Determinants of oral hygiene behavior: a study based on the theory of planned behavior
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Buunk-Werkhoven YAB, Dijkstra A, van der Schans CP. Determinants of oral hygiene behavior: a study based on the theory of planned behavior. Community Dent Oral Epidemiol 2011; 39: 250–259. © 2010 John Wiley & Sons A/S Abstract – Objective: The aim of this study was to develop an index for oral hygiene behavior (OHB) and to examine potential predictors of this actual behavior based on the theory of planned behavior (TPB). Measures of oral health knowledge (OHK) and the expected effect of having healthy teeth on social relationships were included too. Material and methods: Using an Internet questionnaire, 487 participants were asked about actual OHB, attitudes (ATT), social norms (SN), perceived behavioral control (PBC), OHK, and expected social outcomes (ESO). Based on a Delphi method involving oral health professionals, a new index for OHB was developed, including tooth brushing, interdental cleaning, and tongue cleaning. Results: Regression analysis revealed that the TPB variables (ATT, SN, and PBC) and OHK explained 32.3% of the variance in self-reported OHB. Conclusion: The present findings indicate that socio-psychological consequences play a role in oral health care.
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“Background characteristics Country of birth and childhood [21] and ethnicity [23] Socioeconomics Education and employment [23], income [18] Use of dental health care services Frequency of dental visits, public of private dental services and influence of costs on dental treatment [21] General health and health behavior…”
The effect of oral health education for the elderly using QscanTM
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Computer-Based Oral Hygiene Instruction versus Verbal Method in Fixed Orthodontic Patients.
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“The theory of planned behavior (TPB) is a widely used theoretical model that can map the psychological causes of oral health behavior [7, 8].”
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Persuasive Oral Hygiene Communications in Uruguay and Spain
Buunk‐Werkhoven, Y. A. B., Dijkstra, A., Jaso, M. E., et al. (2011) · University of Groningen research database (University of Groningen / Centre for Information Technology) · doi:10.3968/j.ccc.1923670020110701.001 · Cited by 6 · see citing works
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“Effective toothbrushing should be performed for a minimum of two minutes [30,117–120], although studies show that actual brushing time ranges between 28 and 47 s [46].”
Park, Y., Lee, S. H., Yi, Y. M., Lee, C. Y., & Lee, M. H. (2018) · Research in Community and Public Health Nursing · doi:10.12799/jkachn.2018.29.3.322 · Cited by 5 · see citing works
“[22], and the total scores range from 0 to 17 points.”
BackgroundMethodInfluentialBuunk‐Werkhoven, Y. A. B., & Burrekers, S. Y. (2018) · Oral Health and Care · doi:10.15761/ohc.1000134 · Cited by 5 · see citing works
“Moreover, the young mothers’ participation in the two workshops, including the completed index of OHB10 / MondiX® [11], provided not only insight in their oral health knowledge and oral self-care, but also in their intentions to supervised brushing and re-brushing their toddlers’ dentition.”
BackgroundSelf-citationHow Effective Is Toothbrush Education through Environmental Changes in Elementary School Children
Pratamawari, D. N. P., Balgies, G. A., & Buunk‐Werkhoven, Y. A. B. (2022) · Journal of dental hygiene science · doi:10.17135/jdhs.2022.22.1.30 · Cited by 5 · see citing works
Self-citationEffects of social support on oral health behavior: Serial multiple‐mediator model
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A Two-Dimensional Scale for Oral Discomfort
Buunk‐Werkhoven, Y. A. B., Barelds, D. P. H., Dijkstra, A., & Buunk, A. P. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22030415 · Cited by 4 · see citing works
Self-citationBuunk‐Werkhoven, Y. A. B., Tamulienė, R., & Mačiulienė, D. (2025) · Frontiers in Oral Health · doi:10.3389/froh.2025.1530265 · Cited by 4 · see citing works
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Evaluation of customized oral health promotion program for North Korean defector
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“…involves several key points, such as brushing two times a day (after breakfast and before bedtime) using a soft-bristled toothbrush and fl uoride toothpaste with minimal pressure for two minutes, and practicing daily interdental cleaning and tongue cleaning to remove plaque and bacteria [19].”
