Oral cleanliness and gingival health following oral hygiene instruction by selfed-educational programs
Abstract
The aim of the present study was to determine the motivational effect of using a periodontal self-examination manual prior to a self-instructional manual in oral hygiene and to examine whether instruction provided at a later time than the scaling procedure improves the effect of the instruction. 74 patients with periodontal disease were divided into 3 groups: (1) A group of 23 patients who performed a self-examination of their periodontal condition prior to self-instruction in oral hygiene; (2) a control group of 27 patients who used only the self-instructional oral hygiene manual; and (3) a group of 24 patients who were not given the self-instructional oral hygiene manual before 6 weeks after the baseline examination. All these patients had their teeth scaled at the start of the study and after 3 and 7 months. The effect of the various modes of instruction was evaluated by assessments of plaque and gingival bleeding scores. These parameters were determined at the baseline and after 2 and 6 weeks and 3 and 7 months. The results demonstrated a significant improvement in plaque and gingival bleeding scores following the use of the self-instructional manual in oral hygiene. The use of the periodontal self-examination manual or a delay of the instruction had no additional effect on oral cleanliness. The level of oral hygiene and gingival health achieved at 3 months was maintained in all 3 groups for an additional period of 4 months. After that time, they were divided into 2 other groups depending on whether or not their plaque score was less than 20%. A total of 26 in the group who had a plaque score higher than 20% demonstrated a plaque score of than 20% after having performed the tooth brushing test. 10 of the remaining patients, who still had a plaque score of more than 20% after the tooth brushing test, received additional instruction in oral hygiene which subsequently resulted in improved oral cleanliness after 6 months.
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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 [84]
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Carra, M. C., Detzen, L., Kitzmann, J., Woelber, J. P., Ramseier, C. A., & Bouchard, P. (2020) · Journal of Clinical Periodontology · doi:10.1111/jcpe.13234 · Cited by 124 · see citing works
Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review
Vilar Doceda, M., Petit, C., & Huck, O. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12062276 · Cited by 29 · see citing works
“, 1984 [84] Self-examination prior to OHI and delayed OHI.”
BackgroundResult
- Authors
- Glavind, L., Zeuner, E., & Attsträm, R.
- Corresponding author
- Glavind, Leif
- Venue
- Journal Of Clinical Periodontology
- Publisher
- Wiley
- Published
- 1984-04
- Volume
- 11
- Issue
- 4
- Pages
- 262-273
- ISSN
- 0303-6979 (ISSN-L)
- 1600-051X
- OpenAlex
- W2029851020
- Cited by
- 15
- References
- 19
- Citations by year
- 2023: 3 · 2021: 1 · 2020: 1 · 2019: 1 · 2012: 1
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal Of Clinical Periodontology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Tandlægeforeningen
- 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, periodontal disease, plaque control, gingival bleeding, oral hygiene, toothbrushing, scaling, patient motivation
- MeSH terms
- Adult, Aged, Dental Plaque, Dental Prophylaxis, Gingival Diseases, Gingival Hemorrhage, Health Education, Dental, Humans, Middle Aged, Oral Hygiene, Programmed Instructions as Topic, Teaching, Time Factors
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