Evaluation of various feedback mechanisms in relation to compliance by adult patients with oral home care instructions

Glavind, Leif; Zeuner, Ella; Attstroum, Rolf

doi:10.1111/j.1600-051x.1983.tb01267.x

Cited by 26 publications

(13 citation statements)

References 14 publications

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“…This observation corroborates previous results in patients subjected to such a tooth brushing test (Glavind et al, 1983). The lack of effect on the gingival bleeding scores suggests that a tooth brushing test may motivate the patients to clean their teeth better immediately prior to the examination but not on a regular daily basis.…”

Section: Discussionsupporting

confidence: 90%

Oral cleanliness and gingival health following oral hygiene instruction by selfed‐educational programs

Glavind¹,

Zeuner²,

Attstram³

1984

J Clinic Periodontology

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The aim of the present study was to determine the motivational effect of using a periodontal self-examination manual prior to a self-instructional manual in oral hygiene and to examine whether instruction provided at a later time than the scaling procedure improves the effect of the instruction. 74 patients with periodontal disease were divided into 3 groups: (1) A group of 23 patients who performed a self-examination of their periodontal condition prior to self-instruction in oral hygiene; (2) a control group of 27 patients who used only the self-instructional oral hygiene manual; and (3) a group of 24 patients who were not given the self-instructional oral hygiene manual before 6 weeks after the baseline examination. All these patients had their teeth scaled at the start of the study and after 3 and 7 months. The effect of the various modes of instruction was evaluated by assessments of plaque and gingival bleeding scores. These parameters were determined at the baseline and after 2 and 6 weeks and 3 and 7 months. The results demonstrated a significant improvement in plaque and gingival bleeding scores following the use of the self-instructional manual in oral hygiene. The use of the periodontal self-examination manual or a delay of the instruction had no additional effect on oral cleanliness. The level of oral hygiene and gingival health achieved at 3 months was maintained in all 3 groups for an additional period of 4 months. After that time, they were divided into 2 other groups depending on whether or not their plaque score was less than 20%. A total of 26 in the group who had a plaque score higher than 20% demonstrated a plaque score of than 20% after having performed the tooth brushing test. 10 of the remaining patients, who still had a plaque score of more than 20% after the tooth brushing test, received additional instruction in oral hygiene which subsequently resulted in improved oral cleanliness after 6 months.

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Section: Discussionsupporting

confidence: 90%

Oral cleanliness and gingival health following oral hygiene instruction by selfed‐educational programs

Glavind¹,

Zeuner²,

Attstram³

1984

J Clinic Periodontology

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“…The reduced plaque formation, noted by an improvement in the PI values for the test and control sites over the study time, likely resulted from improved gingival health following the MWF, the reinforcement of oral hygiene instructions given to the study subjects postsurgically, in addition to the improved oral hygiene routines commonly observed in study subjects [45,46]. However, comparing the test and control sites continued to show a nonsignificant difference regarding their PI values.…”

Section: Discussionmentioning

confidence: 90%

Local application of hyaluronan gel in conjunction with periodontal surgery: a randomized controlled trial

et al. 2011

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Hyaluronic acid application has been proven to be beneficial in a number of medical disciplines. The aim of the current study was to clinically evaluate the effect of local application of hyaluronan gel in conjunction with periodontal surgery. Fourteen patients with chronic periodontitis having four interproximal intrabony defects (≥3 mm) with probing depth values >5 mm were included in this split-mouth study. Following initial nonsurgical periodontal therapy and re-evaluation, defects were randomly assigned to be treated with modified Widman flap (MWF) surgery in conjunction with either 0.8% hyaluronan gel (test) or placebo gel (control) application. Clinical attachment level (CAL), probing depth (PD), gingival recession (GR), plaque index (PI), and bleeding on probing (BOP) values were taken at baseline and 3 and 6 months. Differences between test and control sites were evaluated using a Wilcoxon signed-rank and a McNemar test. A Friedman and a Cochran test were used to test equal ranks over time. Statistically significant differences were noted for CAL and GR (P < 0.05) in favor of the test sites. No significant differences were found regarding PD, BOP, or PI values (P > 0.05). Hyaluronan gel application in conjunction with periodontal surgery appears to result in significant improvement of CAL and in a reduction in GR. Hyaluronan gel application appears to improve the clinical outcome of MWF surgery.

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“…In the teaching of plaque control, no more than 2 oral hygiene aids at a time were introduced, an approach which has been widely recommended in order to avoid patient confusion because of an initially too extensive dental health education. The sttidents were also made aware that repetition of dental health education, in parlicular reinforcement of oral hygiene instructions, might have a dampening effect on motivation both for the patient and the therapist and so reduce the effect of the preventive education (Hamp & .lohansson 1982, Glavind et al 1983). Also, there may be a risk of an undesirable dependency of the patient on the therapist, undermining ihe preventive behavior of the palient (Slieiham 1983).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of cause‐related periodontal therapy and compliance with maintenance care recommendations

Johansson

Oster

Hamp

1984

J Clinic Periodontology

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An evaluation of the long-term clinical effects of an intense period of cause-related periodontal therapy provided by dental hygiene students, was made in patients with moderately advanced periodontitis. By the evaluation, we also intended to gain information about compliance with given recommendations for periodontal health maintenance. The results after 3 years without supervision by the specialist team showed that achieved beneficial effects on the gingival conditions were maintained despite a significant increase in plaque prevalence. Recommendations as to the daily use of a variety of additional oral hygienic measures besides toothbrushing met with a considerable lack of compliance. Maintenance visits to the referring general practitioner were mostly made once a year and included regular dental care. Despite this, no further deterioration of periodontal status was observed. The results indicate that it may be possible to maintain successful effects of periodontal therapy in this patient category with less personal and professional effort than traditionally recommended.

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Evaluation of various feedback mechanisms in relation to compliance by adult patients with oral home care instructions

Cited by 26 publications

References 14 publications

Oral cleanliness and gingival health following oral hygiene instruction by selfed‐educational programs

Oral cleanliness and gingival health following oral hygiene instruction by selfed‐educational programs

Local application of hyaluronan gel in conjunction with periodontal surgery: a randomized controlled trial

Evaluation of cause‐related periodontal therapy and compliance with maintenance care recommendations

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