Journal Of Dental Hygiene[JOURNAL]
Sun
200 papers
Patients' Fear, Stress, and Anxiety Toward Attending Dental Visits During the COVID-19 Pandemic.
Nguyen NT, Boyd LD, Oh U … +1 more , Vineyard J
J Dent Hyg · 2022 Dec · PMID 36539285
The COVID-19 pandemic interrupted dental care for individuals due to dental practice closures beginning in March 2020. The purpose of this study was to investigate the relationships between fear or stress related to COVI...
The COVID-19 pandemic interrupted dental care for individuals due to dental practice closures beginning in March 2020. The purpose of this study was to investigate the relationships between fear or stress related to COVID-19, dental anxiety and attending dental visits among adults in the United States (US).: A cross-sectional survey research design was used with a non-probability sample of adults residing in the US. Three validated scales, the COVID-19 Stress Scale (CSS), Fear of COVID-19 Scale (FCV-19S) and Modified Dental Anxiety Scale (MDAS), were used for the electronically delivered survey instrument. A crowdsourcing platform was used to recruit participants over the age of 18, residing in the US. Descriptive, correlation, and multiple regression tests were used for data analysis. A total of 308 participants opened the survey with a 97% completion rate (n=299). Time since the last dental visit was positively correlated with all measurement scale scores (<0.01). Males had statistically significant higher scores on the CSS traumatic stress (=0.002) and checking (=0.001) sub-scales. Participants with bachelor and master's degrees had significantly higher scores across FCV-19S and CSS subscales. Individuals with dental anxiety were more likely to exhibit higher levels of fear and anxiety about COVID-19 transmission, resulting in delays in seeking dental care. Dental professionals should address patient concerns about the safety of dental settings and the infection control measures in place to prevent the transmission of COVID-19 in dental settings. Public health entities and professional organizations need to promote messaging about the measures in place to deliver safe oral health care.
Correction to Bosma, ML, et al. (2022).
J Dent Hyg · 2022 Oct · PMID 36224091
Abstract loading — click title to view on PubMed.
Impact of Brief Motivational Interviewing on Periodontal Clinical Outcomes: A randomized clinical trial.
Arnett MC, Blue CM, Ahmann L … +2 more , Evans MD, Reibel YG
J Dent Hyg · 2022 Oct · PMID 36224090
Patient education and oral hygiene instruction (OHI) communication play a key role in the dental hygiene process of care. The purpose of this study was to determine whether brief motivational interviewing (BMI) was super...
Patient education and oral hygiene instruction (OHI) communication play a key role in the dental hygiene process of care. The purpose of this study was to determine whether brief motivational interviewing (BMI) was superior to traditional OHI in improving periodontal health. Chairside time needed to deliver traditional OHI as compared to BMI was also compared. A convenience sample of 60 participants were randomized into two groups. The control group received traditional OHI and the test group received BMI. Periodontal indicators of disease were collected by a blinded examiner. Interventions for both groups and data collection occurred at four time points over a 12-month period. Periodontal outcome measures were plaque score, bleeding on probing (BOP), and gingival index (GI). Both groups showed significant reductions in plaque score, BOP, and GI over time. The control group had an improvement in plaque score compared to the test group at visit three (=0.05) and at visit four (=0.03). The test group had an improvement in GI score compared to the control group at visit four (=0.03). Chairside time was shorter in the control (OHI) group at each time point (<0.01). Both traditional OHI and BMI patient education communication methods improved periodontal outcomes measured by plaque score, BOP, and GI. The inclusion of BMI in patient education sessions was demonstrated to be feasible within the time constraints of the dental hygiene recare appointment.
Oral Health Literacy: Be part of the change!
Flynn PM
J Dent Hyg · 2022 Oct · PMID 36224089
Abstract loading — click title to view on PubMed.
Use of a Simulated-Virtual Training Module to Improve Dental Hygiene Students' Self-Reported Knowledge, Attitudes, and Confidence in Providing Care to Children with Autism Spectrum Disorder: A pilot study.
