牙周治疗中与口腔卫生相关的自我效能感:为期 4 年的纵向研究。

IF 5.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Clinical Periodontology Pub Date : 2024-07-24 DOI:10.1111/jcpe.14043
L. Thiemann, M. Katzschner, G. Hanna, A. B. Kruse, K. Vach, P. Ratka-Krüger, J. P. Woelber
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引用次数: 0

摘要

目的:口腔卫生相关自我效能感(OHSE)描述了一个人成功实施口腔卫生行为的信心。本研究旨在调查初始牙周治疗(IPT)和支持性牙周治疗(SPT)患者口腔卫生相关自我效能感的长期变化过程及其与临床参数的关系:在两个时间点对接受IPT或SPT治疗的牙周炎患者进行评估。临床检查包括牙周袋探诊深度(PPD)、临床附着丧失(CAL)、探诊出血(BOP)、牙菌斑指数(PI)和牙龈指数(GI)。患者的 OHSE 通过问卷进行评估。统计分析包括 t 检验和线性回归模型:对最初的 201 名患者中的 98 名患者进行了 4 年后的评估。在 IPT 组中,OHSE 总分显著增加(平均值为 11.65 ± 15.6,p = .001)。OHSE中 "牙间清洁 "类别的增加与需要治疗的牙周袋数量的减少(Spearman相关性rs = -.2349, p = .022)和牙周炎症表面积(PISA)(rs = -.2099, p = .042)显著相关:结论:与 SPT 相比,IPT 患者的 OHSE 显著增加。OHSE的改善,尤其是在牙间清洁方面,似乎与牙周治疗的持续成功有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Oral-hygiene-related self-efficacy in periodontal therapy: A 4-year longitudinal study

Aim

Oral hygiene-related self-efficacy (OHSE) describes one's confidence to successfully execute oral hygiene behaviour. The aim of this study was to investigate the long-term course of OHSE in patients during initial periodontal therapy (IPT) and supportive periodontal therapy (SPT) and its association with clinical parameters.

Materials and Methods

Patients diagnosed with periodontitis, undergoing either IPT or SPT, were evaluated at two timepoints. Clinical examination included pocket probing depths (PPDs), clinical attachment loss (CAL), bleeding on probing (BOP), plaque index (PI) and gingival index (GI). Patients' OHSE was assessed with a questionnaire. Statistical analyses included t-tests and linear regression models.

Results

Ninety-eight patients from an initial group of 201 patients were evaluated after 4 years. The overall OHSE score increased significantly in the IPT group (mean 11.65 ± 15.6, p = .001). The increase in the OHSE category ‘interdental cleaning’ was significantly correlated with a decrease in the number of pockets requiring treatment (Spearman correlation rs = −.2349, p = .022) and periodontal inflamed surface area (PISA) (rs = −.2099, p = .042).

Conclusions

Patients under IPT showed a significant increase of OHSE compared to those under SPT. Improved OHSE, particularly in interdental cleaning, appears to be associated with sustained success of periodontal therapy.

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来源期刊
Journal of Clinical Periodontology
Journal of Clinical Periodontology 医学-牙科与口腔外科
CiteScore
13.30
自引率
10.40%
发文量
175
审稿时长
3-8 weeks
期刊介绍: Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.
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