Professional Oral Care Research Articles

The effects on dentin tubules of two desensitising agents in combination with Nd:YAG laser: An in vitro analysis (CLSM and SEM)

ObjectivesThe aim of this study was to assess in vitro the effects of two desensitising agents containing calcium phosphate and nano-hydroxyapatite, applied alone or with Nd:YAG laser, on dentin tubule occlusion, and to determine the penetration depth. Methods75 extracted human 3rd molar teeth were used. The effects of desensitising treatments and erosion resistance were evaluated on dentin tubule occlusion via SEM and the dentin tubule penetration depth via CLSM. Two desensitising agents—Teethmate (TMD), (Kuraray, Japan) and Professional Oral Care Nano-hydroxyapatite (Nhap) Desensitiser (Miromed Group SA, Italy)—were used. Study groups were designated as Group 1(Control), Group 2(TMD), Group 3(TMD+Nd:YAG), Group 4(Nhap) and Group 5(Nhap+Nd:YAG) and were assigned 10 dentin discs per group. After treatment with desensitising agents and laser, dentin discs were exposed to artificial saliva for one night in samples prepared to be without erosion and a sample prepared as with erosion was exposed 3 times per day for 5 days to 0.3% citric acid cycles. The Image J programme was used to scale the images of SEM analyses. The agents were mixed with 0.1% Rhodamine B for testing penetration depth and samples were analysed with CLSM after applying with and without laser. The obtained images were evaluated using the Zeiss ZEN Lite, Zeiss Microscopy programme (Carl Zeiss, Germany). Data were analysed with Mann-Whitney U and Kruskal Wallis tests (p < 0.05). ResultsStatistically significant differences from the control group were found in all treatment groups. The TMD+Nd:YAG group had the lowest number of open tubules before and after erosion and the highest penetration depth. The Nd: YAG laser markedly increased the efficiency of the desensitising agents.

非経口摂取高齢入院患者に対する「水を使わない口腔ケアシステム」実施による口腔細菌数の変化

目的：非経口摂取高齢入院患者を対象に「水を使わない口腔ケアシステム」を実施し，口腔細菌数の変化を検証することを目的とした。 方法：非経口摂取高齢入院患者100名を，「水を使わない口腔ケアシステム」（以下，新法）と従来の口腔衛生管理（以下，従来法）の2群に無作為に分け，1日1回連続5日間，歯科衛生士が口腔衛生管理を実施した。1日目の管理直前（以下，ベースライン），管理直後，1時間後と5日目の管理1時間後の計4回，口腔細菌数を測定した。測定値を対数変換して，二元配置分散分析を行った。有意水準は5％とした。 さらにベースラインで細菌数レベル4以上を口腔不潔者とし，5日目に細菌数レベル3以下になった者を「改善あり」，4以上の者を「改善なし」として，χ2検定を行った。 なお本研究は，特定医療法人北九州病院倫理委員会の承認を得て実施した（第15-3号）。 結果：ベースラインと管理直後においては，新法群と従来法群の口腔細菌数に有意差はなく，管理1時間後と5日目においては新法群の細菌数は従来法群よりも有意に低値であった。新法群は，ベースラインと比べて管理直後，1時間後および5日目の細菌数は有意に低下し，管理直後よりも5日目は有意に低下した。従来法群は，ベースラインと比べて管理直後および管理1時間後の細菌数は有意に低下した。また，口腔不潔者のうち，新法群では29名に改善がみられ，従来法群の7名よりも有意に多かった。 結論：本研究における口腔細菌数の変化の結果から，「水を使わない口腔ケアシステム」は従来の方法よりも効果的である可能性が示された。

Desolate dentitie als gevolg van wortelcariës

An 88-year-old patient was referred to a geriatric dentist because of seriously neglected dentition and with the desire to look decent again. The deterioration of the dentition turned out to be the result of cognitive and physical decline and polypharmacy. The Clinical Practice Guideline (KPR) 'Root caries in (frail and care-dependent) older people provides recommendations to prevent deterioration of the dentition caused by root caries in older people. The timely recognition of risk factors, the use of additional fluoride measures and the intensification of professional oral care are the central points. In short: not to lose sight of an older patient. It can prevent the destruction of the teeth that the older patient has taken good care of until then.

A Dental Communication Board as an Oral Care Tool for Children with Autism Spectrum Disorder.