Cenzon KF, Bruhn AM, Claiborne DM … +1 more , Bobzien JL
J Dent Hyg · 2022 Oct · PMID 36224087
Autism spectrum disorder (ASD) is a developmental disorder affecting an individual's ability to communicate, interact, behave, and learn. The purpose of this study was to determine knowledge, attitudes, and confidence of...
Autism spectrum disorder (ASD) is a developmental disorder affecting an individual's ability to communicate, interact, behave, and learn. The purpose of this study was to determine knowledge, attitudes, and confidence of dental hygiene students in providing care to children with ASD as a mechanism for evaluating dental hygiene curricula for patients with special needs. A simulated-virtual training (SVT) intervention was developed as an interactive approach for educating dental hygiene students on providing care to a child patient with ASD. The SVT intervention consisted of a scenario in which the clinician "interacted" with a child with ASD who was having difficulty in the dental environment. Pre- and post-test surveys measured students' knowledge, attitudes, and perceived confidence related to providing dental hygiene services to children with ASD prior to and following the intervention. The Wilcoxon Signed Rank was used to determine statistical significance at the =.05 level. Thirty-three second year dental hygiene students completed the pre- and post-test surveys for a response rate of 97%. Statistically significant differences were observed for self-reported confidence to provide care to patients with ASD upon graduation, assessment of the unique needs of children with ASD, and an understanding of the dental needs for children with ASD (<0.05). Participants' confidence with performing dental hygiene services on children with ASD greatly increased, with statistically significant difference found for almost all services (i.e., oral exam, oral hygiene instruction, oral photos, radiographs, scaling, fluoride treatment; <0.05) except selective polishing. Most (90%) agreed that there is a need for additional/elective resources to help increase comfort in providing care to children with ASD. Results indicate the SVT intervention increased students' knowledge, attitudes, self-perceived confidence, and comfort. Dental and dental hygiene curricula could include technologies and intervention methods to advance access to dental care by children with ASD.
Factors Influencing the Professional Identity of Student and Licensed Professional Members of the American Dental Hygienists' Association.
Eagle IT, Hohneck SL, VanDuine SM … +2 more , Fitzgerald M, Kinney JS
J Dent Hyg · 2022 Oct · PMID 36224086
Professional identity formation is positively influenced by roles models, mentors, and experiential learning. The purpose of this study was to investigate the role membership in the American Dental Hygienists' Associatio...
Professional identity formation is positively influenced by roles models, mentors, and experiential learning. The purpose of this study was to investigate the role membership in the American Dental Hygienists' Association (ADHA) plays in developing and sustaining professional identity, and to explore whether differences exist between how students and licensed professionals perceive this role. A 48-item survey consisting of multiple choice, Likert scale, and open-ended items was created, and pilot tested before dissemination to student (SM) and licensed professional members (LM) of the ADHA via an electronic survey platform. Descriptive and inferential statistics were used to analyze the data. Of the 31,479 surveys sent to ADHA members in the database, 1,983 were completed, for a response rate of 6.3%. Most respondents were licensed professionals (86%, n=1,699), female (98%, n=1,940) and White (84%, n=1,668). Over one-third were over 55 years of age (37%, n=727). Continuing Education and Evidence-based Research resources were identified as positively affecting professional identity (4.0 or higher means). Advocacy efforts, the , and had a significantly greater positive influence on LMs professional identity (<0.05) while SMs reported patient care resources and career support had a greater influence on their professional identity (< 0.05). Member benefits in the ADHA positively influence the professional identities of students and licensed professionals. Dental hygiene students most value benefits that will support their roles as future health care professionals, while licensed professionals identified evidence-based resources and advocacy efforts as instrumental in sustaining their professional identity.
Integration of a Nationally Recognized Tobacco Treatment Specialist Certification into Health Sciences Curricula: A short report.
Wiener RC, Gaydos MS, Morgan S … +1 more , Swager L
J Dent Hyg · 2022 Oct · PMID 36224085
Tobacco use impacts every organ in the body. Dental professionals observe the detrimental oral and systemic consequences of tobacco use. Routine dental hygiene and dental appointments are an ideal opportunity for tobacco...
