Improved compliance and self-care in patients with periodontitis—A randomized control trial
Abstract
UNLABELLED: The present study was a randomized control trial to test an intervention emanating from the Client Self-care Commitment Model (CSCCM), to encourage patients to increase their responsibility for their oral self-care. MATERIALS AND METHODS: A total of 75 individuals were re-examined 1-2 years after their initial therapy at the Department of Periodontology, Uppsala County Council, Sweden. Patients who exhibited insufficient compliance, 37 individuals, were included in a randomized single-blind control trial to test an intervention based on the CSCCM. Patients were examined at baseline and 3 months after hygiene treatment. RESULTS: The results demonstrated that patients in the intervention (IV) group increased their interdental cleaning and reduced their plaque index significantly compared with the control group. The former also reduced the number of periodontal pockets >4 mm significantly from baseline until after the hygiene treatment. The majority of the individuals in the IV group reported that the written commitment had influenced on their oral self-care habits in a positive direction. CONCLUSIONS: The CSCCM enhanced the client participation in the treatment process and improved the compliance and oral self-care behaviours. In addition, the model contributed to a reduction in periodontal pockets.
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Three months after four sessions of the Client Self-Care Commitment Model versus three sessions of standard OHI, there was a statistically significant improvement in plaque index and interdental cleaning.
“In summary, 3 months after executing four sessions of the Client Self-Care Commitment Model (CSCCM) by an experienced dental hygienist versus three sessions of standard OHI, Jönsson and coworkers revealed a statistically significant improvement in the plaque index and interdental cleaning [76].”
From Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review (2023) · cites this paper as [76]
In the Jonsson and colleagues studies, the intervention was delivered by a dental hygienist and took more clinical time than the brief interventions in the present study.
“In contrast to the present study, in the studies conducted by Jonsson and colleagues the intervention was delivered by a dental hygienist and took more clinical time than the brief interventions introduced here.”
From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [22]
Jonsson and colleagues demonstrated that individualized patient communications including goal setting and discussion of individual risk factors reduce plaque and decrease bleeding on probing.
“Jonsson and colleagues 22-26 have demonstrated the benefits in terms of plaque reduction and decreased bleeding on probing of individualized patient communications which include goal setting and discussion of individual risk factors.”
From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [22]
The benefits in the Jonsson and colleagues studies were maintained at two years.
“The benefits sustained in these latter studies were maintained at two years.”
From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [22]
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Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review
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- Authors
- Jönsson, B., Lindberg, P., Oscarson, N., & Öhrn, K.
- Affiliations
- Uppsala University (SE)
- Dalarna University (SE)
- Corresponding author
- Jönsson, B
- ORCID
- Jönsson, B
- Venue
- International Journal of Dental Hygiene
- Publisher
- Wiley
- Published
- 2006-03-31
- Volume
- 4
- Issue
- 2
- Pages
- 77-83
- ISSN
- 1601-5029 (ISSN-L)
- 1601-5037
- OpenAlex
- W2039704041
- Cited by
- 53
- References
- 34
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2021: 3 · 2020: 6 · 2019: 3 · 2018: 9 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 4
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Dental Hygiene (publishedVersion)
- PubMed (publishedVersion)
- 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
- periodontitis, oral self-care, medication adherence, interdental cleaning, plaque index, periodontal pockets, patient participation
- MeSH terms
- Adult, Aged, Aged, 80 and over, Dental Hygienists, Dental Plaque, Dental Plaque Index, Female, Health Education, Dental, Humans, Male, Middle Aged, Models, Psychological, Motivation, Oral Hygiene, Patient Compliance, Patient Participation, Periodontal Index, Periodontal Pocket, Self Care, Single-Blind Method
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