Children with autism spectrum disorder (ASD) sometimes display an inability for information sharing through functional verbal communication. This may interfere with professional oral care. These children tend to process visual information more efficiently than auditory information. Picture schedules can briefly suffice as visual cues serving a vital function in helping children with ASD to function in a particular setting such as an oral care environment. A visual communication implement such as a dental communication board was developed in this study to allow for a facilitated communication process between the patient with ASD and the oral care professional. This study entailed two main phases, namely the selection of symbols for theconstruction of adental communication board andthe small scale testing of the board in a clinical setting. This study incorporated a combination of a quantitative non-experimental descriptive survey combined with aconcurrent mixed method survey design which retrieved data for both close-ended and open-ended questions from the same respondent. A quantitative survey questionnaire at a structured dental seminar presentation was employed for the first phase, and a combination of a quantitative and qualitative questionnaire was employed for the second phase of this study. Documented responses were collated and analyzed using frequency and thematic analysis. The most frequently selected symbols were retrieved after a frequency analysis and displayed on a color coded background to distinguish the various categories on the dental communication board. The thematic analysis resulted in the emergence of three main themes, namely the strengths of the board; weakness of the board and suggestions. This study anticipates the incorporation of a dental communication board as a visual mode using graphic symbols to augment expressive and receptive language in an oral care environment to facilitate professional oral care for children with ASD.

Professional oral care may decrease the incidence of oral mucositis in patients with advanced breast cancer

Professional oral care may decrease the incidence of oral mucositis in patients with advanced breast cancer

The Effect of Professional Oral Care by Time Point on Oral Health Status of Inpatients in A Nursing Hospital

Objectives: The purpose of this study was to investigate the effect of professional oral care by time point on the oral health status of inpatients at the S Nursing Hospital in Busan. Methods: A dental hygienist visited to perform professional brushing and denture disinfection at the same time once a week for four weeks. Irritative saliva was collected before Week 1, during Week 2, and after Week 4 to evaluate the salivary flow rate, saliva pH, and risk of dental caries. Results: The results showed significant values in salivary flow rate (p<0.05), saliva pH (p<0.001), Streptococcus mutans (p<0.001), and Lactobacillus (p<0.01) at each time point. Conclusions: Professional oral care and oral health education should be conducted continuously and systematically on elderly patients admitted to nursing hospitals. Furthermore, it is expected to be used as primary data for establishing a direction and policies for oral health care among the elderly in society.

Self-reported oral health in the Dutch 100-plus Study of cognitively healthy centenarians: an observational cohort study

BackgroundDue to improved healthcare, more people reach extreme ages. Oral health in the oldest-old has thus far been poorly described. Here, we investigated self-reported oral health factors, use of professional oral health care, and associations with clinical measures in centenarians considered cognitively healthy.MethodsIn this observational cohort study, we included 162 (74% female) centenarians from the Dutch 100-plus Study cohort who self-reported to be cognitively healthy, as confirmed by a proxy. Centenarians were questioned about their physical well-being including medication use and their cognitive functioning was evaluated using the Mini-Mental State Examination. Questions regarding oral health included preservation of teeth, oral pain or discomfort, chewing ability, xerostomia, and time since last visit to an oral health care provider. Associations between oral health and clinical measures were investigated with ordinal logistic or linear regression analyses, adjusted for gender, age, and education.ResultsThe majority of the centenarians indicated to have good oral health: 76% felt no oral pain/discomfort, 65% indicated to chew well; while only 18% had symptoms of xerostomia. Of all centenarians, 83% were edentulous and were wearing removable complete maxillary and mandibular dental prostheses, 1% was edentulous with no dental prosthesis, while 16% was dentate with or without removable partial dental prostheses (10 and 6% respectively). Dentate and edentulous centenarians experienced similar levels of oral pain and/or discomfort, chewing ability, xerostomia, and their cognitive functioning was similar. No relationship between cognitive functioning and chewing ability was found. Xerostomia was associated with medication use (p = .001), which mostly regarded medications for cardiovascular diseases, diuretics, anti-coagulants, and antacids. Only 18% of the centenarians visited an oral health care provider during the year prior to the interview, of whom 48% were dentate centenarians. Notably, 49% of the centenarians had not visited an oral health care provider for ≥10 years.ConclusionsMost centenarians were edentulous and did not report oral complaints. Less than one-fifth of the centenarians continued to seek regular professional oral health care. Since the proportion of dentates in the oldest-old will increase in the near future, a proactive attitude toward this group is necessary.

