본문 바로가기
KERD
논문KCI 등재

Effective professional intraoral tooth brushing instruction using the modified plaque score: a randomized clinical trial

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류치의학

초록

Purpose: The purpose of this study was to evaluate the efficacy of the modified plaque score (MPS) for assessing the oral hygiene status of periodontitis patients. Methods: A total of 116 patients were included in this study. After evaluation of the Löe and Silness gingival index (GI), Silness and Löe plaque index (PlI), O'Leary plaque control record (PCR), and MPS, patients were randomly assigned to either a conventional tooth brushing instruction (C-TBI) group (n=56) or a professional intraoral tooth brushing instruction (P-TBI) group (n=60). The MPS and clinical parameters were re-evaluated after scaling and a series of root planing. The convergent validity of MPS with the PlI and PCR was assessed. The measurement time for MPS and PCR was compared according to the proficiency of the examiner. Results: After root planing, the GI, PlI, PCR, and MPS improved from their respective baseline values in both groups. Three different plaque indices including the MPS, showed significant differences between the C-TBI group and the P-TBI group after root planing. The MPS showed significant concurrence with the PCR and PlI. The mean time for PCR measurement was 2.76±0.71 times longer than that for MPS measurement after 2 weeks of training. Conclusions: MPS seems to be a practical plaque scoring system compared with the PlI and PCR. These findings suggest that repetitive plaque control combined with an easily applicable plaque index (MPS) may facilitate more effective oral hygiene education and improved periodontal health.

Abstract

Purpose: The purpose of this study was to evaluate the efficacy of the modified plaque score (MPS) for assessing the oral hygiene status of periodontitis patients. Methods: A total of 116 patients were included in this study. After evaluation of the Löe and Silness gingival index (GI), Silness and Löe plaque index (PlI), O'Leary plaque control record (PCR), and MPS, patients were randomly assigned to either a conventional tooth brushing instruction (C-TBI) group (n=56) or a professional intraoral tooth brushing instruction (P-TBI) group (n=60). The MPS and clinical parameters were re-evaluated after scaling and a series of root planing. The convergent validity of MPS with the PlI and PCR was assessed. The measurement time for MPS and PCR was compared according to the proficiency of the examiner. Results: After root planing, the GI, PlI, PCR, and MPS improved from their respective baseline values in both groups. Three different plaque indices including the MPS, showed significant differences between the C-TBI group and the P-TBI group after root planing. The MPS showed significant concurrence with the PCR and PlI. The mean time for PCR measurement was 2.76±0.71 times longer than that for MPS measurement after 2 weeks of training. Conclusions: MPS seems to be a practical plaque scoring system compared with the PlI and PCR. These findings suggest that repetitive plaque control combined with an easily applicable plaque index (MPS) may facilitate more effective oral hygiene education and improved periodontal health.

참고문헌 (37)

