To the top

Page Manager: Webmaster
Last update: 9/11/2012 3:13 PM

Tell a friend about this page
Print version

Psychological Interventio… - University of Gothenburg, Sweden Till startsida
Sitemap
To content Read more about how we use cookies on gu.se

Psychological Interventions for Poor Oral Health: A Systematic Review

Journal article
Authors H. Werner
Magnus Hakeberg
Lars Dahlström
M. Eriksson
P. Sjogren
Annika Strandell
T. Svanberg
L. Svensson
Ulla Wide Boman
Published in Journal of Dental Research
Volume 95
Issue 5
Pages 506-514
ISSN 0022-0345
Publication year 2016
Published at Institute of Odontology
Pages 506-514
Language en
Links dx.doi.org/10.1177/0022034516628506
Keywords adolescents, adults, behavior therapy, cognitive behavior therapy, meta-analysis, oral disease, nonsurgical periodontal treatment, randomized controlled-trial, educational-program, behavioral intervention, single-session, hygiene, strategies, promotion, disease, impact, Dentistry, Oral Surgery & Medicine
Subject categories Dentistry

Abstract

The aim of this systematic review and meta-analysis was to study the effectiveness of psychological interventions in adults and adolescents with poor oral health. The review follows the PRISMA guidelines for systematic reviews. The PICO format (population, intervention, comparison, and outcome) was used to define eligible studies. The populations were adults or adolescents (13 y of age and independent of others) with poor oral health (defined as dental caries, periodontal disease, and/or peri-implantitis). The interventions were psychological and/or behavioral models and theories, in comparison with traditional oral health education/information. The primary outcomes were dental caries, periodontitis, gingivitis, and peri-implantitis. Secondary outcomes were dental plaque, oral health-related behavior, health-related quality of life, health beliefs and attitudes, self-perceived oral health, and complications/risks. The systematic literature search identified 846 articles in December 2013 and 378 articles in July 2015. In total, 11 articles on 9 randomized controlled trials were found to meet the inclusion criteria. These reported on adults with periodontal disease, and several used motivational interviewing (MI) as their mode of intervention. The CONSORT guidelines and the GRADE approach were used for study appraisal and rating of evidence. The meta-analysis showed no statistically significant differences in gingivitis or plaque presence. In addition, a meta-analysis on MI compared with education/information found no statistically significant differences in gingivitis presence. Only 1 meta-analysison psychological interventions versus education/information regarding the plaque indexshowed a small but statistically significant difference. There were also statistically significant differences reported in favor of psychological interventions in oral health behavior and self-efficacy in toothbrushing. However, the clinical relevance of these differences is difficult to estimate. The certainty of evidence was low. Future research needs to address several methodological issues and not only study adults with periodontal disease but also adolescents and patients with dental caries and peri-implantitis.

Page Manager: Webmaster|Last update: 9/11/2012
Share:

The University of Gothenburg uses cookies to provide you with the best possible user experience. By continuing on this website, you approve of our use of cookies.  What are cookies?