Periodontal health education session can improve oral hygiene in patients with gingivitis: A masked randomized controlled clinical study
Abstract
Background: The aim of this clinical trial was to evaluate the effect of a periodontal health education session (PHES), which included education on the pathogenesis and consequences of periodontal diseases on oral hygiene motivation in patients with gingivitis. Methods: A randomized controlled clinical trial was conducted on 50 (26 females and 24 males) patients with gingivitis who underwent periodontal treatment. Subjects were randomly allocated into the PHES group (experimental group) and standard oral hygiene education group (control group). The Rustogi Modified Navy Plaque Index (RMNPI) and Papillary Bleeding Index (PBI) were used to evaluate oral hygiene at baseline and were repeated after 1, 3, and 6 months. Knowledge about periodontal disease was measured and the participants’ motivation was determined using the Oral Hygiene Motivation Scale. Results: Although baseline knowledge levels and motivation scores were not different between the groups, following the educational motivational interviewing (MI) session, levels were higher in the experimental compared with the control group. The subjects’ RMNPI and PBI scores at the 1‐, 3‐, and 6‐ month re‐examinations were statistically higher in the control group than the experimental group. Furthermore, the level of knowledge and intrinsic and total motivation scores were moderately positively correlated with a reduction in clinical indices at 6 months compared with baseline. Conclusions: The results of this study indicated that increased knowledge and awareness about periodontal diseases and its consequences, including systemic effects, via educational MI session increased intrinsic motivation and improved oral hygiene of patients with gingivitis, especially regarding interproximal surfaces.
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Educational sessions before the onset of severe periodontal disease can significantly improve patient outcomes, as found by Gunpinar et al.
“Additionally, the timing of these motivational sessions is important; for instance, Gunpinar et al. [31] found that educational sessions before the onset of severe periodontal disease can significantly improve patient outcomes.”
The remaining seven studies focused on the motivational approach employed in 540 patients.
“The remaining seven studies [25–31] focused on the motivational approach employed in 540 patients.”
Gunpinar and Melaci found that motivational interventions lead to an improvement in oral hygiene.
“Finally, Gunpinar and Melaci [31] assessed the effect of a periodontal health education session versus standard oral hygiene education. The authors found that motivational interventions lead to an improvement in oral hygiene.”
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Abbinante, A., Antonacci, A., Antonioni, M., Butera, A., Castaldi, M., Cotellessa, S., Di Marco, C., Gangale, M., Izzetti, R., Luperini, M., et al. (2024) · International Journal of Dentistry · doi:10.1155/2024/8592336 · Cited by 15 · see citing works
“Two studies involved the usage of toothbrush [20, 21], three studies [22 – 24] assessed a combination of toothbrushing and interdental brushing and seven studies [25 – 31] focused on a motivational approach regardless of the type of hygiene measures employed (Table 1).”
BackgroundMethodResultInfluential
- Authors
- Gunpinar, S., & Meraci, B.
- Affiliations
- Bolu Abant İzzet Baysal University (TR)
- Corresponding author
- Gunpinar, Sadiye
- Venue
- Journal of Periodontology
- Publisher
- Wiley
- Published
- 2021-06-15
- Volume
- 93
- Issue
- 2
- Pages
- 220-230
- ISSN
- 0022-3492 (ISSN-L)
- 1943-3670
- OpenAlex
- W3165848510
- Cited by
- 17
- References
- 45
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 6 · 2023: 1 · 2022: 1
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Periodontology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- gingivitis, oral hygiene, motivational interviewing, patient motivation, plaque index, bleeding on probing, interproximal plaque, periodontal treatment
- MeSH terms
- Dental Plaque, Dental Plaque Index, Female, Gingivitis, Health Education, Humans, Male, Oral Hygiene, Periodontal Diseases, Toothbrushing
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