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Cited by 113Oral microbiology and periodontitis researchDental Health and Care UtilizationDental Education, Practice, Research

Evaluation of an individually tailored oral health educational programme on periodontal health

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Jönsson, Birgitta, Öhrn, Kerstin, Lindberg, Per, Oscarson, Nils·2010·Journal of Clinical Periodontology
DOI 10.1111/j.1600-051x.2010.01590.x
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Abstract

Jönsson B, Öhrn K, Lindberg P, Oscarson N. Evaluation of an individually tailored oral health educational programme on periodontal health. J Clin Periodontol 2010; 37: 912–919. doi: 10.1111/j.1600‐051X.2010.01590.x Aim: To evaluate an individually tailored oral health educational programme (ITOHEP) on periodontal health compared with a standard oral health educational programme. A further aim was to evaluate whether both interventions had a clinically significant effect on non‐surgical periodontal treatment at 12‐month follow‐up. Material and Method: A randomized, evaluator‐blinded, controlled trial with 113 subjects (60 females and 53 males) randomly allocated into two different active treatments was used. ITOHEP was based on cognitive behavioural principles and motivational interviewing. The control condition was standard oral hygiene education (ST). The effect on bleeding on probing (BoP), periodontal pocket depth, “pocket closure” i.e. percentage of periodontal pocket >4 mm before treatment that were <5 mm after treatment, oral hygiene [plaque indices (PlI)], and participants' global rating of oral health was evaluated. Preset criteria for PlI, BoP, and “pocket closure” were used to describe clinically significant non‐surgical periodontal treatment success. Results: The ITOHEP group had lower BoP scores 12‐month post‐treatment (95% confidence interval: 5–15, p<0.001) than the ST group. No difference between the two groups was observed for “pocket closure” and reduction of periodontal pocket depth. More individuals in the ITOHEP group reached a level of treatment success. Lower PlI scores at baseline and ITOHEP intervention gave higher odds of treatment success. Conclusions: ITOHEP intervention in combination with scaling is preferable to the ST programme in non‐surgical periodontal treatment.

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  • An individually tailored oral health educational program based on cognitive behavioral principles using MI methods resulted in significant improvement in all clinical indices after three months that remained stable after one year.

    “As a result, all clinical indices improved significantly after three months and remained stable after a year [77,78].”

    From Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review (2023) · cites this paper as [78]

    The Material and Method passage identifies the individually tailored programme as based on cognitive behavioural principles and motivational interviewing. The Plaque scores and BoP results report improvements at three months that persisted at 12 months, and Periodontal pocket assessment reports reduced pocket depths at both visits. But the paper does not establish statistically significant three-month improvement for every clinical index; it also reports further reductions in BoP and pocket depth by 12 months rather than describing all indices as stable. (LLM, conf=0.84)

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  • Repeated oral hygiene instructions and motivation are crucial in reducing PI and improving periodontal health, as demonstrated by Marini et al. and Jönsson et al.

    “Studies, such as those by Marini et al. [20] and Jönsson et al. [22, 23], demonstrate that repeated oral hygiene instructions and motivation are crucial in reducing PI and improving periodontal health.”

    From Concordance and Clinical Outcomes Improvement Following Oral Hygiene Motivation: A Systematic Review and Report of the Workshop of the Italian Societies of Dental Hygiene (2024) · cites this paper as [23]

    The Plaque scores section (page not provided) reports reduced plaque indices in both groups, with a greater reduction in the individually tailored group. The Discussion (page not provided) also reports improved bleeding-on-probing scores and more participants reaching treatment success with that programme. However, the study combined education with scaling and maintenance care; it does not establish that repeated instructions and motivation specifically were crucial to those improvements. (LLM, conf=0.84)

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  • Three studies assessed the effect of cognitive behavioural principles and motivational interviewing in 313 patients performing oral hygiene with toothbrush and interdental brushes.

    “Three studies [22–24] assessed the effect of cognitive behavioural principles and motivational interviewing in 313 patients performing oral hygiene with toothbrush and interdental brushes.”

    From Concordance and Clinical Outcomes Improvement Following Oral Hygiene Motivation: A Systematic Review and Report of the Workshop of the Italian Societies of Dental Hygiene (2024) · cites this paper as [23]

    The Material and Method section reports a 113-patient study whose experimental programme used cognitive-behavioural principles and motivational interviewing. It describes brushing and interdental cleaning, but does not specify interdental brushes. Because this is one of three cited studies, its 113 patients do not by themselves verify the stated combined total of 313. (LLM, conf=0.82)

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  • Two studies involved the usage of toothbrush; three studies assessed a combination of toothbrushing and interdental brushing; and seven studies focused on a motivational approach regardless of the type of hygiene measures employed.

    “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).”

    From Concordance and Clinical Outcomes Improvement Following Oral Hygiene Motivation: A Systematic Review and Report of the Workshop of the Italian Societies of Dental Hygiene (2024) · cites this paper as [23]

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  • Delivering CBT in combination with MI may result in an improvement in OH as evaluated by decreasing plaque and bleeding scores.

    “Delivering cognitive behavioral therapy in combination with motivational interviewing may result in an improvement in OH as evaluated by decreasing plaque and bleeding scores.”

    From Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review (2023) · cites this paper as [78]

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Research works printed but not linked: 1

  1. [29]29. Twisk, J. & de Wente, W. (2002) Attrition in long- itudinal studies: how to deal with missing data. Journal of Clinical Epidemiology 55, 329-337.

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Authors
Jönsson, B., Öhrn, K., Lindberg, P., & Oscarson, N.
Affiliations
  • Uppsala University (SE)
  • Dalarna University (SE)
  • National Board of Health and Welfare (SE)
Corresponding author
Jönsson, Birgitta
ORCID
Jönsson, Birgitta
Venue
Journal of Clinical Periodontology
Publisher
Wiley
Published
2010-09-07
Volume
37
Issue
10
Pages
912-919
ISSN
  • 0303-6979 (ISSN-L)
  • 1600-051X
DOI
10.1111/j.1600-051x.2010.01590.x
OpenAlex
W2098924913
Cited by
113
References
35
Citations by year
2026: 7 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 6 · 2021: 7 · 2020: 13 · 2019: 7 · 2018: 7 · 2017: 11 · 2016: 10 · 2015: 6 · 2014: 6 · 2013: 4 · 2012: 7
FWCI
6.31
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal Of Clinical Periodontology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Vetenskapsrådet
  • Stiftelsen Patentmedelsfonden för Odontologisk Profylaxforskning
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Health Professions › General Health Professions › Dental Education, Practice, Research
Keywords
non-surgical periodontal therapy, scaling, bleeding on probing, probing depth, plaque index, cognitive-behavioural intervention, motivational interviewing, oral hygiene, treatment success
MeSH terms
Adult, Aged, Analysis of Variance, Dental Plaque Index, Female, Health Education, Dental, Humans, Interviews as Topic, Male, Middle Aged, Motivation, Oral Hygiene, Periodontal Index, Periodontal Pocket, Surveys and Questionnaires, Dental Scaling, Health Behavior, Chi-Square Distribution, Logistic Models, Single-Blind Method, Treatment Outcome, Chronic Periodontitis

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