Socio‐behavioural aspects in the prevention and control of dental caries and periodontal diseases at an individual and population level

Abstract

Socio-behavioural aspects in the prevention and control of dental caries and periodontal diseases at an individual and population level S€ alzer S, Alkilzy M, Slot DE, D€ orfer CE, Schmoeckel J, Splieth CH, Chairs of Working Group, ORCA. Socio-behavioural aspects in the prevention and control of dental caries and periodontal diseases at an individual and population level. J Clin Periodontol 2017; 44 (Suppl. 18): S106-S115. doi: 10.1111/jcpe.12673. AbstractAim: Aim was to systematically review behavioural aspects in the prevention and control of dental caries and periodontal diseases at individual and population level. Material & Methods: With regard to caries, MEDLINE/PubMed was searched on three subheadings focusing on early childhood, proximal and root caries. For periodontal diseases, a meta-review on systematic reviews was performed; thus, the search strategy included specific interventions to change behaviour in order to perform a meta-review on systematic reviews. After extraction of data and conclusions, the potential risk of bias was estimated and the emerging evidence was graded. Results: Regarding early childhood, proximal and root caries, 28, 6 and 0 papers, respectively, could be included, which predominantly reported on cohort studies. Regarding periodontal diseases, five systematic reviews were included. High evidence of mostly high magnitude was retrieved for behavioural interventions in early childhood caries (ECC), weak evidence for a small effect in proximal caries and an unclear effect of specific informational/motivational programmes on prevention of periodontal diseases and no evidence of root caries. Conclusion: Early childhood caries can be successfully prevented by populationbased preventive programmes via aiming at the change in behaviour. The effect of individual specific motivational/informational interventions has not yet been clearly demonstrated neither for the prevention of caries nor for periodontal diseases.

Prevention and control of dental caries and periodontal diseases at individual and population level: consensus report of group 3 of joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases

“…There is clear evidence that smoking influences periodontal diseases (Sälzer et al. ) and some indication that exposure to smoke is associated with caries (Chapple et al. ).…”

“…supervised brushing with fluoride toothpaste) is beneficial in reducing the incidence of dental caries (Sälzer et al. ) and one RCT has shown benefits of group prophylaxis on plaque and gingivitis (Hugoson et al. ), whereas an effect on periodontitis has not been demonstrated yet (Sälzer et al.…”

“…One systematic review deals with socio‐behavioural aspects in the prevention and control of dental caries and periodontal diseases at individual and population level (Sälzer et al. ) and another systematic review with mechanical and adjunctive chemical plaque control in the simultaneous management of gingivitis and caries (Figuero et al. ).…”

Periodontal disease and its impact on general health in Latin America. Section V: Treatment of periodontitis

“…The only prevention activity for periodontitis successfully performed at a population level seems to have been anti-smoking campaigns, although evidence of their efficacy is completely lacking. A major goal for the prevention of periodontal diseases should, therefore, be to change people's behavior in the direction of a lifestyle that is more conducive to health at an individual level 61 .…”

Motivational interviewing effects on caries prevention in children differ by income: A randomized cluster trial

“…Early childhood caries (ECC) is one of the most prevalent childhood diseases, being a challenge for both dental practitioners and policymakers . Population‐based strategies have been shown to be the basis for the prevention of the disease, and the effectiveness of individual interventions is unclear . However, caries is still a disease with a great global burden, and the high rate of untreated disease generates costs to health systems …”