Department of Preventive and Pediatric Dentistry, University Business Academy of Novi Sad, Serbia.
Eur J Paediatr Dent. 2012 Sep;13(3):181-6.
The aim of this study was to compare the effectiveness of oral health counseling sessions with traditional oral hygiene education in orthodontic patients with fixed appliances.
randomised control trial with experimental and control group. A group of 99 adolescents with fixed orthodontic appliances were randomly assigned to oral health counseling (experimental) or traditional health education (control) group. Subjects in the control group received verbal instructions and a demonstration of the modified Bass brushing technique on a model. The experimental group also received the verbal information with demonstration on the model and in addition a personalised 40-minutes counseling session on oral hygiene. Plaque Index (PI) and gingivitis (G) were recorded before, 1 and 6 months after the counseling session/traditional education.
Oral health counseling and traditional education improved the oral hygiene of orthodontic patients. PI values were significantly lower after 6 months compared to the baseline in both groups, but the prevalence of gingival inflammation remained significantly lower only in the experimental group.
Oral health counseling increased plaque removal efficacy and control of gingival inflammation. The efficiency of counseling and traditional education was similar. Counseling is a promising approach that warrants further attention in a variety of dental contexts.
本研究旨在比较正畸固定矫治患者口腔健康咨询与传统口腔卫生教育的效果。
随机对照试验，设实验组和对照组。将 99 名青少年正畸固定矫治患者随机分为口腔健康咨询组（实验组）和传统健康教育组（对照组）。对照组仅接受口头指导和改良巴斯刷牙法示范。实验组则在接受口头指导和改良巴斯刷牙法示范的基础上，再接受 40 分钟个性化口腔卫生咨询。分别在咨询/传统教育前、后 1 个月和 6 个月记录菌斑指数（PI）和牙龈炎（G）。
口腔健康咨询和传统教育均能改善正畸患者的口腔卫生。与基线相比，两组在 6 个月时的 PI 值均显著降低，但只有实验组的牙龈炎症发生率仍显著降低。
口腔健康咨询可提高菌斑清除效果和控制牙龈炎症。咨询和传统教育的效率相似。咨询是一种很有前途的方法，值得在各种牙科环境中进一步关注。