Tobacco use impacts every organ in the body. Dental professionals observe the detrimental oral and systemic consequences of tobacco use. Routine dental hygiene and dental appointments are an ideal opportunity for tobacco cessation discussions. Oral health care professionals can take the lead in assisting patients with evidence-based tobacco cessation strategies. Incorporation of tobacco cessation treatment within the curriculum of dental and dental hygiene programs will promote interprofessional tobacco cessation services. The purpose of this short report is to describe the process of introducing a Tobacco Treatment Specialist (TTS) program into the curricula of four health professional programs (dentistry, dental hygiene, pharmacy, and physician assistant) within a university health sciences center. Upon graduation, all involved students may qualify for TTS credentials. This report describes the importance of the interprofessional team, particularly dentists and dental hygienists, in the implementation of the first dental school-based certified tobacco treatment training program and incorporation of tobacco treatment content into interprofessional healthcare program curricula.
Functional Oral Health Literacy and Periodontal Health.
Olson AM, Reibel YG, Self KD … +3 more , Lindgren B, Blue CM, Flynn PM
J Dent Hyg · 2022 Oct · PMID 36224084
Growing evidence associates low oral health literacy (OHL) with poor oral health outcomes. While nearly half of United States adults have periodontal disease (PD), there are conflicting results on association between OHL...
Growing evidence associates low oral health literacy (OHL) with poor oral health outcomes. While nearly half of United States adults have periodontal disease (PD), there are conflicting results on association between OHL and PD. The purpose of this pilot study was to explore the association between functional OHL and periodontal health as defined by the American Academy of Periodontology (AAP) classification system. A cross-sectional study was conducted with a convenience sample of dental patients presenting for care at a Midwestern Federally Qualified Health Center. Functional OHL was measured using the Oral Health Literacy Adults Questionnaire (OHL-AQ), and periodontal health was measured clinically and categorized by stage and grade using the recently revised AAP classification system. Additional demographic factors and health history information related to periodontal health were collected. Descriptive analysis reported the median and range for ordered variables, and frequency and percentages for categorical variables. Wilcoxon rank sum test, Kruskal-Wallis test, and Spearman correlation coefficients were used to find association between functional OHL and periodontal health. Among fifty-four participants, statistically significant associations were found between OHL-AQ scores and AAP staging and grading categories. Periodontal disease stage increased with age, and periodontal disease grades progressed among participants with diabetes. No associations were found between periodontal health and sex, race, ethnicity, education, insurance, or country of origin. Functional oral health literacy had a significant inverse relationship with both AAP periodontal disease staging and grading. A larger study is needed to confirm the findings of this pilot study.
Exploring Young Adult Comfort with Oral Health Care Providers' Discussions Related to HPV: A mixed methods study.
Merrell LK, Bishop JM, Henry DS … +3 more , Walter KO, Azariah WY, Loughlin KC
J Dent Hyg · 2022 Oct · PMID 36224083
Human papillomavirus (HPV) is the most prevalent sexually transmitted infection in the United States and oral healthcare providers (OHPs) have become increasingly focused on preventing oral health outcomes related to HPV...
Human papillomavirus (HPV) is the most prevalent sexually transmitted infection in the United States and oral healthcare providers (OHPs) have become increasingly focused on preventing oral health outcomes related to HPV through screening for oral cancer and recommending HPV vaccination. The purpose of this study was to explore the comfort of having HPV-related discussions with OHPs among a college-age population. Students enrolled in an introductory-level, personal health class at a large, public, mid-Atlantic institution were invited to participate in an anonymous survey. Ten items related to participant's perceptions of HPV discussions with an OHP were part of a larger 100 item online survey designed to measure various aspects of college student health. Comfort with an OHPs' discussion of various health issues (including oral cancer, the relationship between oral cancer and HPV, and HPV vaccination) was measured on a 5-point scale with follow up, open-ended questions. Descriptive statistics were used to analyze the data; thematic coding was used to analyze the open-ended items. A total of 3,236 students were invited to participate during the two data collection waves; 2,198 surveys were fully completed, representing a 67.9% response rate. Participants reported having the greatest level of comfort discussing oral health prevention behaviors such as tooth brushing and flossing and the least comfort discussing HPV-related topics with OHPs. Among those expressing low levels of comfort, qualitative responses highlighted participants limited knowledge related to HPV and the HPV vaccination along with the belief that these discussions were better suited for physicians. Results from this study demonstrated that college-age students may be uncomfortable with HPV-related discussions in a dental care setting. However, given the relationship between HPV infection and poor oral health outcomes, it is important that this population be informed about the oral-systemic HPV relationship and of the HPV vaccination as means for primary prevention. These findings highlight the need to address the public's perceptions regarding the role that OHPs play in educating the public about oral-systemic health.
