‘I take for granted that patients know’ – oral health professionals' strategies, considerations and methods when teaching patients how to use fluoride toothpaste

Jensen, Olga; Gabre, Pia; Sköld, Ulla Moberg; Birkhed, Dowen; Povlsen, Lene

doi:10.1111/idh.12041

Cited by 12 publications

(30 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Strong evidence about the nature of the content of oral health promotion was derived from six studies, four of which were carried out in the UK and reported in five papers (3+ #bib1−), one in Israel (−), and one in Sweden (++) (see Table ). These studies explored the content of oral health promotion given in general practices, but none examined the effectiveness of the different oral health promotion messages.…”

Section: Resultsmentioning

confidence: 99%

“…Many of the studies included in the review offered insights into the potential barriers and facilitators to effective oral health promotion. Strong evidence from 11 studies published in 12 papers (seven qualitative and four surveys (1++ #bib9+, 1−) described various barriers and facilitators to oral health promotion (see Table ). Strong evidence demonstrated that dentists gave messages which accorded with their own experiences and prejudices, and there was moderate evidence to suggest that the sender's belief in the credibility and effectiveness of OHP affected the likelihood of them conveying oral health messages to their patients.…”

Section: Resultsmentioning

confidence: 99%

“…Evidence for a finding was considered moderate if supported by one or more non RCT studies rated (+), and was considered weak if the evidence was 46 (midwife$ or midwives or ((geriatric or (occupational adj health) or orthop*edic or p*ediatric or psychiatric or (public adj health) or school or oncology or nephrology) adj (nurse or nurses))).tw. 47 ( supported only by studies considered to be of low quality (À).…”

Section: Strength Of the Evidencementioning

confidence: 99%

See 2 more Smart Citations

A review of approaches for dental practice teams for promoting oral health

Kay

Vascott

Hocking

et al. 2016

Comm Dent Oral Epid

View full text Add to dashboard Cite

To determine the circumstances in which oral health promotion (OHP) in General Dental Practice is at its most effective, a systematic review was conducted to identify, critically appraise and synthesize the available evidence. The research question was: Is oral health promotion within dental practice effective and how can its effects be optimized? Systematic searches of 20 online resources (including Ovid Medline and Embase) were conducted. A call for evidence was also issued, and citation lists of other relevant systematic reviews were included. All studies published since 1994 which were set in the context of general dental practice and investigated promoting good oral health in adult or child patients were considered. 44 studies reported in 52 papers were included in the review. The evidence was heterogeneous and the quality of reporting was variable. Results showed that oral health promotion based on behavioural and psychological models was effective for improving oral health. Verbal advice affected knowledge and reported behaviour, written advice promoted oral health knowledge. There was moderate evidence that the attributes of the 'sender' of an oral health promotion message influenced its effectiveness. Many barriers and facilitators were shown to influence the effectiveness of OHP in dental practice. The results of this review suggest that the psychology of behaviour change is the key to oral health promotion and greater emphasis on teaching oral health professionals about health psychology would make oral health promotion in the dental surgery more effective.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Strength Of the Evidencementioning

confidence: 99%

See 1 more Smart Citation

A review of approaches for dental practice teams for promoting oral health

Kay

Vascott

Hocking

et al. 2016

Comm Dent Oral Epid

View full text Add to dashboard Cite

show abstract

“…In a recent study in Norway, Widstr€ om et al [32] found that chair-side preventive treatment measures delivered by dentists and dental hygienists were numerous but not fully in accordance with today's evidence-based practice. Jensen et al [33] reported that although the information given at the dental visit includes recommendations on toothbrushing, there are weaknesses concerning the fluoride concentration in toothpaste, rinsing procedures after brushing or toothpaste brushing techniques. As for the two oldest age groups who showed a particularly skewed caries distribution, this might indicate the need for a more selective preventive and treatment strategy for the subgroup with the highest need.…”

Section: Discussionmentioning

confidence: 99%

Is caries equally distributed in adults? A population-based cross-sectional study in Norway – the TOHNN-study

