Clinical Trials Group, Periodontology, Bristol Dental School, University of Bristol, Lower Maudlin Street, Bristol BS1 2LY, United Kingdom.
Department of Biostatistics, Cardiff University.
J Dent. 2024 Oct;149:105243. doi: 10.1016/j.jdent.2024.105243. Epub 2024 Jul 15.
To determine whether video-technology oral hygiene advice (OHA) improved clinical plaque and bleeding on probing (BOP) scores in individuals diagnosed with gingivitis, compared to conventional OHA after 3-months.
This parallel, randomised 2-arm treatment, single-centre study, assessed Turesky Plaque Index (TPI) and BOP at baseline and 3-months in adult participants with mild-moderate gingivitis. Eligible participants with smartphones were randomised at baseline to intervention (tailored video OHA), or control (conventional OHA). Oral hygiene (OH) habits/attitudes were recorded with a questionnaire. All participants used a manual toothbrush with anti-gingivitis toothpaste twice daily.
57 participants completed the study. Both groups had improved gingival health (BOP) after 3-months, change from baseline being significantly greater in the intervention group (12.21% vs 6.80 %, p < 0.05). TPI scores decreased more in the intervention than control group, but the difference did not reach significance (1.15 vs 0.92, p = 0.079). OH habits and attitudes were similar at baseline and few differences between the groups were observed after 3-months, however frequency of interdental brush use was significantly increased, while self-rated oral health was significantly decreased in the intervention as compared to control group at this timepoint (p < 0.05).
The combination of an individually tailored instructional video with appropriate toothbrushing using anti-gingivitis toothpaste and interdental brush, significantly improved participants' gingival health over 3-months compared to brushing with an anti-gingivitis toothpaste with conventional OHA as delivered in the general dental services. This study demonstrates the benefit of changing OH behaviour and delivering OHA using an individually tailored approach with contemporary methodology.
OHA is usually verbally delivered over short time periods. This study demonstrates video technology with individualised OHA improves OH adherence and empowers individuals, the recipient receiving personal visual cues with ability to replay advice and technique reiteration. This real-world technology could be better utilised in general dental practice.
在 3 个月后，与常规口腔卫生保健（OHA）相比，视频技术口腔卫生保健建议（OHA）是否能改善被诊断为牙龈炎的个体的临床菌斑和探诊出血（BOP）评分。
这项平行、随机、双臂治疗、单中心研究评估了轻度至中度牙龈炎成人患者在基线和 3 个月时的探诊龈沟出血（BOP）和改良龈沟出血指数（Turesky 菌斑指数，TPI）。符合条件的智能手机使用者在基线时随机分为干预组（定制视频 OHA）或对照组（常规 OHA）。使用问卷记录口腔卫生习惯/态度。所有参与者每天使用含抗菌斑牙膏的手动牙刷刷牙两次。
57 名参与者完成了研究。两组的牙龈健康状况（BOP）在 3 个月后均有改善，干预组的改善幅度明显大于对照组（12.21%对 6.80%，p<0.05）。干预组的 TPI 评分比对照组下降更多，但差异无统计学意义（1.15 对 0.92，p=0.079）。基线时口腔卫生习惯和态度相似，3 个月后两组间差异较小，但干预组的牙间刷使用频率显著增加，而自我报告的口腔健康状况显著下降（p<0.05）。
与常规口腔卫生保健服务中提供的使用抗菌斑牙膏和牙间刷进行适当刷牙相比，将个性化指导视频与使用抗菌斑牙膏和牙间刷相结合刷牙，在 3 个月内显著改善了参与者的牙龈健康状况。本研究证明了通过改变口腔卫生习惯和采用个性化方法提供口腔卫生保健建议，结合现代方法的益处。
口腔卫生保健通常是在短时间内通过口头传达。本研究证明，视频技术与个性化口腔卫生保健建议相结合，可以提高口腔卫生保健的依从性，增强个人能力，使接受者收到个人视觉提示，能够重播建议和重复技术。这种现实世界的技术可以更好地应用于常规牙科实践。