Examining the Influence of Academic Degree Level on Health Care Providers' Perceptions of Interprofessional Collaboration: A pilot study.
Bilbee MR, Rulli D, VanDuine SM … +2 more , Kuzma EK, Cullen JL
J Dent Hyg · 2022 Aug · PMID 35906084
Health care provider perceptions of interprofessional collaboration (IPC) have been well documented, however barriers to provider participation persist. The purpose of this pilot study was to examine differences in healt...
Health care provider perceptions of interprofessional collaboration (IPC) have been well documented, however barriers to provider participation persist. The purpose of this pilot study was to examine differences in health care providers' perceptions of IPC based on the academic degree level. Licensed health care providers with faculty appointments at a four-year university-based setting were invited to participate in an electronic survey. Attitudinal questions in the survey instrument were based on the Theory of Planned Behavior and the Social Cognitive Theory and assessed perceptions, attitudes, norms, and self-efficacy toward IPC. Descriptive statistics were used to analyze the data. Respondents (n=179) included faculty in medicine (29%), dentistry (23%), nursing (13%), dental hygiene (11%), physical therapy (8%), and pharmacy (7%). Ninety percent of respondents agreed or strongly agreed that IPC is important for improving patient health outcomes. Respondents across all degree levels were significantly more comfortable taking recommendations on patient treatment from another health care provider with a doctoral degree as compared to a health care provider with an associate degree, with mean scores declining from 5.58 to 4.58 (=0.000). While all respondents valued IPC in improving patient outcomes, their perceptions of other health care providers' level of academic degree may play a role in their willingness to truly collaborate with them. Despite an institution's positive culture of IPC, bias and stereotypes regarding the level of academic degree need to be addressed. Results indicate that while health care providers with lower academic degrees may be valuable contributors to the IPC team, their academic degree could be a barrier to their meaningful inclusion.
Mental Health Issues in Health Care Providers.
Rulli D
J Dent Hyg · 2022 Aug · PMID 35906083
Abstract loading — click title to view on PubMed.
Prenatal and Pediatric Oral Health Education Among Dental Hygiene Programs in the United States.
Claiborne DM, Naavaal S
J Dent Hyg · 2022 Aug · PMID 35906082
Health care and dental providers must be prepared to address the oral health needs of mothers and children in order to reduce the burden of dental disease in these populations. The purpose of this study was to describe t...
Health care and dental providers must be prepared to address the oral health needs of mothers and children in order to reduce the burden of dental disease in these populations. The purpose of this study was to describe the curriculum and clinical experiences related to prenatal and pediatric oral health in the university and community college dental hygiene programs in the United States (US). Dental hygiene program directors (PDs) from across the US were invited to participate in a cross-sectional electronic survey regarding the prenatal and pediatric oral health curriculum at their institution. In addition to program characteristics, the survey included items pertaining to curriculum and competencies, content delivery methods and hours spent, locations for clinical experiences, collaboration efforts, and professional policy guidelines. Responses were summarized, and descriptive analyses were conducted to examine program competency and curriculum by program type. A total of 124 PDs responded to the survey for a 37.9% response rate; over half (54%) were based in community colleges. Overall, most PDs indicated prenatal (77.3%) and pediatric oral health (66.1%) as a part of their program's core curriculum. However, prenatal oral health was a core competency for 52% of the respondents and less than half (46%) considered pediatric oral health a core competency. Most programs (>75%) reported teaching professional policies and guidelines. Universities reported more hours for prenatal and didactic and clinical experiences than community colleges. The most common barrier reported for prenatal and pediatric clinical experience was the lack of patients (55% and 35%, respectively). Most dental hygiene programs are utilizing a variety of methodologies to incorporate prenatal and pediatric content into the curriculum and students are being exposed to professional guidelines and recommendations for these populations. However, patient care experiences for prenatal and pediatric patients were low due to lack of patients.