Oscarson

Espelid

Jönsson

2017

Acta Odontologica Scandinavica

View full text Add to dashboard Cite

Objectives: The aim of the study was to examine the prevalence and distribution of dental caries in an adult population and identify factors associated with being caries free. Material and methods: Data were collected from a randomized population sample in Northern Norway (N ¼ 1932; 988 women; mean age 47.0 years, SD 15.3). The study included a structured questionnaire and a clinical examination. The sum of enamel and dentine caries, DS 1-5 , formed the main outcome measures for caries prevalence. Results: Mean DMFT was 15.1 (95% CI 14.8, 15.4), mean DFT was 12.0 (CI 11.7,12.2), and mean DT was 1.1 (CI 1.0, 1.2). The mean value for dentine caries (DS 3-5 ) was 0.8 (CI 0.7, 0.9), and mean DS 1-5 was 3.8 (CI 3.6, 4.1). Mean DS 1-5 was highest in the youngest age group (mean 6.9, 95% CI 6.3, 7.6) and in rural areas (mean 5.0, CI 4.4, 5.6). The most caries-prone 20% in the youngest age group had 52% of the total number of carious lesions compared with 80% in the two oldest age groups. Tooth brushing twice daily (p ¼ .005), drinking sugar containing soft drink (p ¼.029), and attending dental services every year (p < .001), were associated with being caries free. Conclusion: Dental caries is still a common condition, particularly in the youngest age group. Living in a rural area, low socioeconomic status, less frequent tooth cleaning and sugar containing soft drinks were associated with a higher prevalence of dental caries. The different caries distribution among adults calls for different preventive strategies at both population and individual levels. ARTICLE HISTORY

show abstract

“…Even worse, only 10% report that they use fluoride toothpaste in an “optimal” way according to criteria established within the research team: a) two times a day, b) 2 minutes, c) apply a full brush, and d) do not rinse afterwards [ 56 ]. A recent questionnaire among patients of various age groups indicated that patients actually weren't told how to use fluoride and a qualitative study unveiled that dental professionals “took for granted that patients knew” [ 56 , 57 ]. Consequently, an important step in preventive practice is not only to focus on what to say, based on best available evidence, but also improve the skills on how to say it and make sure that the message is understood by the patients.…”

Section: Discussionmentioning

confidence: 99%

The evidence base for professional and self-care prevention - caries, erosion and sensitivity

Twetman

2015

BMC Oral Health

View full text Add to dashboard Cite

BackgroundThe aim of this conference paper was to examine the evidence base for primary and secondary prevention of dental caries, erosions and dentin hypersensitivity through professional and self-care measures.MethodsA mapping of systematic reviews (SR) of literature was carried out in PubMed and the Cochrane library through April 2014 using established MeSH-terms and disease-related search words in various combinations. The search was restricted to SR's published in English or Scandinavian and all age groups were considered. The reference lists of the selected papers were hand-searched for additional review articles of potential interest. Meta-analyses, guidelines and treatment recommendations were considered only when SR's were lacking. In the event of updates or multiple systematic reviews covering the same topic, only the most recent article was included. No quality assessment of the systematic reviews was carried out. The quality of evidence was rated in four levels according to the GRADE scale.ResultsIn total, 39 SR were included. For primary caries prevention, the quality of evidence was high for the use of fluoride toothpaste (with and without triclosan) and moderate for fluoride varnish and fissure sealants. The quality of evidence for fluoride gel, fluoride mouth rinse, xylitol gums and silver diamine fluoride (SDF) was rated as low. For secondary caries prevention and caries arrest, only fluoride interventions and SDF proved consistent benefits, although the quality of evidence was low. Likewise, the GRADE score for preventing erosions located in the enamel with fluoride supplements was low. The quality of evidence for various professional and self-care methods to prevent and manage dentine hypersensitivity was very low.ConclusionsThere are knowledge gaps in many domains of cariology and preventive dentistry that must be addressed and bridged through clinical research of good quality.

show abstract

‘I take for granted that patients know’ – oral health professionals' strategies, considerations and methods when teaching patients how to use fluoride toothpaste

Cited by 12 publications

References 16 publications

A review of approaches for dental practice teams for promoting oral health

A review of approaches for dental practice teams for promoting oral health

Is caries equally distributed in adults? A population-based cross-sectional study in Norway – the TOHNN-study

The evidence base for professional and self-care prevention - caries, erosion and sensitivity

Contact Info

Product

Resources

About