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Biofluorescence-guided oral care for hospitalized geriatric patient with pneumonia: A case report

S. Park, Eun-Song Lee, Hoi-In Jung, J. Choi, K. Kim, C. Kim, Beak-Il Kim

Journal of Korean Dental Association, 2026

Abstract

Effective detection and removal of pathogenic oral biofilm in hospitalized geriatric patient are important for preventing aspiration pneumonia. This case report describes the clinical application of biofluorescence-based technology for immediate assessment of oral hygiene status and biofluorescence-guided oral hygiene care in a hospitalized geriatric patient with pneumonia. The thickness and extent of oral biofilm were difficult to determine by visual inspection; however, biofluorescence imaging revealed red biofluorescence across multiple regions of the oral cavity. Based on these findings, mechanical and chemical biofilm control was performed at the bedside by a dental professional. Following oral care, the red biofluorescence observed before intervention was no longer present, allowing objective evaluation of biofilm removal. These findings suggest that biofluorescence enables real-time visualization of pathogenic biofilm and objective monitoring of changes in oral hygiene, improving the objectivity of oral hygiene assessment and supporting quality improvement in oral care for hospitalized patients.

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