Worried Sick: Anxiety, depression, and the impact on dental health care workers.
Geisinger ML, Dershewitz SL
J Dent Hyg · 2022 Aug · PMID 35906081
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United States Dental Health Care Workers' Mental Health During the COVID-19 Pandemic.
Eldridge LA, Estrich CG, Gurenlian JR … +7 more , Battrell A, Lynch A, Vujicic M, Morrissey R, Dershewitz S, Geisinger ML, Araujo MWB
J Dent Hyg · 2022 Aug · PMID 35906080
The purpose of this study was to assess the prevalence of anxiety and depression symptoms and understand factors influencing mental health among dental health care workers (DHCWs) in the United States (US) during the COV...
The purpose of this study was to assess the prevalence of anxiety and depression symptoms and understand factors influencing mental health among dental health care workers (DHCWs) in the United States (US) during the COVID-19 pandemic. Beginning in June 2020, dentists (DDS) and dental hygienists (DH) in the US were invited to participate monthly in an anonymous, longitudinal, web-based survey. The Patient Health Questionaire-4 (PHQ-4) was used to estimate rates of anxiety and depression symptoms. Changes in mental health over time and differences by demographic and practice characteristics, COVID-19 community transmission level and COVID-19 vaccination status were tested using χ tests and multilevel multivariable logistic regression. A total of 8,902 DHCWs (DH, DDS) participated in the survey for a response rate of 6.7%. Anxiety symptom rates peaked in November 2020 (28% DH; 17% DDS) and declined to 12% for both professions in May 2021. Depression symptoms were highest in December 2020 (17% DH; 10% DDS) and declined to 8% in May 2021. Controlling for gender, age, race, ethnicity and community COVID-19 transmission levels, DDS respondents had lower odds of anxiety symptoms (aOR 0.82; 95% CI 0.70 to 0.95) and depression symptoms (aOR 0.79; 95% CI 0.67 to 0.93) than DHs. Compared to vaccinated respondents, DHCWs who were unvaccinated but were planning on getting vaccinated had significantly higher rates of anxiety (aOR 1.71; 95% CI 1.20 to 2.44) and depression symptoms (aOR 1.57; CI 1.07 to 2.29). The mental health status of DHCWs fluctuated during the COVID-19 pandemic. Anxiety and depression were associated with the demographic and professional characteristics of the DHCW as well as the perceived risk of COVID-19 infection. Mental health support should be made available for all DHCWs.
Implementing Environmental Sustainability Educational Intervention in Dental Hygiene Instruction.
Leung WS, Dubbs L, White T … +1 more , Kornegay EC
J Dent Hyg · 2022 Aug · PMID 35906079
The planet faces a climate crisis threatening public health. Dentistry contributes to a large portion of the waste output in the United States. The purpose of this study was to assess dental hygiene (DH) students' percep...
The planet faces a climate crisis threatening public health. Dentistry contributes to a large portion of the waste output in the United States. The purpose of this study was to assess dental hygiene (DH) students' perceptions and knowledge on environmentally sustainable dentistry (ESD) prior to and following an educational intervention. A convenience sample of second-year DH students (n=34) at the University of North Carolina at Chapel Hill (UNC-CH) was recruited for this pilot study consisting of a pre-survey, an online educational module and immediate post-survey, and a final assignment followed by another post-survey. The educational module followed a funnel approach to educate learners on the topic of sustainability before narrowing down to how sustainability can be applied to dentistry. Paired t-tests compared pre- and post-module survey scores on changes in knowledge and attitudes. Univariate and qualitative analyses were conducted on the post-assignment component. Twenty-five participants had qualifying responses for the pre- and post-module survey (71.4% response rate); 22 participants completed the post-assignment survey (62.7% response rate). There was a statistically significant increase from pre- to post-module knowledge scores ( < 0.0005). Most respondents (>90%) indicated that the follow-up assignment strengthened their learning experience. Qualitative analysis revealed that the assignment helped participants apply module concepts in the real world and adopt less wasteful behaviors in clinic. Instructional interventions on ESD in DH education may improve students' knowledge of environmentally sustainable habits and encourage behavioral changes. Study findings can help introduce an environmental sustainability component to the DH educational curriculum.
