Department of Periodontology, Institute of Clinical Odontology, Faculty of Dentistry, University of Oslo, Oslo, Norway.
Section for Oral Epidemiology and Public Health, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
J Clin Periodontol. 2019 May;46(5):548-551. doi: 10.1111/jcpe.13109.
Every periodontal researcher have been taught, and every textbook in periodontics have advocated, that a phase in which the patient is meticulously motivated and instructed in proper oral hygiene-the oral hygiene phase-must be included in any periodontal intervention. However, how is this oral hygiene phase actually portrayed in periodontal intervention studies, and how much space have this important phase received in the planning and carry-through of intervention studies? The purpose of this letter to the editor was to review current literature in the period 1975/01/01-2017/12/31 on periodontal, mechanical intervention studies in order to see what focus the oral hygiene phase had received in these articles. The result showed that the oral hygiene phase is variable in length and content, variable in claimed result, insufficiently described, and invariably amalgamated with the scaling and root planing which is the intervention or part of an intervention. The consequences of these findings are discussed and suggestions proposed for more harmonized and calibrated oral hygiene phase introduced to avoid biased and inflated results of interventions.
每个牙周病学研究人员都被教导过，每本牙周病学教材都主张，在任何牙周病干预中，都必须包括一个阶段，即患者接受精心的激励和正确口腔卫生指导的口腔卫生阶段。然而，牙周病干预研究实际上是如何描述这个口腔卫生阶段的，以及在干预研究的规划和实施中，这个重要阶段得到了多少关注？这封给编辑的信的目的是回顾 1975 年 1 月 1 日至 2017 年 12 月 31 日期间牙周机械干预研究的现有文献，以了解这些文章中口腔卫生阶段的关注焦点。结果表明，口腔卫生阶段的长度和内容是可变的，声称的结果是可变的，描述不足，并且不可避免地与作为干预或干预一部分的洁治和根面平整混合在一起。讨论了这些发现的后果，并提出了建议，引入更协调和校准的口腔卫生阶段，以避免干预结果的偏差和夸大。
