Promoting behavioural changes to improve oral hygiene in patients with periodontal diseases: A systematic review.

Carra, Maria Clotilde; Detzen, Laurent; Kitzmann, Julia; Woelber, Johan P; Ramseier, Christoph A.; Bouchard, Philippe (2020). Promoting behavioural changes to improve oral hygiene in patients with periodontal diseases: A systematic review. Journal of clinical periodontology, 47 Suppl 22, pp. 72-89. Wiley 10.1111/jcpe.13234

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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.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology

UniBE Contributor:

Ramseier, Christoph Andreas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0303-6979

Publisher:

Wiley

Language:

English

Submitter:

Doris Burri

Date Deposited:

21 Dec 2020 11:47

Last Modified:

21 Dec 2020 11:49

Publisher DOI:

10.1111/jcpe.13234

PubMed ID:

31912530

Uncontrolled Keywords:

behavioural changes motivational interviewing oral hygiene periodontal diseases psychological intervention

BORIS DOI:

10.7892/boris.148736

URI:

https://boris.unibe.ch/id/eprint/148736

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