Brief Motivational Interviewing: Evaluation of a skills-based education program.
Arnett MC, Evans MD, Stull CL
J Dent Hyg · 2022 Aug · PMID 35906078
Oral health care providers have been charged with recommending the human papillomavirus (HPV) vaccine for the prevention of HPV oropharyngeal cancers (OPC). The purpose of this study was to determine dental hygiene stude...
Oral health care providers have been charged with recommending the human papillomavirus (HPV) vaccine for the prevention of HPV oropharyngeal cancers (OPC). The purpose of this study was to determine dental hygiene student competency of the application of brief motivational interviewing (BMI) and the accuracy of HPV vaccine information for the prevention of HPV OPC. A convenience sample of 59 senior dental hygiene (DH) students from the class of 2020 (n=31) and the class of 2021 (n=28) participated in the HPV OPC curriculum and skills-based BMI training at the University of Minnesota School of Dentistry. Students completed two audio-recorded patient interactions and one Objective Structured Clinical Examination (OSCE). Student self-assessment and faculty evaluation scores were determined by a standardized BMI HPV rubric. Descriptive statistics were used to analyze the data. Class of 2021 self-assessment ratings were higher than the class of 2020 in all components of the BMI HPV rubric at all three time points. Faculty evaluation achieved statistically significant improvement for the class of 2021 from patient Interaction 1 (evocation <0.01; summary <0.01) to the OSCE (evocation <0.05; summary <0.01). Both classes rated themselves as competent (≥70%) for most BMI subcategories. Dental hygiene student competence in demonstrating the components of the Spirit of MI to the accuracy of HPV and HPV vaccine information was achieved through the implementation of the skills-based BMI HPV training. Outcomes of student self-assessment and faculty evaluation highlighted the Kirkpatrick Model as a framework to evaluate BMI skills-based training.
COVID-19 Practices of Idaho Dental Hygienists.
Kanderis Lane CL, Gurenlian JR
J Dent Hyg · 2022 Aug · PMID 35906077
The COVID-19 pandemic has challenged dental professionals to provide appropriate care while using nationally recognized guidelines to minimize disease transmission. The purpose of this study was to investigate the curren...
The COVID-19 pandemic has challenged dental professionals to provide appropriate care while using nationally recognized guidelines to minimize disease transmission. The purpose of this study was to investigate the current practices of dental hygienists in Idaho to better understand how their practices have been impacted by COVID-19 in comparison to national guidelines. Practicing dental hygienists licensed in Idaho were invited to participate in a 23-item web-based survey. Items included demographics, guidelines used, procedures employed in response to COVID-19, barriers encountered implementing protocols, and vaccination status. Descriptive statistics were used to analyze the data. A Chi-square test was used to test for association between demographics and national guidance used and vaccination status (=.05). Of the 1,200 dental hygienists e-mailed, 185 consented to participate for a response rate of 15.4%. Respondents reported that level 3 or higher filtration masks were worn for every patient (72.9%, n=113) as were gloves (95.5%, n=148) and eye protection with side shields (71.6%, n=111). Most respondents indicated that disposable gowns (68.4%, n=106) and washable gowns (39.4%, n=61) were not available. A majority (56.1%, n=87) indicated they had been vaccinated. Respondents who had been employed for >15 years were more likely to have been vaccinated (χ = 15.25, df = 1, = 0.000) and were more likely to ask their patients if they had received the COVID-19 vaccine (χ = 7.99, df = 1, =0.005). Infection control practices following national guidance were inconsistent among dental hygienists in Idaho. Further research focusing on factors influencing adherence to national guidance for COVID-19 is needed.
Habits, Practices and Beliefs Regarding Floss and Mouthrinse among Habitual and Non-Habitual Users.
