A pilot test of motivational oral health promotion with alcohol-dependent inpatients. Oral health promotion among rural school children through teachers: an interventional study. Comparative clinical study testing the effectiveness of school based oral health education using experiential learning or traditional lecturing in 10 year-old children Quality of Life and Psychological Problems of Patients with Oral Mucosal Disease in Dermatological Practice Changes in dental knowledge and self-efficacy scores following interventions to change oral hygiene behavior. Evaluation of behavior change goal-setting action plan on oral health activity and status. The most effective and essential way of improving the oral health status education. Effectiveness of oral hygiene instruction media on periodontal health among hearing impaired children. Evaluation of non-surgical periodontal treatment using 2 time intervals. Evaluation of oral cancer screening. Impact of dental care on oral health-related quality of life and treatment goals among elderly adults. Understanding the value of oral health to people in Britain--importance to life quality. Evaluation of different health education interventions among preschoolers: a randomized controlled pilot trial. The effectiveness of a 6-year oral health education programme for primary schoolchildren. Considerations and lessons learned from designing a motivational interviewing obesity intervention for young people attending dental practices: a study protocol paper. The impact of surgery for oral cancer on quality of life as measured by the Medical Outcomes Short Form 36. Dental health education programme for 6-year-olds: a cluster randomised controlled trial.
OBJECTIVE Motivational interviewing ( MI ) is an effective intervention for improving health behavior in a number of domains , and evidence suggests that it may be useful for promoting oral health . The current pilot study was design ed to provide initial evidence that , compared with a didactic control intervention , a brief MI-based intervention ( BMI ) delivered by dental practitioners can yield greater improvements in oral hygiene , health-care utilization , and health outcomes in a population at heightened risk for oral disease . METHOD Either the control intervention or BMI , delivered by a dentist or a dental hygienist , was r and omly assigned to 60 individuals in inpatient treatment for alcohol-use disorders . Data were obtained by self-report and by examination at baseline and 4- , 12- , and 24-week follow-up assessment s. RESULTS BMI participants reported significantly more frequent toothbrushing during follow-up than control participants . No other significant effects were found . CONCLUSION These findings indicate that a brief intervention using MI methods can be delivered by dental professionals and has potential utility for promoting improved oral hygiene . Additional research to investigate and further develop MI 's potential for promoting oral health appears warranted BACKGROUND The lack of national oral health policy and organized school dental health programs in the country call for affordable , accessible , and sustainable strategies . OBJECTIVES The objective was to compare the oral hygiene , plaque , gingival , and dental caries status among rural children receiving dental health education by qualified dentists and school teachers with and without supply of oral hygiene aids . MATERIAL S AND METHODS This interventional study was conducted among 15-year-old children selected r and omly from four schools in Nalgonda district between September 2009 and February 2010 . Schools were divided into four different intervention groups . The intervention groups varied in the form of intervention provider and frequency of intervention one of which being the control group . The oral hygiene , plaque , gingival , and dental caries status was assessed at baseline and 6 months following the intervention . SPSS 16 was used for analysis . RESULTS The preintervention and postintervention comparison within each group revealed a substantial reduction in mean oral hygiene index-simplified ( OHI-S ) , plaque index ( PI ) , and gingival index ( GI ) at postintervention compared to baseline in group 4 ( 1.26 , 0.87 , and 0.74 , respectively ) followed by group 3 ( 0.14 , 0.37 , and 0.12 , respectively ) . The OHI-S , PI , and GI scores increased in group 1 ( 0.66 , 0.37 , and 0.34 , respectively ) and group 2 ( 0.25 , 0.19 , and 0.14 , respectively ) . Mean decayed , missing filled surfaces score between the groups was not statistically significant at baseline and postintervention . CONCLUSION The dramatic reductions in the OHI-S , PI , and GI scores in the group supplied with oral hygiene aids call for supplying low cost fluori date d toothpastes along with toothbrushes through the school systems in rural areas Background School based oral health education through traditional lecturing has been found successful only in improving oral health knowledge , while has low effectiveness in oral hygiene and gingival health . The aim of this study was to evaluate the effectiveness of experiential learning ( EL ) oral health education to traditional lecturing ( TL ) , on enhancing oral health knowledge , attitude and behavior as well as oral hygiene , gingival health and caries of 10-year-old children . Methods Eighty-four children were recruited for the EL and 100 for the TL group from 3 locations in Greece . Data regarding oral health knowledge , attitude and behavior were collected via question naires . Data regarding dental plaque , gingivitis and caries were collected by clinical examination . The evaluation using question naires and clinical examination was assessed at baseline and 6 and 18 months afterwards . Two calibrated pediatric dentists examined the students using a periodontal probe and artificial light .  