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The Effect of a Personalized Oral Health Education Program on Periodontal Health in an At-Risk Population: A Randomized Controlled Trial

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  • Eman S. Almabadi

    (School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia
    Pediatric Dentistry and Orthodontics Department, College of Dentistry, Taibah University, Al Madinah Al Munawara 41477, Saudi Arabia)

  • Adrian Bauman

    (Prevention Research Collaboration, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, Australia
    School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia)

  • Rahena Akhter

    (School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia)

  • Jessica Gugusheff

    (Prevention Research Collaboration, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, Australia)

  • Joseph Van Buskirk

    (Prevention Research Collaboration, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, Australia)

  • Michelle Sankey

    (Oral Health Clinic, Logan Hospital, Meadowbrook, Queensland, QLD 4131, Australia)

  • Janet E. Palmer

    (School of Dentistry, The University of Queensland, Herston, QLD 4072, Australia)

  • David J. Kavanagh

    (Centre for Children’s Health Research and School of Psychology & Counselling, Queensland University of Technology (QUT), South Brisbane, QLD 4072, Australia)

  • Gregory J. Seymour

    (School of Dentistry, The University of Queensland, Herston, QLD 4072, Australia)

  • Mary P. Cullinan

    (School of Dentistry, The University of Queensland, Herston, QLD 4072, Australia)

  • Joerg Eberhard

    (School of Dentistry, Faculty of Medicine and Health, The University of Sydney, Camperdown, Sydney, NSW 2006, Australia)

Abstract

While periodontal disease is associated with many risk factors, socioeconomically disadvantaged communities experience the highest disease burden. The aim of this study was to evaluate the effectiveness of a personalized oral health education program, in combination with routine dental treatment, in participants from a low socioeconomic community. We used a randomized, controlled, examiner-blinded clinical trial. A total of 579 participants (aged 18–60 years) were randomly grouped: the intervention group (n = 292) received a personalized oral health education program in combination with routine dental care and the control group (n = 287) received routine dental care. All participants were assessed for improvement in oral health care behaviors, dental plaque, and periodontal status at baseline, 12 months, and 24 months. We found a significant drop ( p < 0.001) in the plaque indices, Periodontal Probing Depths (PPD) and Bleeding on Probing (BOP) between baseline and the 12-month follow-up for both groups. For BOP, the number of sites positive was significantly different between baseline and the 24-month follow-up ( p = 0.037). No differences were found between the two groups for any evaluated clinical outcome. The personalized oral health education program used in the current study did not appear to add significant improvement to clinical outcomes of periodontal health compared with routine restorative dental care per se.

Suggested Citation

  • Eman S. Almabadi & Adrian Bauman & Rahena Akhter & Jessica Gugusheff & Joseph Van Buskirk & Michelle Sankey & Janet E. Palmer & David J. Kavanagh & Gregory J. Seymour & Mary P. Cullinan & Joerg Eberha, 2021. "The Effect of a Personalized Oral Health Education Program on Periodontal Health in an At-Risk Population: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:846-:d:483330
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    References listed on IDEAS

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    1. repec:aph:ajpbhl:10.2105/ajph.2017.303760_6 is not listed on IDEAS
    2. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    3. Hoffman, L.M. & Rollins, L. & Akintobi, T.H. & Erwin, K. & Hernandez, N. & Lewis, K. & Miller, A., 2017. "Oral health intervention for low-income African American Men in Atlanta, Georgia," American Journal of Public Health, American Public Health Association, vol. 107, pages 104-110.
    4. Nadine Fraihat & Saba Madae’en & Zsuzsa Bencze & Adrienn Herczeg & Orsolya Varga, 2019. "Clinical Effectiveness and Cost-Effectiveness of Oral-Health Promotion in Dental Caries Prevention among Children: Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 16(15), pages 1-33, July.
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