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Cited by 58Oral microbiology and periodontitis researchDental Health and Care UtilizationDental Research and COVID-19

Oral hygiene instruction of adults by means of a self-instructional manual

Glavind, Leif, Zeuner, Ella, Attström, Rolf·1981·Journal Of Clinical Periodontology
DOI 10.1111/j.1600-051x.1981.tb02028.x
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Abstract

The need for improved oral cleanliness in adults presents a large scale resource requirement for professional manpower if oral hygiene instruction is to be accomplished conventionally on an individual basis at the chairside. Therefore a self-instructional manual in oral hygiene measures, to be used by the patients at home, has been designed. The effect on oral hygiene of periodontal patients following instruction by means of this manual has been compared with the effect of one instruction carried out by a dental hygienist as well as with the effect of minimal instruction by the aid of a short brochure. Thirty-seven patients (25--64 years of age) were allocated to three groups matched with regard to baseline scores of dento-gingival plaque, age and sex. Presence of disclosed dento-gingival plaque (Plak-lite) and gingival bleeding on probing were recorded at the start, 1, 2 and 6 weeks, 3 and 6 months. Toothbrushing performance of the patients was evaluated at each visit by a "brushing test". The treatment of all the patients consisted of scaling and polishing of the teeth at the start and after 3 months as well as the patients being supplied with the necessary oral hygiene aids including a lighted mouth mirror, a toothbrush, toothpicks and disclosing tablets. The baseline mean plaque and bleeding scores of 64 and 40% decreased during the first 6 weeks to a level of 20 and 14%. This improvement was maintained during the 6-month study period. Among the three groups no significant differences were observed in oral hygiene and gingival health. The results indicate that an oral hygiene instructional mode relatively independent of professional manpower may be equally effective as one single personal instruction. Furthermore the results suggest that factors other than the instruction per se are important for obtaining improvements in oral home care.

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  • A written self-instructional manual of OHI compared to regular OHI or personalized OHI did not show significant improvement in periodontal outcomes at 6 months.

    “Glavind et al. reported similar findings in two RCTs with a 6-month follow-up when a written self-instructional manual of OHI was compared to regular OHI as a control group [84] as well as a group in which personalized OHI was provided [82].”

    From Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review (2023) · cites this paper as [82]

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Authors
Glavind, L., Zeuner, E., & Attström, R.
Affiliations
Aarhus University (DK)
Corresponding author
Glavind, Leif
Venue
Journal Of Clinical Periodontology
Publisher
Wiley
Published
1981-06
Volume
8
Issue
3
Pages
165-176
ISSN
  • 0303-6979 (ISSN-L)
  • 1600-051X
DOI
10.1111/j.1600-051x.1981.tb02028.x
OpenAlex
W2083834260
Cited by
58
References
36
Citations by year
2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 2
FWCI
6.91
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 8962 d)
Locations
  • Journal Of Clinical 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
dental hygiene education, self-instructional manual, home dental care, periodontal patients, dental plaque, gingival bleeding, scaling and polishing, medication adherence
MeSH terms
Adult, Dental Plaque, Female, Health Education, Dental, Humans, Male, Middle Aged, Oral Hygiene, Periodontal Diseases, Teaching, Time Factors

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