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

Written by Dr. Shravani Dali Published On 2023-03-14T03:15:51+05:30 | Updated On 14 March 2023 7:12 AM GMT

Antigingivitis Toothpaste and Oral Health Advice through Intraoral Images Improves Gingival Health suggests a new study published in the Journal of DentistryDoes 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...

Antigingivitis Toothpaste and Oral Health Advice through Intraoral Images Improves Gingival Health suggests a new study published in the Journal of Dentistry

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?

Adult participants with pre-existing gingivitis were randomised to intervention or control. Following enrolment, baseline and each subsequent visit (V) (3-weeks, V2; 3-months, V3; 6-months, V4) followed the same schedule. Bleeding on Probing (BOP) was assessed and Intra Oral Scan IOS(1) recorded. Plaque was disclosed, scored and re-scanned (IOS(2)). The intervention group received OHA with IOS images, control group receiving OHA without IOS images. Participants brushed with their allocated toothpaste (fluoride, control; anti-gingivitis, intervention), IOS(3) was recorded. Between visits participants brushed with their allocated toothpaste, intervention group received motivational reminders.

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)

Source : Journal of Dentistry

Dr. Shravani Dali

BDS

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.