Modified hygiene index ( HI ) was used for dental plaque recording , the simplified gingival index ( GI-S ) was used for gingivitis and DMFT , based on BASCD criteria , for dental caries . Based on a dedicated manual , the teacher applied in the classroom the oral health educational program using EL . Results EL group had statistically significant better hygiene than the TL at 6 months ( p < 0.05 ) . Within the same group , both groups had enhanced oral health knowledge at 6 and 18 months ( p < 0.05 ) and improved oral health behavior ( p > 0.05 ) and attitude ( p > 0.05 ) at 6 months in comparison to baseline . Conclusion EL program was found more successful than TL in oral hygiene improvement . Both oral health education programs improved the oral health knowledge , attitude and behavior of children . Trial registration Clinical Trials.gov ( NCT02320162 ) Background : Dermatologists see patients with oral mucosal conditions . Objectives : To evaluate oral health-related quality of life ( OHRQoL ) and the burden of disease of dermatological patients with oral mucosal diseases . Methods : All consecutive patients ( April 2005 to November 2006 ) coming to the oral health care unit of the IDI-IRCCS in Rome were asked to complete oral health-specific ( 14-item Oral Health Impact Profile , OHIP-14 ) , generic health status ( 12-item Short Form of Medical Outcome Study , SF-12 ) and general psychological ( 12-item General Health Question naire , GHQ-12 ) question naires . Physicians and patients gave a global assessment of severity of disease on a 5-point scale . Results : 206 patients participated . Recurrent aphthous stomatitis ( RAS ) had the highest impact on OHRQoL. Women had poorer OHRQoL both on physical and mental scales of the SF-12 . 33.7 % of patients were GHQ-positive with women showing a much higher prevalence than men ( 39.7 vs. 20.3 % ) . OHIP-14 high scores were observed in RAS , followed by oral lichen planus and burning mouth syndrome . Patients whose condition was ‘ underestimated ’ by the physicians had the worst OHRQoL and psychological status . Conclusions : Administration of specific and generic question naires provides a detailed picture of the impact of oral diseases on patients , which adds information that may be useful in clinical practice . The possible contribution of such tools should be assessed in a r and omized controlled trial One hundred twenty-three male veterans were r and omly assigned to control , education , and psychological groups to improve oral hygiene behavior . The educational group received four 40-min sessions design ed to increase knowledge of the causes and prevention of dental disease . The psychological intervention also consisted of four 40-min sessions . However , a psychologist provided the intervention using a Stage of Change intervention . The control group received pre- and post-testing only . There were no significant changes in dental knowledge for the control group while the increases in dental knowledge in the educational and psychological groups were similar and statistically significant . Pre-Post change scores for flossing self-efficacy scores showed significant changes for all groups . The magnitude of changes was similar when the control and educational groups were compared . In contrast , the psychological intervention group demonstrated significantly greater flossing self-efficacy changes when compared to either the control or the educational groups . These results suggest that increases in self-efficacy may be an important component of interventions design ed to change health behavior and may serve a role in evaluating and comparing the efficacy of these interventions This experimental study determined if a " report card-like " oral health action plan was effective in improving oral health behaviors in a sample of 69 patients , ages 1 to 6 years . Participants were divided r and omly into control and intervention groups . Data collected included dmft , plaque score , Streptococcus mutans levels and oral health behaviors . Participants in the intervention group received an oral health action plan that included : 1 . child 's current caries-risk status ; 2 . identification issues of concern ; and 3 . one " goal " to improve on for the next visit . All participants returned after two months for follow-up examination and data collection BACKGROUND Oral health is an essential component of health throughout life . Two major oral diseases , dental caries and periodontal diseases , are both ancient and widespread . The oral health situation analysis dem and s that the preventive program be implemented in both the developing and developed countries . Therefore , this study was conducted to evaluate the effectiveness of delivering the primary preventive strategies through non