  1. Salvi GE, "Efficacy of patient-administered mechanical and", or chemical plaque control protocols in the management of peri-implant mucositis. A systematic review, 2015, pp.42(Suppl 16), S187~201
  2. Linden GJ, "Periodontal systemic associations: review of the evidence", J Clin Periodontol, 40(Suppl 14), pp.S8~S19 (2013)[DOI]
  3. Reichert S, "Detection of oral bacterial DNA in synovial fluid", J Clin Periodontol, 40, pp.591~598 (2013)[DOI]
  4. Tonetti MS, "Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP", AAP Workshop on Periodontitis and Systemic Diseases, 2013, pp.40(Suppl 14), S24~S29
  5. Kornman KS, "The role of local factors in the etiology of periodontal diseases", Periodontol 2000, 2, pp.83~97 (1993)[DOI]
  6. Haffajee AD, "Microbial etiological agents of destructive periodontal diseases", Periodontol 2000, 5, pp.78~111 (1994)[DOI]
  7. Renvert S, "Risk indicators for peri-implantitis. A narrative review", Clin Oral Implants Res, 26(Suppl 11), pp.15~44 (2015)
  8. Chapple IL, "Primary prevention of periodontitis: managing gingivitis", J Clin Periodontol, 42(Suppl 16), pp.S71~S76 (2015)[DOI]
  9. Serino G, "Peri-implantitis in partially edentulous patients: association with inadequate plaque control", Clin Oral Implants Res, 20, pp.169~174 (2009)[DOI]
  10. Aguirre-Zorzano LA, "Prevalence of peri-implant inflammatory disease in patients with a history of periodontal disease who receive supportive periodontal therapy", Clin Oral Implants Res, 26, pp.1338~1344 (2015)[DOI]
  11. Figuero E, "Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries: a systematic review", J Clin Periodontol, 44(Suppl 18), pp.S116~S134 (2017)[DOI]
  12. Quigley GA, "Comparative cleansing efficiency of manual and power brushing", J Am Dent Assoc, 65, pp.26~29 (1962)[DOI]
  13. Silness J, "Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condtion", Acta Odontol Scand, 22, pp.121~135 (1964)[DOI]
  14. Turesky S, "Reduced plaque formation by the chloromethyl analogue of victamine C", J Periodontol, 41, pp.41~43 (1970)[DOI]
  15. O'Leary TJ, "The plaque control record", J Periodontol, 43, pp.38~ (1972)[DOI]
  16. Rustogi KN, "Refinement of the Modified Navy Plaque Index to increase plaque scoring efficiency in gumline and interproximal tooth areas", J Clin Dent, 3, pp.C9~C12 (1992)
  17. Renton-Harper P, "Conversion of plaque-area measurements to plaque index scores. An assessment of variation and discriminatory power", J Clin Periodontol, 26, pp.429~433 (1999)[DOI]
  18. Matthijs S, "Intra-examiner reproducibility of 4 dental plaque indices", J Clin Periodontol, 28, pp.250~254 (2001)[DOI]
  19. Dababneh RH, "A new method of plaque scoring: a laboratory comparison with other plaque indices", J Clin Periodontol, 29, pp.832~837 (2002)[DOI]
  20. McCracken GI, "Measuring plaque in clinical trials: index or weight?", J Clin Periodontol, 33, pp.172~176 (2006)[DOI]
  21. Deinzer R, "Establishment of a new marginal plaque index with high sensitivity for changes in oral hygiene", J Periodontol, 85, pp.1730~1738 (2014)[DOI]
  22. Butler BL, "An accurate, time-efficient method to assess plaque accumulation", J Am Dent Assoc, 127, pp.1763~1766 (1996)[DOI]
  23. Davies GN, "The different requirements of periodontal indices for prevalence studies and clinical trials", Int Dent J, 18, pp.560~569 (1968)
  24. Tonetti MS, "Advances in the progression of periodontitis and proposal of definitions of a periodontitis case and disease progression for use in risk factor research. Group C consensus report of the 5th European Workshop in Periodontology", J Clin Periodontol, 32(Suppl 6), pp.210~213 (2005)[DOI]
  25. Schulz KF, "CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials", J Pharmacol Pharmacother, 1, pp.100~107 (2010)[DOI]
  26. Loe H, "Periodontal disease in pregnancy. I. Prevalence and severity", Acta Odontol Scand, 21, pp.533~551 (1963)[DOI]
  27. Haffajee AD, "Factors affecting supragingival biofilm composition. II. Tooth position", J Periodontal Res, 44, pp.520~528 (2009)[DOI]
  28. Stewart MA, "Effective physician-patient communication and health outcomes: a review", CMAJ, 152, pp.1423~1433 (1995)
  29. Beck RS, "Physician-patient communication in the primary care office: a systematic review", J Am Board Fam Pract, 15, pp.25~38 (2002)
  30. Kerse N, "Physician-patient relationship and medication compliance: a primary care investigation", Ann Fam Med, 2, pp.455~461 (2004)[DOI]
  31. Dababneh RH, "Correlation and examiner agreement between a new method of plaque scoring and a popular established plaque index, modelled in vitro", J Clin Periodontol, 29, pp.1107~1111 (2002)[DOI]
  32. Van der Weijden GA, "A comparative study of electric toothbrushes for the effectiveness of plaque removal in relation to toothbrushing duration. Timerstudy", J Clin Periodontol, 20, pp.476~481 (1993)[DOI]
  33. Van der Weijden FA, "Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis a meta review", J Clin Periodontol, 42(Suppl 16), pp.S77~S91 (2015)[DOI]
  34. de Freitas GC, "Effect of self-performed mechanical plaque control frequency on gingival inflammation revisited: a randomized clinical trial", J Clin Periodontol, 43, pp.354~358 (2016)[DOI]
  35. Ahn JK, "An experimental study on the effects of the toothbrushing instructional methods", J Korean Acad Dent Health, 9, pp.127~133 (1985)
  36. Harnacke D, "Training in different brushing techniques in relation to efficacy of oral hygiene in young adults: a randomized controlled trial", J Clin Periodontol, 43, pp.46~52 (2016)[DOI]
  37. Harnacke D, "Oral and written instruction of oral hygiene: a randomized trial", J Periodontol, 83, pp.1206~1212 (2012)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (6건)