Oral healthcare for frail and care-dependent older people in Germany and the Netherlands

To improve oral health for frail and care-dependent older people, both intra- and extramurally, in the Euregio Rhine-Waal area in the Netherlands and Germany, we inventoried barriers to oral care for the target group according to the literature, the organisation of oral care in both countries and the implications of this organisation for daily and professional (oral) healthcare and oral care. Results show most identified barriers are common to both countries, but the organisation of oral healthcare differs in both countries. The main differences lie in the financing and organisation of oral care in the intramural situation. In the Netherlands, this is to a large degree regulated and organised on the basis of the Chronic Care Act (Wlz), using the Verenso Oral Care Directive for care-dependent clients as a base for enforcement. In Germany, on the other hand, the provision of oral care in the home situation is more effectively facilitated. In both countries, various initiatives have recently been employed to improve, among other things, information supply, education and financing of oral healthcare.

Relationship between oral environment and development of pneumonia and acute viral respiratory infection in dependent older individuals.

The importance of oral care has been recognized for the prevention of airway infections in older individuals who require long-term care. The present prospective cohort study was carried out a decade ago to identify risk factors with numerous intraoral conditions as possible predictors involved in the onset of pneumonia and acute viral respiratory infection (AVRI) in older people requiring long-term care during a 6-month follow-up period (including winter). This study included 1785 older individuals residing in 31 long-term care facilities in which dental hygienists were involved in instruction on daily oral care. Primary end-points were development of pneumonia and AVRI during the 6-month follow-up period. Several factors related to each participant's general condition, oral environment, swallowing function and vaccinations (or lack thereof) were evaluated by calibrated dentists and dental hygienists before the study onset. During the 6-month follow-up period, 74 participants (4.1%) developed pneumonia, and 28 participants (1.6%) developed AVRI. Cox proportional hazard analysis showed that poor nutritional status and the presence of dysphagia were significant risk factors for pneumonia onset. The presence of dry mouth and halitosis were significant risk factors for AVRI. This prospective multicenter cohort study identified poor nutritional status and dysphagia as independent risk factors for the development of pneumonia, and dry mouth and halitosis as independent risk factors for the development of AVRI in older people who require long-term care and who routinely receive professional oral care. Geriatr Gerontol Int 2019; 19: 1136-1140.

How does professional oral care compare with usual oral care for nursing home residents to prevent nursing home-acquired pneumonia?

How does professional oral care compare with usual oral care for nursing home residents to prevent nursing home-acquired pneumonia?

Systematic review of basic oral care for the management of oral mucositis in cancer patients and clinical practice guidelines.

The aim of this study was to update the clinical practice guidelines for the use of basic oral care (BOC) interventions for the prevention and/or treatment of oral mucositis (OM). A systematic review was conducted by the Mucositis Study Group of the Multinational Association of Supportive Care in Cancer/International Society for Oral Oncology (MASCC/ISOO). The body of evidence for each intervention in each cancer treatment setting was assigned an evidence level. The findings were added to the database used to develop the 2013 MASCC/ISOO clinical practice guidelines. Based on the evidence level, one of the following three guideline determinations was possible: Recommendation, Suggestion, No guideline possible. A total of 17 new papers across six interventions were examined and merged with a previous database. Based on the literature, the following guidelines were possible. The panel suggests that the implementation of multi-agent combination oral care protocols is beneficial for the prevention of OM during chemotherapy, head and neck (H&N) radiation therapy (RT), and hematopoietic stem cell transplantation (Level of Evidence III). The panel suggests that chlorhexidine not be used to prevent OM in patients undergoing H&N RT (Level of Evidence III). No guideline was possible for professional oral care, patient education, saline, and sodium bicarbonate, and expert opinion complemented these guidelines. The evidence supports the use of multi-agent combination oral care protocols in the specific populations listed above. Additional well-designed research is needed on the other BOC interventions prior to guideline formulation.

Lower levels of education and household income mediate lower dental care utilization among survivors of early life cancers.

