Complex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patients
Abstract Background Oral hygiene instruction is an intervention widely practiced but increased knowledge about oral health does not necessarily dramatically impact oral disease prevalence in populations. We aimed to measure plaque and bleeding in periodontal patients over time to determine patterns...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BioMed Central
2018-05-01
|
| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12903-018-0537-z |
| id |
doaj-art-0f850855d5b24fb996b627423b61a1a0 |
|---|---|
| recordtype |
oai_dc |
| spelling |
doaj-art-0f850855d5b24fb996b627423b61a1a02018-08-20T15:02:35ZengBioMed CentralBMC Oral Health1472-68312018-05-011811710.1186/s12903-018-0537-zComplex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patientsFelice Amoo-Achampong0David E. Vitunac1Kathleen Deeley2Adriana Modesto3Alexandre R. Vieira4Departments of Oral Biology, University of Pittsburgh School of Dental MedicineDepartments of Oral Biology, University of Pittsburgh School of Dental MedicineDepartments of Oral Biology, University of Pittsburgh School of Dental MedicineDepartments of Oral Biology, University of Pittsburgh School of Dental MedicineDepartments of Oral Biology, University of Pittsburgh School of Dental MedicineAbstract Background Oral hygiene instruction is an intervention widely practiced but increased knowledge about oral health does not necessarily dramatically impact oral disease prevalence in populations. We aimed to measure plaque and bleeding in periodontal patients over time to determine patterns of patient response to oral hygiene instructions. Methods Longitudinal plaque and bleeding index data were evaluated in 227 periodontal patients to determine the impact of oral hygiene instructions. Over multiple visits, we determined relative plaque accumulation and gingival bleeding for each patient. Subsequently, we grouped them in three types of oral hygiene status in response to initial instructions, using the longitudinal data over the period they were treated and followed for their periodontal needs. These patterns of oral hygiene based on the plaque and gingival bleeding indexes were evaluated based on age, sex, ethnic background, interleukin 1 alpha and beta genotypes, diabetes status, smoking habits, and other concomitant diseases. Chi-square and Fisher’s exact tests were used to determine if any differences between these variables were statistically significant with alpha set at 0.05. Results Three patterns in response to oral hygiene instructions emerged. Plaque and gingival bleeding indexes improved, worsened, or fluctuated over time in the periodontal patients studied. Out of all the confounders considered, only ethnic background showed statistically significant differences. White individuals more often than other ethnic groups fluctuated in regards to oral hygiene quality after instructions. Conclusions There are different responses to professional oral hygiene instructions. These responses may be related to ethnicity.http://link.springer.com/article/10.1186/s12903-018-0537-zPeriodontitisDental plaqueOral biofilmOral hygiene |
| institution |
Open Data Bank |
| collection |
Open Access Journals |
| building |
Directory of Open Access Journals |
| language |
English |
| format |
Article |
| author |
Felice Amoo-Achampong David E. Vitunac Kathleen Deeley Adriana Modesto Alexandre R. Vieira |
| spellingShingle |
Felice Amoo-Achampong David E. Vitunac Kathleen Deeley Adriana Modesto Alexandre R. Vieira Complex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patients BMC Oral Health Periodontitis Dental plaque Oral biofilm Oral hygiene |
| author_facet |
Felice Amoo-Achampong David E. Vitunac Kathleen Deeley Adriana Modesto Alexandre R. Vieira |
| author_sort |
Felice Amoo-Achampong |
| title |
Complex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patients |
| title_short |
Complex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patients |
| title_full |
Complex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patients |
| title_fullStr |
Complex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patients |
| title_full_unstemmed |
Complex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patients |
| title_sort |
complex patterns of response to oral hygiene instructions: longitudinal evaluation of periodontal patients |
| publisher |
BioMed Central |
| series |
BMC Oral Health |
| issn |
1472-6831 |
| publishDate |
2018-05-01 |
| description |
Abstract Background Oral hygiene instruction is an intervention widely practiced but increased knowledge about oral health does not necessarily dramatically impact oral disease prevalence in populations. We aimed to measure plaque and bleeding in periodontal patients over time to determine patterns of patient response to oral hygiene instructions. Methods Longitudinal plaque and bleeding index data were evaluated in 227 periodontal patients to determine the impact of oral hygiene instructions. Over multiple visits, we determined relative plaque accumulation and gingival bleeding for each patient. Subsequently, we grouped them in three types of oral hygiene status in response to initial instructions, using the longitudinal data over the period they were treated and followed for their periodontal needs. These patterns of oral hygiene based on the plaque and gingival bleeding indexes were evaluated based on age, sex, ethnic background, interleukin 1 alpha and beta genotypes, diabetes status, smoking habits, and other concomitant diseases. Chi-square and Fisher’s exact tests were used to determine if any differences between these variables were statistically significant with alpha set at 0.05. Results Three patterns in response to oral hygiene instructions emerged. Plaque and gingival bleeding indexes improved, worsened, or fluctuated over time in the periodontal patients studied. Out of all the confounders considered, only ethnic background showed statistically significant differences. White individuals more often than other ethnic groups fluctuated in regards to oral hygiene quality after instructions. Conclusions There are different responses to professional oral hygiene instructions. These responses may be related to ethnicity. |
| topic |
Periodontitis Dental plaque Oral biofilm Oral hygiene |
| url |
http://link.springer.com/article/10.1186/s12903-018-0537-z |
| _version_ |
1612688240150577152 |