Holloway Jessica A, Seong Joon, Claydon Nicholas C A, Davies Maria, Hellin Nicola, Khan Iftekhar, West Nicola X
Clinical Trials Group, Periodontology, Bristol Dental, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.
University of Warwick, CV4 7AL.
J Dent. 2022 Mar;118:104053. doi: 10.1016/j.jdent.2022.104053. Epub 2022 Jan 31.
To determine whether personalised Oral Hygiene Advice (OHA) using an intra-oral-camera (IOC) combined with standard OHA as provided in general dental practice reduces plaque levels after 4 weeks more than the provision of standard OHA.
22 healthy adult participants diagnosed with gingivitis took part in this pilot parallel-designed, randomised, examiner-blind, 2x-treatment, study regarding their home-care oral hygiene habits and attitudes to oral health. An IOC-image was taken and plaque, gingival and bleeding scores were recorded. Test group participants received standard OHA with IOC-images to indicate areas for improvement, control group participants received standard OHA. Questionnaires and plaque, gingival and bleeding scores were repeated after 4 weeks. Plaque was scored from the IOC-images and scores compared to clinical plaque scores.
Lifestyle habits, attitudes to oral health, plaque (0.63vs0.61, control vs test) and bleeding scores (1.17vs0.96, control vs test) were similar at baseline. After 4-weeks, plaque scores improved more in test as compared to control group (39.4vs20.6%, p<0.05, while gingival and bleeding scores approached significance. There was no difference in lifestyle habits between groups, but the test group reported significantly greater confidence in adhering to their bespoke oral health plan. Agreement between the clinical and IOC plaque scores was good.
Use of IOC further personalises the prevailing standard of oral hygiene advice and generates great patient engagement with pictorial reports to facilitate a more in-depth patient explanation of their gingival health, resulting in significant plaque reduction and improved gingival health compared to the standard OHA alone.
确定在一般牙科诊所中，使用口腔内摄像头（IOC）提供的个性化口腔卫生建议（OHA）与标准OHA相结合，在4周后是否比单独提供标准OHA更能降低牙菌斑水平。
22名被诊断患有牙龈炎的健康成年参与者参与了这项平行设计、随机、检查者盲法、双治疗的试点研究，研究他们的家庭口腔卫生习惯和对口腔健康的态度。拍摄了IOC图像，并记录了牙菌斑、牙龈和出血评分。试验组参与者接受带有IOC图像以指示改善区域的标准OHA，对照组参与者接受标准OHA。4周后重复进行问卷调查以及牙菌斑、牙龈和出血评分。根据IOC图像对牙菌斑进行评分，并将评分与临床牙菌斑评分进行比较。
在基线时，生活方式习惯、对口腔健康的态度、牙菌斑（对照组vs试验组：0.63 vs 0.61）和出血评分（对照组vs试验组：1.17 vs 0.96）相似。4周后，试验组的牙菌斑评分比对照组改善得更多（39.4% vs 20.6%，p<0.05），而牙龈和出血评分接近显著差异。两组之间的生活方式习惯没有差异，但试验组报告称在遵守其定制的口腔健康计划方面信心明显更高。临床和IOC牙菌斑评分之间的一致性良好。
使用IOC进一步使现行的口腔卫生建议标准个性化，并通过图片报告极大地提高患者参与度，以便更深入地向患者解释其牙龈健康状况，与单独的标准OHA相比，可显著减少牙菌斑并改善牙龈健康。
