Antigingivitis Toothpaste and Oral Health Advice through Intraoral Images Improves Gingival Health

Does a complex intervention of oral hygiene advice (OHA) delivered with intra-oral scanner images, anti-gingivitis toothpaste and motivational reminders, improve oral health more than a standard of care control arm of fluoride toothpaste, with OHA without scanner images?

Results

BOP scores from baseline were significantly improved in the intervention group compared to control at all visits for all surfaces; differences at V4 were 0.292 (all), 0.211 (buccal/labial) and 0.375 (lingual/palatal).

Plaque scores from baseline pre-brushing to each visit pre- and post-brushing also favoured the intervention group, the difference always significant on lingual/palatal surfaces, significant for all but pre-brushing-V4 (p<0.05) on all surfaces, but only significant for pre-brushing-V3 (p<0.05) buccally/labially.

Differences from baseline to post-brushing at V4 were: 0.200 (all), 0.098 (buccal/labial) and 0.291 (lingual/palatal).

A complex intervention comprising OHA delivered with IOS-images, anti-gingivitis toothpaste and motivational reminders improved gingival health more than existing standard of care-OHA together with a standard fluoride toothpaste over a 6-month period.

Intra-oral scans (IOS) are now frequently used in general dental practice for a variety of purposes. IOS use, in combination with motivational texts and an anti-gingivitis toothpaste, could be further deployed to promote oral hygiene behaviour change in patients and improve gingival health, in a cost-effective manner.

Reference:

Sinéad Daly, Joon Seong, Charles Parkinson, Robert Newcombe, Nicholas Claydon, Nicola West. A randomised controlled trial evaluating the impact of oral health advice on gingival health using intra oral images combined with a gingivitis specific toothpaste, Journal of Dentistry, Volume 131, 2023, 104472, ISSN 0300-5712. https://doi.org/10.1016/j.jdent.2023.104472.

(https://www.sciencedirect.com/science/article/pii/S0300571223000593)