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A pilot study to evaluate the impact of digital imaging on the delivery of oral hygiene instruction
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Holloway, Jessica A., Seong, Joon, Claydon, Nicholas C. A., Davies, Maria, Hellin, Nicola, Khan, Iftekhar and West, Nicola X. (2022) A pilot study to evaluate the impact of digital imaging on the delivery of oral hygiene instruction. Journal of Dentistry, 118 . 104053. doi:10.1016/j.jdent.2022.104053 ISSN 0300-5712.
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Official URL: http://dx.doi.org/10.1016/j.jdent.2022.104053
Abstract
Aims
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.
Materials and Methods
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.
Results
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.
Conclusions
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.
Item Type: | Journal Article | ||||||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||||
Journal or Publication Title: | Journal of Dentistry | ||||||||||
Publisher: | Elsevier Ltd | ||||||||||
ISSN: | 0300-5712 | ||||||||||
Official Date: | March 2022 | ||||||||||
Dates: |
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Volume: | 118 | ||||||||||
Number of Pages: | 8 | ||||||||||
Article Number: | 104053 | ||||||||||
DOI: | 10.1016/j.jdent.2022.104053 | ||||||||||
Status: | Peer Reviewed | ||||||||||
Publication Status: | Published | ||||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||||
Copyright Holders: | Elsevier Ltd. | ||||||||||
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