This study was an examination of dental care utilization among survivors of early life cancers (cancer diagnosis at 20 years of age or younger) and the extent to which socio-economic factors may present a barrier to care. Data were obtained from the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2016 (n = 28,640). Survey-weighted regression models were used to evaluate associations between early life cancers and subsequent frequency of dental care as adults. A mediation analysis was conducted to test education and household income as potential mediators of this association using a non-parametric bootstrap approach.Early life cancers were associated with a significant decrease in dental care utilization as adults (OR:0.459, 95%CI:(0.226, 0.935)). This diminished utilization was particularly pronounced with survivors in their 20s and 30s. Over time dental care utilization began a slow recovery. The association between early cancer and level of education was estimated to be negative but did not reach statistical significance (OR:0.739, 95%CI:(0.503, 1.086), p = 0.123). Survivors of early life cancers were less likely to be in a higher income bracket (OR:0.663, 95%CI:(0.452, 0.973), p = 0.036)). Decreases in education and household income (p < 0.001) mediated the association between early cancers and lower dental utilization. This pathway accounted for 41.7% (95%CI:(14.1%, 50.6%)) of the association.Survivors of early life cancers did not utilize professional oral health care at a rate commensurate with their risk of dental disease. Providers involved in the long-term care should promote routine dental maintenance. Further study into non-economic barriers in this population is warranted.

Oral care and nursing home-acquired pneumonia.

Data sources Cochrane Oral Health Trials Register, Cochrane Central Register of Controlled Trials, MEDLINE, Embase, CINAHL, Chinese Biomedical Literature Database, China National Infrastructure, US National Institutes of Health Ongoing Trials Registry, WHO Clinical Trials Registry, Sciencepaper Online, 19 Chinese dental and nursing journals. Reference lists of included studies were also screened.Study selection Studies were included if they explored oral care with the purpose of reducing pneumonia compared to no oral care, usual care or other oral care measures. Only randomised controlled trials were included which could be either parallel design or cluster RCTs with randomisation by care facility. No restrictions were placed on language, year of publication or publication status.Data extraction and synthesis Two independent reviewers undertook screening for inclusion, data extraction and assessment of risk of bias. The Cochrane tool for risk of bias was used to assess quality of the studies. Synthesis was mainly narrative, though numerical results were combined where feasible.Results Four studies were included, all of which were parallel RCTs. All were judged to be at high risk of bias due to lack of blinding. One study suggested that oral care may reduce pneumonia associated death, though evidence was low quality and should be treated with caution. There was no high quality evidence available to indicate which oral care methods may be most effective in reducing pneumonia.Conclusions It was not possible to establish the effects of professional oral care on nursing home-acquired pneumonia due to the limited number of studies and low quality evidence. Further trials are needed to draw reliable conclusions.

Abstract P1-11-01: Oral care evaluation to prevent oral mucositis in estrogen receptor positive metastatic breast cancer patients treated with everolimus (Oral Care-BC): A randomized controlled phase III trial

Abstract Introduction Oral mucositis is a clinically significant complication of mucotoxic cancer therapy. The incidence of oral mucositis (any grade) as an adverse drug reaction of everolimus is 58%, while an analysis of Asian people has reported its occurrence as 81%.This study hypothesizes that the occurrence of oral mucositis will reduce with professional oral care (POC) administered prior to everolimus treatment. Method: This was a randomized, multi-center, open-label, phase III study, to evaluate the efficacy of POC in preventing mucositis induced by everolimus in postmenopausal, estrogen receptor (ER)-positive, metastatic breast cancer patients. Patients were randomized into POC and control groups (1:1 ratio). All patients received everolimus with exemestane and continued the everolimus until disease progression. In the POC group, patients were subjected to teeth surface cleaning, scaling and tongue cleaning, before initiating everolimus, and continued to receive weekly POC from dentist or oral surgeons throughout the 8 weeks of treatment. In the control group, patients brushed their own teeth and gargled with 0.9% sodium chloride solution or water. The primary end-point was to measure the incidence of all grades of oral mucositis. Target accrual was 200 patients with a 2-sided type I error rate of 5% and 80% power to detect 25% risk reduction. This trial has been registered at ClinicalTrials.gov, number NCT 02069093. Result: Between May 26, 2014 and Dec 28, 2017, we enrolled 174 women from 31 institutions; 168 were evaluable for efficacy but 5 were excluded (had not received the protocol treatment [n=4]; no efficacy data [n=1]). In 8 weeks, the incidence of grade 1 oral mucositis was significantly different between the POC group (76.5%, 62 of 81 patients) and control group (89.7%, 78 of 87 patients) (p=0.035). The incidence of grade 2 (severe) oral mucositis was also significantly different between the POC group (34.6%, 28 of 81 patients) and control group (54%, 47 of 87 patients) (p= 0.015). As a result of oral mucositis, 18 (22.2%) patients in the POC group and 28 (32.2%) in the control group had to undergo everolimus dose reduction. Conclusion: POC reduced the incidence and severity of oral mucositis in patients receiving everolimus and exemestane. This could be a new standard in oral care for patients undergoing this treatment. Primary Analysis: Incidence Probability of Oral Mucositis POC Group (n=81) Controll (n=87)P-valuneOral Mucositis over Grade1n% n% Yes6276.5 7889.70.035No1923.5 910.3 Risk Difference, % (95% CI)-11.83 (-22.80, -0.85) POC: Professional oral Care Citation Format: Niikura N, Nakatukasa K, Amamiya T, Watanabe K-i, Hata H, Kikawa Y, Taniike N, Yamanaka T, Mitsunaga S, Nakagami K, Adachi M, Kondo N, Horii K, Hayashi N, Naito M, Kashiwabara K, Yamashita T, Umeda M, Mukai H, Ota Y. Oral care evaluation to prevent oral mucositis in estrogen receptor positive metastatic breast cancer patients treated with everolimus (Oral Care-BC): A randomized controlled phase III trial [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P1-11-01.

