The oral health-related behavior of patients with periodontal disease is a critical determinant of their health. Psychological models of behavior provide a framework for the design of interventions to enhance oral health-related behavior. This article reviews published manuscripts on interventions to enhance oral health-related behavior, classifying the nature of the interventions according to current psychological models of behavior. Fifteen manuscripts reporting the findings of 14 studies were identified and reviewed. The present article concludes that, based on current evidence, the key elements of effective interventions are: goal setting, planning the behavior change, and self-monitoring.
Good oral hygiene is known Knowledge Transfer Statement: The results of this qualitative study can be used by oral health care workers and researchers to plan and design more targeted dental health education interventions with pregnant women. The information in this study might be helpful to public health decision makers to make more appropriate decisions about implementing dental health education with pregnant women.
This paper reviews the published literature regarding the oral signs and symptoms of bulimia nervosa and discusses the benefits of involving the dental profession in the early identification of suspected cases. It is argued that the primary care dental team can act as a valuable resource to mental health professionals provided that liaison and mutual education take place.
The oral manifestations of bulimia nervosa include increased levels of dental caries, sensitivity to hot and cold substances, dry mouth, enamel erosion and occasionally swelling of the parotid salivary gland. These signs can develop within six months of the onset of bulimia nervosa. The general dental practitioner is ideally placed to pick up these early warning signs. The oral condition may be controlled through local measures but the true value of the involvement of the dental practitioner may only be realized if they are made aware of the importance of early referral for specialist advice and management of the underlying condition and the consequent improvement in prognosis. Recent work has suggested that many dental practitioners are unaware of oral signs that may indicate the existence of bulimia nervosa and tend to restrict management to the local oral problem.
Dental phobia is relatively common among adults and often associated with poorer oral health as a consequence of delaying dental treatment until advanced disease has caused intolerable symptoms. The increased rates of active disease may also have an impact on oral health-related quality of life (OHR QoL).
Minimum intervention oral healthcare (MIOC) combines four key domains: detection and diagnosis, prevention and control of oral disease, minimally invasive (MI) operative interventions and review/recall. Team delivery and patient-focused care are the underpinning tenets to these four domains. The MIOC approach offers advantages to both patients with dental phobia and the oral healthcare team involved in their long-term management. This paper presents an adaptation of MIOC for patients with dental phobia, which is founded on a comprehensive assessment approach followed by the provision of dental care with behavioural management techniques in combination with conscious sedation. This approach has the potential to provide a comprehensive personalised patient management pathway for delivering better oral health for this vulnerable patient group in a primary care setting.
Within the limitations of the current study, the following conclusions can be drawn: (1) the majority of manufacturers of RBC materials are aware and in favour of repair as opposed to replacement of defective composite restorations; (2) there is a need for manufacturers to produce guidelines for repair of their materials; and (3) there is a need for robust randomised controlled dental practice-based clinical studies in the field of repair of composite restorations.
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