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Evaluation of an individually tailored oral health educational programme on periodontal health
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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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“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]
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“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]
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“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]
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“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 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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“The literature search retrieved 19,453 titles. After the removal of duplicates, 8948 items were available. Following title and abstract analysis, 263 articles were deemed eligible for full text analysis, which lead to the final inclusion of 12 articles [20–31] (Figure 1).”
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“Two studies [22, 23] reported data on the same cohort of patients.”
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“The studies reported variations in PI [22–24], GI [22], probing pocket depth [23] and bleeding on probing [22, 24].”
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Cites
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Cited by
Sorted by citations
Nonsurgical and surgical treatment of periodontitis: how many options for one disease?
Graziani, F., Karapetsa, D., Alonso, B., & Herrera, D. (2017) · Periodontology 2000 · doi:10.1111/prd.12201 · Cited by 596
Gao, X., Lo, E. C. M., Kot, C. C. S., & Chan, K. C. W. (2013) · Journal of Periodontology · doi:10.1902/jop.2013.130205 · Cited by 174
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Psychological Interventions for Poor Oral Health
Werner, H., Hakeberg, M., Dahlström, L., Eriksson, M., Sjögren, P., Strandell, A., Svanberg, T., Svensson, L., & Boman, U. W. (2016) · Journal of Dental Research · doi:10.1177/0022034516628506 · Cited by 137
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
Metadata
- 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
- 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
- bronze
- doi.org
- 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 › General Dentistry › 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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