Investigation on the status of oral hygiene " knowledge, attitude and practice" in periodontal disease patients with maxillofacial space infection

Objective To understand the oral hygiene knowledge, attitude, of patients with oral maxillofacial space infection(OMSI), and analyze its related influencing factors. Methods According to the random sampling method, a total of 120 patients with OMSI were investigated on the status of oral hygiene knowledge, attitude and practice . Results The middle-aged and aged people were the main subjects in the survey.Male was more than female.The education level was mainly junior high school or technical secondary school.The score of attitude dimension was the highest, the score of behavior dimension was the lowest and the score of knowledge dimension was the middle.Gender, age, education level and patient's knowledge, attitude and practice scare were compared, and the differences were statistically significant (P<0.05). The professional oral health care guidance acceptance rate was low, only 24.17%, 99.17% of the respondents wanted to get professional medical help. Conclusion Among OMSI patients, the oral hygiene habits of patients with periodontal disease are generally at the lower middle level, and the behavioral dimension score is the lowest, indicating that the disease of patients with periodontal disease is related to the poor oral hygiene habits.In oral health care of China, stratified health education should be carried out according to the specific situation of gender, age and education level, and professional participations should be encouraged. Key words: Oral and maxillofacial space infection(OMSI); Periodontal disease; Oral hygiene; Knowledge, attitude,

Professional Oral Health Care at General Dental Clinic Reduces Postoperative Complications of Head and Neck Free-Flap Reconstruction Surgery.

Background: Extensive resection and free-flap reconstruction surgery has become the standard treatment for locally advanced head and neck cancer. Surgical site infection (SSI) is one of the serious complications of this treatment. This study aimed to investigate the risk factor for onset of SSI, particularly focusing on whether preoperative professional oral health care in cooperation with general dental clinics is effective in reducing the occurrence of SSI.Methods: From March 2003 to August 2011, 183 patients who underwent head and neck free-flap reconstructive surgery by the same plastic surgeon at Miyagi Cancer Center for Head and Neck Surgery were investigated retrospectively.Results: Of the 183 patients, 135 and 48 were men and women, respectively, with a mean age of 62 (range, 29-82) years. The tumor was located in the oral cavity (n = 76), hypopharynx (n = 55), oropharynx (n = 28), and others (n = 24). Clinical stages were stage I/II in 18, stage III/IV in 164 patients, and benign tumor in one patient, based on UICC classification. SSI occurred in 66 patients (36.1%). Based on multivariate analysis, professional oral health care [P = 0.0076, odds ratio (OR) = 0.39] and radiation therapy history (P = 0.0214, OR = 2.820) were shown as factors that are significantly related to SSI.Conclusion: This study identified history of radiation therapy as a significant risk factor for SSI from univariate and multivariate analysis and revealed that patients receiving preoperative professional oral health care at general dental clinics reduce the risk of SSI. Preoperative professional oral health care in cooperation with general dental clinics has been shown to reduce SSI of head and neck free-flap reconstructive surgery.

