Evaluation of personalized oral hygiene education on plaque accumulation and gingival inflammation in periodontal patients stage I/II/III. Evaluation of personalized oral hygiene education on clinical attachment level in periodontal patients stage I/II/III. Evaluation of personalized oral hygiene education on the psychological determinants described by the Health Action Process Approach (HAPA) and the mediating role of these psychological determinants in oral hygiene habits and clinical parameters in periodontal patients stage I/II/III.
Study Type
OBSERVATIONAL
Enrollment
120
\- Patients receive a demonstration of plaque control methods (modified Bass dental brushing technique and the use of the electric toothbrush) using a dental model.
\- Patients receive a Powerpoint presentation containing:
\- Patients place a few drops of a plaque-disclosing solution on the tongue and run the tongue over all the teeth and gums. With the aid of a hand mirror, patients can observe the stained plaque residue on their teeth
\- An ACTEON Soprocare® intraoral camera is used during the examination and explanation of oral hygiene strategies.
Les Hôpitaux Universitaires de Strasbourg
Strasbourg, France
Evaluation of the plaque index
Plaque Index (Loë and Silness, 1963): Six surfaces per tooth (buccal, mesio-buccal, disto-buccal, lingual, mesio-lingual and disto-lingual) are examined in every permanent tooth (except for third molars). Each tooth is assessed with a score between 0 and 3. * 0 : absence of dental plaque * 1 : plaque disclosed after running the periodontal probe along the gingival margin * 2: visible plaque; absence of plaque in the interdental spaces * 3: abundant plaque; presence of plaque in the interdental spaces
Time frame: 3 months
Evaluation of the gingival index
Gingival Index (Loë 1967): Six surfaces per tooth (buccal, mesio-buccal, disto-buccal, lingual, mesio-lingual and disto-lingual) are examined in every permanent tooth (except for third molars). * 0: absence of visual signs of inflammation * 1 : slight change in color and texture o 2: Visual inflammation and bleeding tendency from the gingival margin right after a periodontal probe is briefly run along the gingival margin * 3: Overt inflammation with tendency for spontaneous bleeding
Time frame: 3 months
Evaluation of probing pocket depth
Probing pocket depth (distance from the top of the marginal gingiva to the bottom of the pocket)
Time frame: 3 months
Evaluation of the gingival attachment level
Gingival attachment level (distance separating the cemento-enamel junction from the bottom of the pocket)
Time frame: 3 months
Psychological determinants of the HAPA (Health Action Process Approach)
Change in the psychological determinants of the HAPA questionnaire adapted to oral health, using a 7-point Likert scale from "strongly disagree" (1) to "strongly agree" (7)
Time frame: 3 months
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