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(Vernon) Establishing Provider Tool to Assess Oral Hygiene

(Vernon) Establishing Provider Tool to Assess Oral Hygiene

Establishing a Provider-Observed Tool to Assess Oral Hygiene Skills in HIV+ Adults

Sponsor: Investigator-Initiated

Project Period: 

Current Status: Recruiting

Overview

Poor oral health can be especially detrimental in adults with HIV/AIDS, as it can interfere with HAART compliance, reduce nutritional intake, lower self-esteem and diminish quality of life, and thus, negatively impact both physical and mental health. Without oral health, one cannot have overall health and well-being.

Meticulous dental plaque control is a well-established method to lower the risk for periodontal disease and its progression and can improve oral health outcomes in HIV+ adults. Oral health self-care depends on behavior. In dentistry, the study of behavior change is in its infancy; greater methodological rigor is required to move this field forward. HIV+ adults can serve as a prototype high-risk group, singe effective approaches to improve oral health in HIV+ adults could be applied to other populations.

This project seeks to develop a program of research that will establish the effectiveness of prevention-based oral health coaching. Short-term endpoints include the development of a measure of oral hygiene skill (OHSIM) that is deemed reliable and valid. 

Preliminary Data

Since 2004, Dr. Vernon and his team have successfully completed two NIDCR-funded longitudinal studies. Both studies examined the link between periodontal disease and cardiovascular disease in HIV+ adults. In 2009, the team reported on a high level and extent of periodontal disease in HIV+ adults, and explained in detail potential methodological biases of prior studies reporting lower levels of periodontal disease in HIV+ adult cohorts. In 2011, they reported a clinically and statistically significant longitudinal association between the increase in a microbial measure of periodontal disease and the increase in carotid artery intima media thickness (IMT), a marker of cardiovascular disease risk.

Project Team

Robert Asaad, MD - Co-Investigator
CWRU School of Medicine, Infectious Disease

Kathryn Clark, CCRP - Study Coordinator

Catherine Demko, PhD - Co-Investigator
CWRU School of Dental Medicine, Community Dentistry

Jason Seacat, PhD
Western New England University, Psychology

Lance Vernon, DMD, MPH - Principal Investigator
CWRU School of Dental Medicine, Pediatric Dentistry

Stephen Zyzanski, PhD
CWRU School of Medicine, Family Medicine

 

 

 

 

Principal Investigator

Lance Vernon, DMD, MPH

lance.vernon@case.edu

 

 

Funding

NIDCR