Professional Oral Care Reduces Carcinogenic Acetaldehyde Levels in Mouth Air of Perioperative Esophageal Cancer Patients: A Prospective Comparative Study

Acetaldehyde is a potential carcinogen for esophageal cancer, and some oral microorganisms produce acetaldehyde from ethanol or glucose. In this prospective study, we examined the influence of professional oral care on acetaldehyde levels in mouth air of esophageal cancer patients. Acetaldehyde concentrations in mouth air and breath were measured by a portable gas chromatograph, and acetaldehyde production from oral microbiota was also evaluated. Samples were taken from 21 esophageal cancer patients (median age 68 years) and 20 age-matched healthy volunteers (control group) before and after oral care. Post-operative samples were also taken from 17 patients who had undergone surgery. All samples (mouth air, breath, and saliva) were collected 2 to 3 hours after lunch. Oral microbial samples were prepared from saliva. Genotype analysis of alcohol dehydrogenase 1B (ADH1B) and aldehyde dehydrogenase-2 (ALDH2) genes revealed no significant differences in the genotypes between the two groups. In the control group, acetaldehyde levels in mouth air showed no significant changes after oral care, while the amount of microbial acetaldehyde production from ethanol was significantly decreased. By contrast, among the patients, acetaldehyde levels in mouth air were significantly decreased after oral care and after operation, while the amount of microbial acetaldehyde production from ethanol showed no significant changes. Moreover, microbial acetaldehyde production from glucose was significantly decreased after operation. Overall, oral health was poorer in the patient group. In conclusion, professional oral care for esophageal cancer patients is effective for reducing acetaldehyde levels in mouth air due to the reduction of microbial count.

A survey on the current status and the opinion of professional oral health care for oral cancer patients

A survey on the current status and the opinion of professional oral health care for oral cancer patients

Cost-effectiveness of professional oral health care in Australian residential aged care facilities.

To conduct a model-based cost-effectiveness analysis, from a health care system perspective, of using oral health professionals to provide oral hygiene services at residential aged care facilities (RACFs) in Victoria, Australia, compared to current practice (CP). Increasingly dentate cohorts of older adults are entering RACFs, making urgent the need of further development and provision of oral health programmes in ageing dentitions. The model was based on 47624 RACFs' places in Victoria over one year. The main outcome measured was "cost per pneumonia case averted." Four different scenarios of oral hygiene provision were compared to CP. Costs included were RACF staff training, professional salaries, programme coordinator office expenses, dental equipment and hospitalisation costs. Effectiveness assumptions for each scenario were based on systematic reviews and randomised control trials. All four scenarios were dominant strategies. The magnitude of negative incremental cost-effectiveness ratio was not informative; therefore, incremental costs and incremental effectiveness were used to present results. "Professional oral health care (POHC) provision once every two weeks and current provision of oral health care the other days" was the most cost-saving alternative (AU $896 per resident saved). The most effective alternative was "POHC provision once a week and non-POHC provision by trained Nurse aids twice per day the other days" (6779 pneumonia cases averted). One-way sensitivity analyses confirmed the robustness of results. The four scenarios were highly cost-effective compared to CP. These results could be a strong basis to implement new oral health programmes in Australian RACFs.

Dental Attendance in Undocumented Immigrants before and after the Implementation of a Personal Assistance Program: A Cross-Sectional Observational Study.

Undocumented immigrants are a high-risk social group with low access to care. The present study aims to increase awareness and dental attendance in this subgroup, assisted by community health workers (CHW). Starting from 2015, two trained dentists volunteered to perform free oral health examinations and further dental care referral in a welfare organisation in Ghent, Belgium. In 2016 and 2017, a two-day oral health training was added, enabling social workers to operate as community oral health workers and to provide personal oral health advice and assistance. Over the three years, an oral health examination was performed on 204 clients from 1 to 69 years old, with a mean age of 36.7 (SD = 15.9), showing high levels of untreated caries (71.6%; n = 146) and a Dutch Periodontal Screening Index (DPSI) score of 3 or 4 in 62.2% of the sample (n = 97). Regarding dental attendance, the total number of missed appointments decreased significantly, with 40.9% in 2015, 11.9% in 2016 and 8.0% in 2017 (p < 0.001). Undocumented immigrants can be integrated into professional oral health care. Personal assistance by community health workers might be an effective method, although this requires further investigation.