A new oral care gel to prevent aspiration during oral care

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  • Moriya Megumi
    Department of Advanced Oral Medicine, National Center for Geriatrics and Gerontology Master's Course of Oral Health Science, Graduate School of Oral Sciences, Tokushima University
  • Matsuyama Miwa
    Department of Oral Health Care and Rehabilitation, Subdivision of Oral Health and Welfare, Institute of Health Biosciences, Tokushima University Graduate School
  • Inukai Junko
    Department of Dental Hygiene, Aichi-gakuin University, Junior College
  • Michiwaki Yukihiro
    Department of Oral Surgery, Musashino Red Cross Hospital
  • Iwabuchi Hiroshi
    Department of Oral and Maxillofacial Surgery, Kanagawa Dental University
  • Ogasawara Tadashi
    Depaptment of Special Care Dentistry, Matsumoto Dental University
  • Matsuo Koichiro
    Department of Dentistry, Fujita Health University, School of Medicine
  • Sumi Yasunori
    Department for Advanced Dental Research, Center of Advanced Medicine for Dental and Oral Diseases, National Center for Geriatrics and Gerontology

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Other Title
  • 口腔ケア時の誤嚥予防の試み―口腔ケア用ジェルの新規開発―
  • コウコウ ケアジ ノ ゴエンヨボウ ノ ココロミ : コウコウ ケアヨウ ジェル ノ シンキ カイハツ

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Abstract

<p>Aim: Although oral care is important in the prevention of aspiration pneumonia, the different institutions and practitioners employ various oral care methods, some of which are associated with the risk of aspiration. We have developed a new gel with the physical properties needed for waterless oral care. In the present study, we evaluated and investigated the properties and effectiveness of this gel.</p><p>Methods: The physical properties of the trial gel and commercial moisturizing gels were compared using a VAS scale. The effects of plaque elimination were evaluated in healthy volunteers. Brushing was carried out by a dental hygienist using the gel and water. The number of throat suctions performed during brushing was also counted, and the difference was evaluated.</p><p>Results: In the evaluation of physical characteristics, trial Gel B showed a significantly higher rating than the other gels. In plaque elimination, the rate of decrease in a modified PCR was significantly greater with the gel trial. Suctioning was also performed significantly fewer times with the trial gel.</p><p>Conclusions: Good results were obtained with the newly developed trial Gel B with regard to the physical properties and the sensory evaluations. Its effectiveness was also confirmed in plaque elimination and in the evaluated risk of aspiration. The use of Gel B may have the potential to decrease the risk of aspiration during oral care and reduce the occurrence of aspiration pneumonia.</p>

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