Abstract
Aims
To determine impact of oral hygiene behaviour change intervention compared to the prevailing standard of oral hygiene advice provided in general dental practice, on bleeding on probing (BOP) in gingivitis patients, over 3-months. The effect of providing power-brushes was also evaluated.
Materials and Methods
NHS dental practices were cluster-randomised to intervention or control (2:1). Dentists at intervention sites received behaviour modification training. Participants were stratified to high (>20% BOP) or low (<20% BOP) presence of gingivitis and a subset assigned a power-brush. BOP and plaque scores were assessed at baseline and 3-months.
Results
A total of 538 participants (369:169; intervention: control) completed the study. BOP reduced in both gingivitis groups with significantly greater reduction in intervention compared to control group (BOP:38% vs 19%, p=0.0236); Borderline significance favouring the intervention was demonstrated for the low gingivitis group (BOP:37% vs 15%, p=0.0523). A highly significant reduction in BOP (intervention vs control) was demonstrated for volunteers who swapped from manual to power-brush (44% vs 37%, p=0.0039). Plaque score improved more in control than intervention group (Plaque:37% vs 44%, p=0.00215).
Conclusions
Behaviour change techniques were readily mastered by the dental professional researchers. The introduction of an oral hygiene behaviour change intervention significantly reduced gingivitis in volunteer patients compared to control at 3 months. Swapping to a power-brush significantly favoured BOP reduction compared to manual brush continuation although plaque reduction did not follow expectation in comparison to BOP scores. Behaviour change techniques should routinely be considered in patient care.
Clinical Significance
Plaque-induced gingivitis is highly prevalent in the UK despite being preventable with good oral hygiene. Its continuum, periodontitis, negative impacts quality of life. This study suggests oral hygiene behavioural interventions (GPS) significantly reduce gingivitis and that GPS introduction will improve oral health and may improve quality of life.
To determine impact of oral hygiene behaviour change intervention compared to the prevailing standard of oral hygiene advice provided in general dental practice, on bleeding on probing (BOP) in gingivitis patients, over 3-months. The effect of providing power-brushes was also evaluated.
Materials and Methods
NHS dental practices were cluster-randomised to intervention or control (2:1). Dentists at intervention sites received behaviour modification training. Participants were stratified to high (>20% BOP) or low (<20% BOP) presence of gingivitis and a subset assigned a power-brush. BOP and plaque scores were assessed at baseline and 3-months.
Results
A total of 538 participants (369:169; intervention: control) completed the study. BOP reduced in both gingivitis groups with significantly greater reduction in intervention compared to control group (BOP:38% vs 19%, p=0.0236); Borderline significance favouring the intervention was demonstrated for the low gingivitis group (BOP:37% vs 15%, p=0.0523). A highly significant reduction in BOP (intervention vs control) was demonstrated for volunteers who swapped from manual to power-brush (44% vs 37%, p=0.0039). Plaque score improved more in control than intervention group (Plaque:37% vs 44%, p=0.00215).
Conclusions
Behaviour change techniques were readily mastered by the dental professional researchers. The introduction of an oral hygiene behaviour change intervention significantly reduced gingivitis in volunteer patients compared to control at 3 months. Swapping to a power-brush significantly favoured BOP reduction compared to manual brush continuation although plaque reduction did not follow expectation in comparison to BOP scores. Behaviour change techniques should routinely be considered in patient care.
Clinical Significance
Plaque-induced gingivitis is highly prevalent in the UK despite being preventable with good oral hygiene. Its continuum, periodontitis, negative impacts quality of life. This study suggests oral hygiene behavioural interventions (GPS) significantly reduce gingivitis and that GPS introduction will improve oral health and may improve quality of life.
| Original language | English |
|---|---|
| Article number | 103862 |
| Number of pages | 10 |
| Journal | Journal of Dentistry |
| Volume | 115 |
| Early online date | 24 Oct 2021 |
| DOIs | |
| Publication status | Published - Dec 2021 |
Bibliographical note
Funding Information:We would like to acknowledge the help of the South West and Leeds Dental Foundation Schemes and the Dental Foundation Trainees (DFTs) who collected data for this study:, Leeds Scheme: Professor Peter Day DF lead Leeds Scheme and Professor and Consultant in Peadiatric Dentistry, University of Leeds. DFTs: Alexandra Booth, Glen Lea Dental Suite; Alina Nadim, A2 Dental Studio; Tariq Choudry, Azure Dental Practice; Abigail Moh, Wortley House Dental; Afroz Khan, Genix Healthcare Dental Clinic; Jessica Talbot, Swaby's Dental Practice; Hans Antov, Horbury Dental Care; Leh Chuan Lim, Wheata Dental Clinic; Omid Heidarifar, Eccleshill Dental Surgery; Tee Neng Goh, Archway Dental Care; Hamed Safaei, Dental 22; Monica Soliman, Dental 22; Paul Hankinson, LWT Dental Care; Fahad Alawsi, Springfield Dental Clinic; Mohammed Nasser, Kimberworth Park Dental Practice; Lucy Slater, Eclipse Dental Care; Mo Jaberansari, Horbury Dental Care. South West Scheme: Dr Jane Luker, Dental Post-Graduate Dean HEE South West, Mr David Lee, Associate Dean, Dental Foundation Training and Educational Support, Mr Phillip Loughnane, South West Dental Foundation Training (DFT) lead. DFTs: Lizamore More, Penn Hill Dental Practice; Dylan Rakhra, Portishead Dental Practice; Christopher Burt, Portishead Dental Practice; Ramanie Chahal, North Petherton Dental Practice; Ellis Davies, Riverside Dental Practice; Diangde Goh, Dunedin Clinic; Lwazi Sibanda, Matford Dental Clinic; Shermaine Foo, Mount Wise Dental Practice; Eng Leong Teh, Truro Dental Health; Sally Masters, Chipping Manor Dental Practice; Anish Mehay, Chumleigh Dental Practice; Kate Bowman, Wessex House Dental Practice; Owen Alcock, Church Street Dental Surgery; Amy Kane, Oldland Dental Practice; Charlotte Richards, Apple Dental; Josh Hudson, Quedgeley House Dental Practice; Laura Cook, Wylye Valley Dentistry; Tayla Baker, The Savernake Forest Dental Practice; Cephas Liew, Dental Centre Bournemouth; James Muthiah, Quedgeley House Dental Practice; Alex Gormley, Redland Park Dental Surgery; Tatsiana Samalazava, Mount Wise Dental Practice, Lauren Fern-Ryan, Lemon Quay Dental Care; Danielle Brown, Moor Dental; Theo Stennett, Promenade Dental Practice; Natalie Smyth, Browns Dental Practice; Thomas Gill, Madeira Dental Care, Study registration number: ISRCTN10536130
Publisher Copyright:
© 2021 Elsevier Ltd
Keywords
- Behaviour change intervention
- GPS
- gingivitis
- bleeding on probing (BOP)
- oral hygiene
- power brush
Fingerprint
Dive into the research topics of 'Randomised Controlled Trial demonstrating the impact of Behaviour Change intervention provided by dental professionals to improve gingival health: Behaviour intervention for gum health'. Together they form a unique fingerprint.Student theses
-
Improving the delivery of oral hygiene advice by dental professionals
Holloway, J. (Author), West, N. X. (Supervisor) & Davies, M. (Supervisor), 24 Jan 2023Student thesis: Doctoral Thesis › Doctor of Philosophy (PhD)
File