Rotella K, Bosma ML, McGuire JA … +5 more , Sunkara A, DelSasso A, Gaff M, Milleman K, Milleman J
J Dent Hyg · 2022 Jun · PMID 35654569
The purpose of this survey was to investigate how flossing and rinsing behaviors impact individual beliefs about oral disease risk, the efficacy of floss and mouthrinse, and the perceived benefits and barriers of floss a...
The purpose of this survey was to investigate how flossing and rinsing behaviors impact individual beliefs about oral disease risk, the efficacy of floss and mouthrinse, and the perceived benefits and barriers of floss and mouthrinse.Participants in this required component of a 12-week plaque and gingivitis randomized clinical trial on flossing and rinsing regimens completed a paper questionnaire prior to randomization and baseline/screening measurements.All of the clinical trial participants (n=213) completed the questionnaire. Respondents were grouped as habitual or non-habitual users of floss or mouthrinse if the product was used at least once daily; 16% (n=34) were habitual users of floss and 17% (n=36) were habitual users of mouthrinse. Perceived barriers included fear of gingival bleeding and pain, forgetting, and not including flossing or rinsing as part of the daily oral care routine. Non-habitual users were less likely to believe in the intangible benefits of flossing or rinsing and much more likely to perceive barriers to using floss or mouthrinse. Risk perception of developing oral disease was not shown to predict product usage. Respondents viewed their risk of developing gingivitis as relatively low despite this diagnosis being confirmed clinically among the participants.While respondents strongly believed that brushing, flossing, and mouthrinse use carry unique benefits and that combining all three methods would be optimal, these respondents still had high perceived barriers to using floss and mouthrinse regularly and consequently these habits were not included in their daily oral hygiene regimen. Understanding the perceptions regarding oral health behaviors may help drive more effective interventions and assist practitioners in improving their patients' oral health outcomes.
Efficacy of Flossing and Mouthrinsing Regimens on Plaque and Gingivitis: A randomized clinical trial.
Bosma ML, McGuire JA, Sunkara A … +4 more , Sullivan P, Yoder A, Milleman J, Milleman K
J Dent Hyg · 2022 Jun · PMID 35654568
Flossing is a well-known component of daily recommended oral care regimens, but patients often find it challenging to perform effectively on a regular basis. The purpose of this 12-week supervised clinical trial was to i...
Flossing is a well-known component of daily recommended oral care regimens, but patients often find it challenging to perform effectively on a regular basis. The purpose of this 12-week supervised clinical trial was to investigate the effects of twice daily rinsing with a mouthrinse containing a fixed combination of four essential oils (4EO) and supervised daily dental flossing regimens as compared to a negative control 5% hydroalcohol rinse (NC) on the prevention and reduction of plaque, gingivitis, and gingival bleeding.Volunteer participants who met the inclusion criteria were randomized into the following groups for the 12- week trial: 1) NC; 2) mouthrinse containing 4EO; 3) professional flossing performed by a dental hygienist (FBH); 4) supervised self-flossing (FUS). All participants received a professional dental prophylaxis prior to beginning the trial. On weekday mornings, all participants brushed on site. After brushing, the rinse groups used their products under supervision, and the floss groups had their teeth flossed by a dental hygienist or self-flossed under supervision. Participants performed their assigned regimen in the evenings and the twice-daily weekend use at home. Each individual assessment of oral hard and soft tissue, plaque, gingivitis, and gingival bleeding at weeks 4 and 12, probing depth and bleeding on probing at week 12 was made by the same calibrated examiner.Of 156 randomized participants, 149 completed the trial. Use of the 4EO mouthrinse statistically significantly reduced plaque, gingivitis, and gingival bleeding on probing after 12 weeks as compared to the NC rinse. Both flossing interventions statistically significantly reduced interproximal gingivitis and gingival bleeding at 12 weeks compared to the NC rinse; neither flossing intervention significantly reduced interproximal plaque after 12 weeks compared to the NC rinse.Rinsing with a 4EO mouthrinse statistically significantly improved all oral health outcome measures at all time points compared to a NC rinse in this 12-week clinical trial. While professional and supervised flossing improved gingival health compared to use of the NC rinse, statistically significant plaque reduction with dental flossing was not attained at the end of the 12-week trial.
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