An individually tailored treatment programme for improved oral hygiene: introduction of a new course of action in health education for patients with periodontitis
Abstract
Abstract: Objectives: To describe and evaluate an individually tailored treatment programme based on a behavioural medicine approach to oral hygiene self‐care for patients with chronic periodontitis. Methods: Two experimental single‐case studies with multiple‐baseline design across different self‐administered oral hygiene behaviours were conducted. Cognitive Behavioural techniques were used to organize the strategies for the intervention and the approach to counselling was inspired by and structured in accordance with Motivational Interviewing. The central features in the programme were the individual analysis of knowledge and oral hygiene habits, individually set goals for oral hygiene behaviour, practice of manual dexterity for oral hygiene aids, continuous self‐monitoring of the behaviour and prevention of relapse. Results: Both participants reached the predecided criteria for clinical significance in reducing plaque and bleeding on probing. Reductions of periodontal probing depth were achieved as well. The positive results remained stable throughout the 2‐year study period. Conclusion: The successful application of this educational model suggests that it could be used as a method for tailoring interventions targeted to oral hygiene for patients with periodontal conditions. The programme will now be tested in a larger randomized controlled trial.
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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 [24]
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 [24]
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 [24]
Cites
Experimental gingivitis in man
Löe, H., Theilade, E., & Jensen, S. B. (1965) · The Journal of Periodontology · doi:10.1902/jop.1965.36.3.177 · Cited by 3,481 · see citing works
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Newton, J. T., & Asimakopoulou, K. (2015) · Journal of Clinical Periodontology · doi:10.1111/jcpe.12356 · Cited by 170 · see citing works
Jönsson, B., Öhrn, K., Oscarson, N., & Lindberg, P. (2009) · Journal of Clinical Periodontology · doi:10.1111/j.1600-051x.2009.01453.x · Cited by 137 · see citing works
Self-citationEvaluation of an individually tailored oral health educational programme on periodontal health
Jönsson, B., Öhrn, K., Lindberg, P., & Oscarson, N. (2010) · Journal of Clinical Periodontology · doi:10.1111/j.1600-051x.2010.01590.x · Cited by 113 · see citing works
Self-citationBrand, V., Bray, K., MacNeill, S., Catley, D., & Williams, K. (2013) · International Journal of Dental Hygiene · doi:10.1111/idh.12012 · Cited by 83 · see citing works
Motivational Interviewing As an Adjunct to Periodontal Therapy—A Systematic Review
Kopp, S. L., Ramseier, C. A., Ratka-Krüger, P., & Woelber, J. P. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00279 · Cited by 58 · see citing works
Jönsson, B., Baker, S. R., Lindberg, P., Oscarson, N., & Öhrn, K. (2012) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2011.01822.x · Cited by 43 · see citing works
Self-citationThe effect of risk communication on periodontal treatment outcomes: A randomized controlled trial.
Asimakopoulou, K., Nolan, M., McCarthy, C., & Newton, J. T. (2019) · Journal of Periodontology · doi:10.1002/jper.18-0385 · Cited by 34 · 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
- Authors
- Jönsson, B., Öhrn, K., Oscarson, N., & Lindberg, P.
- Affiliations
- Uppsala University (SE)
- Dalarna University (SE)
- Corresponding author
- Jönsson, B
- ORCID
- Jönsson, B
- Venue
- International Journal of Dental Hygiene
- Publisher
- Wiley
- Published
- 2009-07-16
- Volume
- 7
- Issue
- 3
- Pages
- 166-175
- ISSN
- 1601-5029 (ISSN-L)
- 1601-5037
- OpenAlex
- W2096902823
- Cited by
- 59
- References
- 1
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 3 · 2015: 5 · 2014: 3 · 2013: 5 · 2012: 4
- FWCI
- 4.55
- 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
- chronic periodontitis, behavioral medicine, motivational interviewing, cognitive-behavioural techniques, patient counseling, plaque reduction, bleeding on probing, probing depth, self-monitoring, relapse prevention, oral hygiene aids, manual dexterity
- MeSH terms
- Attitude to Health, Counseling, Dental Devices, Home Care, Dental Plaque, Female, Follow-Up Studies, Gingival Hemorrhage, Goals, Health Education, Dental, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Motivation, Motor Skills, Oral Hygiene, Patient Care Planning, Patient Education as Topic, Periodontal Pocket, Self-Assessment, Self Care, Toothbrushing, Health Behavior, Cognitive Behavioral Therapy, Chronic Periodontitis
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