dental and dental personnel . AIMS AND OBJECTIVES To develops the preventive package for improving the oral health status of children utilizing the different communication approaches . To find out the most feasible and effective communication approach for delivering the preventive package . To evaluate the changes produced in terms of various soft and hard core parameters after 6 months of implementation of the oral-health preventive package in the school children of different study groups as compared to control . MATERIAL S AND METHODS This study was conducted on total of 972 children in the age group of 5 - 16 years who were r and omly selected from four schools of Ch and igarh and Panchkula to evaluate and compare the  prevalence of dental caries and knowledge , attitude , and practice about oral health . RESULTS AND CONCLUSIONS The results of various parameters indicate that direct communication through the dentist proved to be the most effective communication approach as compared to the other two indirect communication approaches The objective of this study was to evaluate the effectiveness of oral hygiene instruction media on periodontal health in hearing impaired children over a period of three months . The study was carried out among 66 hearing impaired children ( aged 6 - 10 years ) . The children were r and omly divided into 4 groups by oral hygiene instruction media type : video presentation group , illustrated book group , both video presentation and illustrated book group , and control group . The gingival index ( GI ) , gingival bleeding index ( BI ) , and plaque index ( PI ) were recorded at baseline and at 3 months follow-up . After three months , there was a significant reduction from baseline in the mean values for GI , BI , and PI in all groups including the control group ( p < 0.001 ) . Further studies to determine what factors result ed in this reduction are accessary BACKGROUND The aim of the present study was to evaluate the effectiveness of non-surgical mechanical instrumentation at 2 different time intervals on short-term healing and to assess patient reactions following non-surgical periodontal therapy . METHODS The study population consisted of 100 patients with moderate periodontal disease . Patients were equally distributed into 2 groups , treated daily or weekly . The daily group received full-mouth daily scaling and root planing for 4 consecutive days . The weekly group was treated once a week for 4 weeks . All patients were asked for objective ( lymphadenopathy , aphthous stomatitis , and edema ) and subjective ( fatigue , pain , pruritus , burning sensation , and dentinalgia ) reactions . Clinical measurements of plaque index ( PI ) , gingival index ( GI ) , probing depth ( PD ) , bleeding on probing ( BOP ) , and gingival recession ( GR ) were taken at baseline and 3 months after treatment . All of the objective and subjective reactions were recorded after each treatment session . RESULTS The results of our study revealed a significant decrease in PI , GI , BOP , and PD measurements at the end of the third month , but no significant changes in GR . The incidence of subjective and objective reactions was higher in the daily treated group compared to those in the weekly group . Most of these complaints were observed after the third treatment session . CONCLUSIONS Within the limits of this study , no differences were observed between the study groups when the clinical parameters were evaluated . However , taking the subjective and objective reactions into consideration , the smallest time interval for non-surgical periodontal procedures might be 1 week BACKGROUND Oral cancer screening procedures are design ed to collectively allow early detection of cancers in a body area accessible to visual and physical examination , as well as to facilitate timely treatment , awareness , and the ongoing education of the public . METHODS A state fair was selected for this activity because of the availability of a r and om population compatible with meeting these goals . A total of 1,151 individuals participated in this free elective activity .  RESULTS Of this number 4.17 % were deemed to have oral pathologic states necessitating professional intervention , and 1.82 % were clinical ly diagnosed as having potential dysplastic or precancerous lesions . No clinical oral cancer was detected in this population . Nevertheless , by virtue of screening and detecting clinical ly premalignant lesions , the screening test advanced the diagnosis of potential oral cancers . CONCLUSIONS The outcome adds support to oral cancer screening as a procedure applicable in reducing morbidity and mortality from oral cancers BACKGROUND General dental care can effectively control disease and restore damaged tissue , yet little is known about its impact on patients ' subjective oral health , namely treatment goals and oral health-related quality of life ( OHRQoL ) . This study aim ed to evaluate change in both aspects of subjective oral health among elderly adults receiving publicly-funded , general dental care . METHODS We conducted a prospect i ve , single-group intervention study of adults aged 75 + years receiving care through the South Australian Dental Service ( SADS ) . Before receiving dental care , subjects completed the  Oral Health Impact Profile ( OHIP-14 ) question naire which evaluates OHRQoL. In this question naire , subjects rated the extent to which they had attained a self-nominated oral health goal . Dentists provided st and ard-of-care treatment and six months later the OHIP-14 and goal attainment questions were re-administered . RESULTS Among the 253 adults studied , overall improvements in OHRQoL were observed ( p < 0.05 ) , although the effect was dependent on pre-treatment goal : mean OHIP-14 scores did not change significantly for subjects whose goal was less pain/discomfort while significant improvements were observed for subjects with other treatment goals . In contrast , mean goal attainment ratings improved significantly ( P < 0.05 ) , regardless of treatment goal categories . CONCLUSIONS Dental care was associated with improvements in subjective oral health , although different patterns of improvement were observed for OHRQoL compared with goal attainment ratings OBJECTIVES The study was design ed to determine whether the British public perceived oral health as being important to quality of life ( QoL ) and if so , to identify in which most important ways . In addition , to identify socio-demographic variations in these perceptions . METHOD In a national survey conducted with the assistance of the Office for National Statistics , attempts were made to conduct face to face interviews with a r and om probability sample of 2,668 United Kingdom residents . RESULTS The response rate was 67 % with 1,778 adults ( aged 16 or older ) participating in the study . Most ( 75 % , 1,332/1778 ) perceived their oral health as being important to their QoL , and did so through a wide variety of physical , social and psychological ways . Overall oral health 's impact on physical aspects were more frequently cited as important to life quality than social or psychological . Marked age and gender variations were apparent in the prioritisation of what domains were most important to quality of life . CONCLUSION The British public perceive oral health as being important to life quality in a variety of different ways and various sub groups of the population rate what is important differently . This has implication s for assessing patients needs and assessing oral health related quality of life OBJECTIVE The aim of this study is to assess the impact of three different health education methods among preschoolers . STUDY DESIGN The study group included 100 preschoolers of the same socio-economic status r and omly selected and divided into four groups . Debris index ( DI-S ) was recorded for all children followed by the dental health education . Group A received dental health education from the Dentist ; Group B from the class teacher trained by the Dentist and Group C from the dental residents dressed mimicking cartoon characters . Group D acted as the control group . Post-intervention evaluation program was carried out after 3 months . Data were analyzed by Chi-square test , paired t-test and analysis of variance ( ANOVA ) appropriately using the SPSS Version 17.1 . RESULTS Comparison of pre- and post-intervention data showed that there was a statistically significant improvement in the ( DI-S ) scores in all groups except the control group . Group C showed a significant improvement compared to the other Groups A , B , and D ( P<0.04 ) . CONCLUSION Drama as a method of health education can have a bigger impact on the oral health attitude and practice s of the preschoolers . These modes can serve to reinforce as well as improve the oral health practice s among pre-school children OBJECTIVES The aim of this study was to evaluate the effect of a 6-year oral health education programme in primary schoolchildren . METHODS This programme was part of the Signal-T and mobiel project , a longitudinal collaborative project combining the registration of oral health data and oral health promotion . The intervention group comprised 3291 children with a mean age of 7.1 years ( SD 0.43 ) at the start of the programme . Every year these children were examined clinical ly and a question naire , to be filled in by the parents , was administered to assess oral health behaviour . These children received an oral health education programme which consisted of a yearly 1-h instruction . Data collected using the same question naire and clinical examination in 676 12-year-old children were included as control group . The sample s were obtained using stratified cluster sampling . The effect of the interventional programme was assessed by measuring differences in caries prevalence and incidence , levels of dental care and reported oral health behaviour . RESULTS Mean DMFT/S values , although higher in the control group , were not significantly different . The reported frequency of brushing was the same in both groups . Significant differences in favour of the intervention group were found in the number of between-meal snacks ( P < 0.001 ) and the proper use of topical fluorides ( P < 0.05 ) . Children in the control group showed a significantly lower proportion of filled teeth than those in the intervention group ( P < 0.01 ) , with a care index of 73 % versus 80 % . CONCLUSION In conclusion , the implemented minimal school-based oral health education programme did not result in a significant reduction of the caries prevalence measured . The programme