Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review

This systematic review aimed to investigate the impact of different psychological models, strategies, and methods to improve plaque control and/or gingival inflammation in patients with periodontal diseases. Methods: The PubMed/MEDLINE, Cochrane Library, and Embase online databases were explored to...

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Main Authors: Maria Vilar Doceda, Catherine Petit, Olivier Huck
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/6/2276
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author Maria Vilar Doceda
Catherine Petit
Olivier Huck
author_facet Maria Vilar Doceda
Catherine Petit
Olivier Huck
author_sort Maria Vilar Doceda
collection DOAJ
description This systematic review aimed to investigate the impact of different psychological models, strategies, and methods to improve plaque control and/or gingival inflammation in patients with periodontal diseases. Methods: The PubMed/MEDLINE, Cochrane Library, and Embase online databases were explored to identify relevant studies published before October 2022. Articles investigating the effects of different psychological approaches and intervention strategies on periodontitis patients’ oral hygiene (OH) behavioral change were screened. Results: 5460 articles were identified, and 21 fulfilled the inclusion criteria. In total, 2 studies tested audio-visual modalities, and the remaining 19 publications involved six psychological models of health-related behavioral interventions, including Social Cognitive Theory, the Theory of Planned Behavior, the Health Action Process Approach, Leventhal’s self-regulatory theory, Motivational Interviewing, and Cognitive Behavioral Therapy. A meta-analysis of the results was not carried out due to the high heterogeneity among the interventions. Conclusions: Considering the limitations of the available studies, psychological interventions based on social cognitive models that combine some of the techniques of this model (goal setting, planning, self-monitoring, and feedback) may improve OH in periodontitis patients, having a positive impact on periodontal clinical outcomes. Delivering cognitive behavioral therapy in combination with motivational interviewing may result in an improvement in OH as evaluated by decreasing plaque and bleeding scores.
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spelling doaj.art-b4437938e3fd4473acf0eebe4cac535d2023-11-17T11:50:36ZengMDPI AGJournal of Clinical Medicine2077-03832023-03-01126227610.3390/jcm12062276Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic ReviewMaria Vilar Doceda0Catherine Petit1Olivier Huck2Dental Faculty, University of Strasbourg, 67000 Strasbourg, FranceDental Faculty, University of Strasbourg, 67000 Strasbourg, FranceDental Faculty, University of Strasbourg, 67000 Strasbourg, FranceThis systematic review aimed to investigate the impact of different psychological models, strategies, and methods to improve plaque control and/or gingival inflammation in patients with periodontal diseases. Methods: The PubMed/MEDLINE, Cochrane Library, and Embase online databases were explored to identify relevant studies published before October 2022. Articles investigating the effects of different psychological approaches and intervention strategies on periodontitis patients’ oral hygiene (OH) behavioral change were screened. Results: 5460 articles were identified, and 21 fulfilled the inclusion criteria. In total, 2 studies tested audio-visual modalities, and the remaining 19 publications involved six psychological models of health-related behavioral interventions, including Social Cognitive Theory, the Theory of Planned Behavior, the Health Action Process Approach, Leventhal’s self-regulatory theory, Motivational Interviewing, and Cognitive Behavioral Therapy. A meta-analysis of the results was not carried out due to the high heterogeneity among the interventions. Conclusions: Considering the limitations of the available studies, psychological interventions based on social cognitive models that combine some of the techniques of this model (goal setting, planning, self-monitoring, and feedback) may improve OH in periodontitis patients, having a positive impact on periodontal clinical outcomes. Delivering cognitive behavioral therapy in combination with motivational interviewing may result in an improvement in OH as evaluated by decreasing plaque and bleeding scores.https://www.mdpi.com/2077-0383/12/6/2276periodontal diseaseoral hygienepsychological interventionbehavioral changes
spellingShingle Maria Vilar Doceda
Catherine Petit
Olivier Huck
Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review
Journal of Clinical Medicine
periodontal disease
oral hygiene
psychological intervention
behavioral changes
title Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review
title_full Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review
title_fullStr Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review
title_full_unstemmed Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review
title_short Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review
title_sort behavioral interventions on periodontitis patients to improve oral hygiene a systematic review
topic periodontal disease
oral hygiene
psychological intervention
behavioral changes
url https://www.mdpi.com/2077-0383/12/6/2276
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