Promoting behavioural changes to improve oral hygiene in patients with periodontal diseases: A systematic review
Open accessAbstract
Aim: This systematic review investigates the impact of specific interventions aiming at promoting behavioural changes to improve oral hygiene (OH) in patients with periodontal diseases. Methods: A literature search was performed on different databases up to March 2019. Randomized and non‐randomized controlled trials evaluating the effects of behavioural interventions on plaque and bleeding scores in patients with gingivitis or periodontitis were considered. Pooled data analysis was conducted by estimating standardized mean difference between groups. Results: Of 288 articles screened, 14 were included as follows: 4 studies evaluated the effect of motivational interviewing (MI) associated with OH instructions, 7 the impact of oral health educational programmes based on cognitive behavioural therapies, and 3 the use of self‐inspections/videotapes. Studies were heterogeneous and reported contrasting results. Meta‐analyses for psychological interventions showed no significant group difference for both plaque and bleeding scores. No effect was observed in studies applying self‐inspection/videotapes. Conclusions: Within the limitations of the current evidence, OH may be reinforced in patients with periodontal diseases by psychological interventions based on cognitive constructs and MI principles provided by oral health professionals. However, no conclusion can be drawn on their specific clinical efficacy as measured by reduction of plaque and bleeding scores over time.
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No type of dental treatment, nor oral health itself, can be maintained over time without active collaboration in their upkeep.
“Indeed, no type of dental treatment, nor oral health itself, can be maintained over time without active collaboration in their upkeep [60].”
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 [60]
The Discussion (page not provided) says treatment goals depend on patients being motivated to follow therapeutic recommendations, and the Introduction links poor oral hygiene to periodontal treatment failure. These passages support the need for patient participation in periodontal care, but not the categorical claim that no type of dental treatment or oral health can be maintained without it. (LLM, conf=0.86)
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Sorted by citations
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“Indeed, no type of dental treatment, nor oral health itself, can be maintained over time without active collaboration in their upkeep [60].”
Background
- Authors
- Carra, M. C., Detzen, L., Kitzmann, J., Woelber, J. P., Ramseier, C. A., & Bouchard, P.
- Affiliations
- Inserm (FR)
- Université Paris Cité (FR)
- University of Freiburg (DE)
- University of Bern (CH)
- Corresponding author
- Bouchard, Philippe
- ORCID
- Venue
- Journal of Clinical Periodontology
- Publisher
- Wiley
- Published
- 2020-07
- Volume
- 47
- Issue
- S22
- Pages
- 72-89
- ISSN
- 0303-6979 (ISSN-L)
- 1600-051X
- OpenAlex
- W2999445396
- Cited by
- 124
- References
- 58
- Citations by year
- 2026: 23 · 2025: 15 · 2024: 21 · 2023: 20 · 2022: 20 · 2021: 17 · 2020: 8
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal Of Clinical Periodontology (publishedVersion)
- PubMed (publishedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
- Keywords
- oral hygiene, periodontal disease, periodontitis, gingivitis, behavioral interventions, motivational interviewing, cognitive behavioral therapy, oral health education, plaque, gingival bleeding, self-inspection, videotape
- MeSH terms
- Dental Plaque, Gingivitis, Health Education, Dental, Humans, Oral Hygiene, Periodontal Diseases
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