has been effective in improving reported dietary habits and the proper use of topical fluorides and result ed in a higher care index BACKGROUND With the prevalence of child obesity increasing worldwide , and the consumption of sugar-sweetened beverages identified as a major contributor to obesity in adolescents , there is a need for effective interventions aim ed at dietary behaviour change in this group . Primary dental care setting s are in an ideal position to influence adolescents ' dietary behaviours , yet have been under-utilised for this purpose . Motivational Interviewing ( MI ) has shown promise in influencing other health behaviours . However , there is lack of published method ologies on which to base the design of such interventions , and limited evidence on its effectiveness in influencing dietary change . We undertook a study to test the feasibility of a MI intervention aim ed at reducing soft drink consumption in adolescents attending dental surgeries . We present the study design for the development and evaluation of the intervention . METHOD Ten dental practice s in north London were r and omised into control or intervention .  Adolescent participants in control setting s received routine advice and intervention participants received a brief MI intervention . The intervention was design ed using comprehensive stakeholder engagement and consisted of 3 - 4 short MI sessions and a maintenance phase delivered by trained research ers through the use of age-specific re sources . Process evaluation was carried out using qualitative and quantitative methods to assess intervention feasibility in a primary dental care setting . DISCUSSION By focussing on the development and evaluation of the intervention , this paper contributes to the limited available knowledge and identifies method ological considerations for undertaking a MI intervention for dietary change in adolescents in primary dental care setting Quality of life evaluation is an important measure of outcome following the treatment of head and neck cancer . The aim of this study was to evaluate the quality of life of patients undergoing primary surgery for oral and oropharyngeal squamous cell carcinoma . 50 consecutive patients with previously untreated oral cancer were assessed using two question naires , the Medical Outcomes Short Form 36 ( SF-36 ) and University of Washington Head and Neck Question naire ( UW-QOL ) at four time intervals ; pretreatment , and 3 , 6 , 12 months . At the time of presentation , patients with oral cancer scored lower than norms , particularly for physical role limitation , mental role limitation , and social functioning . At 3 months following surgery , there was a considerable deterioration in physical functioning , limitation of physical role , energy and general health perception . By 12 months postoperatively patients approached pretreatment scores . The SF-36 and UW-QOL provide outcome information suitable for international comparison AIM Oral health is a reflection of general health and significantly influences the quality of life . Dental caries is one of the most common chronic diseases of childhood which may adversely affect physical , mental and social growth of children . Oral hygiene methods can effectively prevent oral and dental diseases , and oral hygiene education plays an important role in this regard . The aim of the present study was then to assess the effect of oral hygiene education on the oral and dental health  of 6-year-olds . MATERIAL S AND METHODS A hundred and sixty 6-year-old children from 4 pre-school centers were divided into two groups , case and control , in this cluster r and omised controlled trail . The children in the case group received oral and dental education in one session . The parents of the case group were also instructed in one session . The children and parents of the control group did not receive any instructions .  Plaque index ( PI ) : Turesky-Gilmore-Glickman ; gingival index ( GI ) : Loe & Silness ; at a ) baseline , b ) 1.5 and c ) 6 months after the first examination . Data were analysed by repeated measure ANOVA . RESULTS PI : A significant difference was found between the baseline examination and the first follow-up ( p < 0.01 ) , and between the baseline examination and the second follow-up ( p < 0.001 ) . GI : Although values in the case group were lower , no statistically significant difference was found between the two groups and within each group ( p > 0.05 ) . Regarding the number of brushing times , a statistically significant difference was found between the first and the second follow-ups of the study groups ( p > 0.05 ) . The brushing type and the application of other hygienic measures did not show any difference ( p > 0.05 ) . CONCLUSION Within the limitations of the present study it may be concluded that oral hygiene instruction to 6-year-old children and their parents improves their dental health
Even though some instruments and methods exhibited good to excellent reliability and validity and can be recommended for research and clinical practice , they do not allow assessing all components of physical oral health .
OBJECTIVE This study aim ed at exploring available clinical instruments and methods for assessing physical oral health , and at identifying those with sufficient diagnostic performance .