is also associated with a decline in ingestion and swallowing function. The purpose of this study was to examine the effectiveness of a technique for mitigating TH (TMH) among institutionalized older persons. Materials and methods: In this study, 18 institutionalized older persons (Mean age, 90.6 +/- 4.5 years; 92.9% females) with TH were randomized to a control group or an intervention group. Pre-and post-intervention assessments were conducted for seven participants in each group. Routine oral care was provided by the facility's staff in both groups. TMH in the intervention group was performed by a dental hygienist over a 3-month period. Results: In the intervention group, the number of areas with TH was significantly reduced (P Z 0.027). No significant change was observed in the control group.
Type: article
URI: http://hdl.handle.net/2115/82250
Appears in Collections:歯学院・歯学研究院 (Graduate School of Dental Medicine / Faculty of Dental Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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