Promoting behavioural changes to improve oral hygiene in patients with periodontal diseases: A systematic review. (27th July 2020)

• Record Type: Journal Article
• Authors: Carra, Maria Clotilde; Detzen, Laurent; Kitzmann, Julia; Woelber, Johan P.; Ramseier, Christoph A.; Bouchard, Philippe
• Other Names: Gonzalez David Herrera guestEditor.; Sanz Mariano guestEditor.; Tonetti Maurizio guestEditor.
• Is Part Of: Journal of clinical periodontology. Volume 47(2020)Supplement 22
• Page Start: 72
• Page End: 89
• Publication Date: 2020-07-27
• Subjects: behavioural changes -- motivational interviewing -- oral hygiene -- periodontal diseases -- psychological intervention; Periodontics -- Periodicals; 617.6
• DOI: 10.1111/jcpe.13234
• Languages: English
• ISSNs: 0303-6979

Abstract

Abstract: 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.