InfluentialAssessment of periodontal status in patients undergoing renal dialysis – A hospital-based study
Rani, A. N., Reddy, M. P., Kulkarni, S., et al. (2024) · Journal of Indian Society of Periodontology · doi:10.4103/jisp.jisp_335_23 · Cited by 3 · see citing works
Integration of Health Behaviour Theories in Dentistry: A Systematic Review
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Folgerts, O., Buunk‐Werkhoven, Y. A. B., & Batenburg, R. S. (2019) · International Dental Journal · doi:10.1111/idj.12475 · Cited by 3 · see citing works
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“As earlier public health studies performed in Korea 27) , these both studies showed that participation of GG in public events may play an important role in the impro-Yvonne vement of awareness of their profession and of oral health awareness, like in previous Dutch studies 8,13,22,23) .”
Self-citationParents’ attitude toward assisted oral hygiene care for their children
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Using the extended theory of planned behavior to assess adults’ intentions of preventive dental care
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“The oral health practices were measured using a self-reporting questionnaire on OHB adapted with permission from the previously developed index for oral hygiene behaviour [17].”
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Dental caries, missing teeth, and oral health behavior among smokers
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“In the field of oral health, several studies have shown that perceived self-efficacy was one of the strongest determinants of behavior [25, 26].”
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Assessment of tongue cleaning habit among the patients visiting a dental hospital in Kathmandu
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A Review of Interventions to Improve Oral and Dental Health in Children
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“However, our study population of Baramulla showed poor tongue-cleaning behavior across age groups, similar to previous studies [55,56] as well as less usage of mouthwash or any other oral aid to keep their mouth clean.”
Burrekers, S. Y. (2020) · Biomedical Journal of Scientific & Technical Research · doi:10.26717/bjstr.2020.26.004422 · Cited by 2 · see citing works
“, knowledge, attitudes, environment, and behavior both at individual and community level [6-8].”
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“Oral selfcare practices based on personal choice are considered an important as pect of oral health behavior [1].”
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“(20), did not receive any anti-osteoporotic drugs as bisphosphonates (Bps) yet (21), with missed tooth\teeth need to be restored at the posterior region of the lower arch (premolar\molar area of the mandible), and with good oral hygiene (22).”
BackgroundIllness perception in patients with dental caries: A co-relational study in Odisha
Rath, H., Panda, A., & Mahapatra, S. (2025) · Journal of Oral Biology and Craniofacial Research · doi:10.1016/j.jobcr.2025.01.003 · Cited by 1 · see citing works
- Authors
- Buunk-Werkhoven, Y. A. B., Dijkstra, A., & van der Schans, C. P.
- Affiliations
- University of Groningen (NL)
- ORCID
- Dijkstra, Arie
- Venue
- Community Dentistry and Oral Epidemiology
- Publisher
- Wiley
- Published
- 2010-11-10
- Volume
- 39
- Issue
- 3
- Pages
- 250-259
- ISSN
- 0301-5661 (ISSN-L)
- OpenAlex
- W2135733723
- Semantic Scholar
- 23e9176a7ec1dae3f33edc8db40a1d60c8c2005d
- Cited by
- 144
- References
- 45
- Citations by year
- 2026: 9 · 2025: 12 · 2024: 12 · 2023: 9 · 2022: 14 · 2021: 10 · 2020: 12 · 2019: 11 · 2018: 9 · 2017: 5 · 2016: 5 · 2015: 9 · 2014: 7 · 2013: 7 · 2012: 3
- FWCI
- 7.42
- Type
- journal article
- Language
- en
- Open access
- green
- research.rug.nl
- Licence
- Locations
- Community Dentistry And Oral Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Keywords
- oral hygiene habits, theory of planned behavior, oral health knowledge, attitudes, social norms, perceived behavioral control, toothbrushing, interdental cleaning, tongue cleaning, oral health index, psychosocial factors
- MeSH terms
- Adolescent, Adult, Aged, Attitude to Health, Child, Delphi Technique, Dental Health Surveys, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Oral Hygiene, Psychology, Surveys and Questionnaires, Toothbrushing, Health Behavior, Young Adult
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