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Cited by 170Oral microbiology and periodontitis researchDental Health and Care UtilizationBehavioral Health and Interventions

Managing oral hygiene as a risk factor for periodontal disease: a systematic review of psychological approaches to behaviour change for improved plaque control in periodontal management

Open access
Newton, J. Timothy, Asimakopoulou, Koula·2015·Journal of Clinical Periodontology
DOI 10.1111/jcpe.12356
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Abstract

Background: Plaque control in patients with periodontal disease is critically dependent upon self‐care through specific oral hygiene‐related behaviours. Objectives: To determine the relationship between adherence to oral hygiene instructions in adult periodontal patients and psychological constructs. To determine the effect of interventions based on psychological constructs on oral health‐related behaviour in adult periodontal patients. Data Sources: The Cochrane Oral Health Group's Trials Register, MEDLINE, EMBASE and Psyc INFO. Study Appraisal and Synthesis Methods: Studies were grouped according to the study design, and appraised using an appropriate methodology, either the Newcastle‐Ottawa assessment for observational studies, or the Cochrane criteria for trials. Results: Fifteen reports of studies were identified. Limitations: There was a low risk of bias identified for the observational studies. Older trials suffered from high risk of bias, but more recent trials had low risk of bias. However, the specification of the psychological intervention was generally poor. Conclusions and Implications of Key Findings: The use of goal setting, self‐monitoring and planning are effective interventions for improving oral hygiene‐related behaviour in patients with periodontal disease. Understanding the benefits of behaviour change and the seriousness of periodontal disease are important predictors of the likelihood of behaviour change.

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  • Variations in protocol design, research population and follow-up periods hinder direct comparison between different motivational therapeutic approaches.

    “However, the variations in protocol design, research population and follow-up periods hinder the direct comparison between different motivational therapeutic approaches [39].”

    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 [39]

    The Synthesis of results says heterogeneity in outcome measures and psychological models prevented meta-analysis, and the Discussion says varied, poorly specified interventions impeded synthesis. The study summaries also show different follow-up periods. Our copy does not identify differences in research populations as a reason direct comparisons were hindered. (LLM, conf=0.82)

    Experimental — accuracy not yet measured

  • Limited correlation with periodontal health (PI, bleeding and probing depth) has been provided to date for the several models discussed in dentistry.

    “Although several models have been discussed in dentistry [38–40], limited correlation with periodontal health (PI, bleeding and probing depth) has been provided to date.”

    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 [39]

    The Study characteristics section (page unavailable) identifies only 15 reports across seven psychological models, supporting the point that evidence is limited. But the review does not establish generally limited correlations for each of plaque index, bleeding, and probing depth; the Theory of planned behaviour section (page unavailable) reports a strong prediction of gingival outcomes for one model. (LLM, conf=0.78)

    Experimental — accuracy not yet measured

  • The systematic review proposed a Goal-setting, Planning, Self-Monitoring (GPS) intervention to support behavior change in these groups.

    “and proposed a Goal-setting, Planning, Self-Monitoring (GPS) intervention to support behavior change in these groups.”

    From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [11]

    The Conclusions state that interventions using goal setting, self-monitoring and planning improve oral health-related behaviour in adult periodontal patients. The Discussion likewise finds these elements effective, but the review does not propose a specific intervention named “GPS.” (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • A systematic review of psychological approaches to behavior change for improved plaque control concluded that goal-setting, self-monitoring and planning are effective interventions for improving oral hygiene-related behavior in patients with periodontal disease.

    “A systematic review of psychological approaches to behavior change for improved plaque control, concluded that, '… goal-setting, self-monitoring and planning are effective interventions for improving oral hygiene-related behavior in patients with periodontal disease ' 11 ,”

    From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [11]

  • In line with Newton and Asimakopoulou's earlier systematic review, interventions that utilize principles of GPS might successfully improve clinical outcomes in periodontal disease in an older sample of generally adherent patients.

    “The study has shown that, in line with Newton and Asimakopoulou ' s earlier systematic review 21 interventions that utilize principles of GPS might successfully improve clinical outcomes in periodontal disease in an older sample of generally adherent patients.”

    From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [21]

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Cites

1 retracted

Flagged first, then by citations

Research works printed but not linked: 3

  1. Ajzen, I. (2002) Perceived behavioural control, self-efficacy, locus of control, and the theory of planned behaviour. Journal of Applied Social Psychology 32, 665-683.
  2. Bandura, A. (1977) Self-efficacy: towards a unify- ing theory of behaviour change. Psychological Review 84, 191-215.
  3. Ley, P. (1982) Satisfaction, compliance, and com- munication. British Journal of Clinical Psychol- ogy 21, 241-254.

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Authors
Newton, J. T., & Asimakopoulou, K.
ORCID
Asimakopoulou, Koula
Venue
Journal of Clinical Periodontology
Publisher
Wiley
Published
2015-03-31
Volume
42
Issue
S16
Pages
S36-46
ISSN
  • 0303-6979 (ISSN-L)
  • 1600-051X
DOI
10.1111/jcpe.12356
OpenAlex
W1974337840
Cited by
170
References
62
Citations by year
2026: 10 · 2025: 10 · 2024: 14 · 2023: 13 · 2022: 26 · 2021: 20 · 2020: 17 · 2019: 16 · 2018: 18 · 2017: 13 · 2016: 11 · 2015: 1
FWCI
2.47
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal Of Clinical Periodontology (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
Funders
Higher Education Funding Council, UK
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
oral hygiene, periodontal disease, plaque control, behavior change, psychological intervention, goal setting, self-monitoring, self-care, risk factors
MeSH terms
Attitude to Health, Dental Plaque, Humans, Oral Health, Oral Hygiene, Patient Education as Topic, Periodontal Diseases, Risk Factors, Self Care, Health Behavior

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