Effect of Individualized Oral Health Care Training Provided to 6-16-Year-Old Psychiatric In-Patients-Randomized Controlled Study. Int J Environ Res Public Health 2022 Nov 24;19(23)
Date
12/12/2022Pubmed ID
36497687Pubmed Central ID
PMC9740340DOI
10.3390/ijerph192315615Scopus ID
2-s2.0-85143654371 (requires institutional sign-in at Scopus site)Abstract
BACKGROUND: To assess the effect of individualized oral health care training (IndOHCT) administered to 6-16-year-old psychiatric in-patients on dental plaque removal.
METHODS: 74 in-patients with mental health disorders (49 males) aged 6-16 years with a mean age of 10.4 ± 2.3 years, were randomly divided into two equal groups. At the start of hospitalization, one calibrated dentist assessed the oral health status in the hospital setting. In-patients of the intervention group (IG) received IndOHCT, while those of the control group (CG) got an information flyer. Dental plaque was assessed by the Turesky modified Quigley-Hein-Index (TI) at the start (t0) and at the end of hospitalization before (t1a) and after (t1b) autonomous tooth brushing.
RESULTS: During hospitalisation, the TI was reduced in both groups (t0→t1a: IG = -0.1; CG = -0.2, p = 0.71). However, in-patients receiving IndOHCT achieved significantly higher plaque reduction rates than the controls when plaque values before and after autonomous tooth brushing were compared (t1a→t1b: IG = -1.0; CG = -0.8; p = 0.02). The effect size (ES) demonstrates the efficacy of IndOHCT (ES = 0.53), especially in children with mixed dentition (ES = 0.89).
CONCLUSIONS: IndOHCT enabled hospitalized children and adolescents with mental health disorders to achieve a better plaque reduction by tooth brushing but failed to improve self-controlled routine oral hygiene.
Author List
Bock B, Guentsch A, Heinrich-Weltzien R, Filz C, Rudovsky M, Schüler IMAuthor
Arndt Geuntsch in the CTSI department at Medical College of Wisconsin - CTSIMESH terms used to index this publication - Major topics in bold
AdolescentChild
Delivery of Health Care
Dental Plaque
Gingivitis
Humans
Male
Oral Health
Single-Blind Method
Toothbrushing
