Objective Assessment of Poor Oral Hygiene Using the ATP Swab Test in the Elderly

DOI
  • Fujimoto Keiko
    Department of Prosthodontics and Oral Rehabilitation, Tokushima University Graduate School, Institute of Biomedical Sciences
  • Iwawaki Yuki
    Department of Prosthodontics and Oral Rehabilitation, Tokushima University Graduate School, Institute of Biomedical Sciences
  • Goto Takaharu
    Department of Prosthodontics and Oral Rehabilitation, Tokushima University Graduate School, Institute of Biomedical Sciences
  • Kishimoto Takahiro
    Department of Oral and Maxillofacial Radiology, Tokushima University Graduate School, Institute of Biomedical Sciences
  • Nagao Kan
    Department of Prosthodontics and Oral Rehabilitation, Tokushima University Graduate School, Institute of Biomedical Sciences
  • Ichikawa Tetsuo
    Department of Prosthodontics and Oral Rehabilitation, Tokushima University Graduate School, Institute of Biomedical Sciences

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Other Title
  • 高齢者におけるATP拭き取り検査による口腔衛生状態不良の客観的評価

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Abstract

<p>　Purpose：The purpose of this study was to evaluate the assessment of poor oral hygiene using the ATP swab test.</p><p>　Method：A total of 102 consecutive elderly outpatients aged ≥65 years who visited for maintenance were enrolled between October 2019 and April 2020. The evaluation of poor oral hygiene included measurements of：Tongue Coating Index（TCI）, number of bacteria by a rapid oral bacterial detection device（Bacterial Counter DU-AA01NP-H；Panasonic Health Care, Japan）, and amount of ATP+AMP by the ATP swab test（Lumitester；Kikkoman, Japan）. The specimens were a gargle solution rinsed with 10 mL of water for 5 seconds as soon as the patients came to the hospital or a cotton swab wiped on the tongue dorsum. The subjective assessment of hygiene of the oral mucosa and dentures was rated on a 5-point scale.</p><p>　Results：In the assessment of tongue dorsum hygiene, the number of bacteria and the amount of ATP+AMP were significantly correlated with TCI. There was also a significant correlation between the number of bacteria and the amount of ATP+AMP.</p><p>　Conclusion：The results of this study suggested that the ATP swab test might be used to objectively assess overall poor oral hygiene, including food residues.</p>

Journal

  • Ronen Shika Igaku

    Ronen Shika Igaku 36 (1), 44-52, 2021-06-30

    Japanese Society of Gerodontology

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