The Effect of Oral Hygiene Practices on Oral Health in Elderly Patients Undergoing Facial and Oral Surgery
Keywords:
Elderly, Facial and Oral Surgery, Oral Health, Oral Hygiene PracticesAbstract
Elderly patients undergoing maxillofacial surgery are at a high risk for plaque accumulation and oral complications. This quasi-experimental two-group pretest-posttest design study aimed to investigate the effect of oral hygiene practices on oral health in elderly patients undergoing facial and oral surgery. The sample consisted of 70 elderly patients undergoing facial and oral surgery treated at the urological and cosmetic surgery ward. Subjects were selected via purposive sampling and assigned to either the control or experimental group (35 patients per group). Data collection was conducted from October 1 to December 31, 2025. Research tools included oral health care records, the Oral Assessment Guide (OAG), oral health care guidelines, and an oral health care manual. The content validity of the intervention tools was verified by experts (IOC = 0.67 - 1.00). Data were analyzed using descriptive statistics, the Wilcoxon signed-rank test, and the Mann-Whitney U test.
The results showed that after the intervention, the experimental group using the oral hygiene guidelines had significantly different scores from the control group (p < .05), with a mean score of 8.57 (S.D. = 1.59) compared to 13.34 (S.D. = 3.14) in the control group. And the experimental group using the oral hygiene guidelines had significantly different scores between post-intervention and pre-intervention (p < .05), with the mean score decreasing from 15.89 (S.D. = 1.13) to 8.57 (S.D. = 1.59). In conclusion, implementing oral hygiene practices effectively promotes and improves oral health outcomes in elderly patients. Recommendation: These oral hygiene practices should be applied to improve oral health outcomes in clinical patients.
References
Buddhachinaraj Hospital. (2024). The report provides statistical data on patients with oral diseases and maxillofacial injuries. Phitsanulok: Buddhachinaraj Hospital. [In Thai]
Department of Older Persons. (2025). Statistics of the Thai elderly population 2025. Retrieved from https://www.dop.go.th/th/statistics_page?cat=1&id=2578. [In Thai]
Eilers, J. U. N. E., Berger, A. M., & Petersen, M. C. (1988). Development, testing, and application of the oral assessment guide. In Oncology Nursing Forum, 15(3), 325-330.
Health Data Center. (2025). Common health problems in the elderly. Retrieved from https://hdc.moph.go.th/center/. [In Thai]
Longlalerng, W., & Pathumanon, P. (2020). Results of evidence-based oral health care in clinical nursing practice. Pathum Thani: Thammasat University Hospital. [In Thai]
Plaibun, S., Kongsuwan, W., & Dumkleang, J. (2020). The development of clinical nursing practice guidelines for oral health care in dependent patients. Songklanagarind Journal of Nursing, 40(3). 37-47. [In Thai]
Raengnoi, N., & Somjaivong, B. (2023). Development of an oral care program for oral cancer patients undergoing surgery. Nursing, Health, and Education Journal, 6(3), 12-22. [In Thai]
Ratchawong, W., Chayaput, P., Kimpee, S., & Ieumwananonthachai, N. (2013). Impact of a self-management oral care program on stomatitis in head and neck cancer patients treated with radiotherapy or radio-hemotherapy. Journal of Thailand Nursing and Midwifery Council, 28(1), 34-48. [In Thai]
Sonpanao, P. (2019). Oral health care for the elderly. Journal of Health Research and Develop, Nakhon Ratchasima Provincial Public Health Office, 5(1), 4-12. [In Thai]
Sudjai, S. (2019). The feasibility of an enhanced recovery after surgery program in patients with oral cavity cancer. (Master’s thesis), Mahidol University, Bangkok. [In Thai]
World Health Organization. (2021). Ageing and health. Retrieved from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

