PMID- 23480201 OWN - NLM STAT- MEDLINE DCOM- 20161017 LR - 20181202 IS - 1741-2358 (Electronic) IS - 0734-0664 (Linking) VI - 31 IP - 4 DP - 2014 Dec TI - Effectiveness of a motivational-behavioural skills protocol for oral hygiene among patients with hyposalivation. PG - 288-95 LID - 10.1111/ger.12037 [doi] AB - BACKGROUND: The main objective of this study was to assess the effectiveness of a motivational-behavioural skills protocol for plaque control in patients with hyposalivation. PATIENTS AND METHODS: In a randomised, evaluator-blinded, controlled trial, 60 subjects with hyposalivation (12 men and 48 women) were randomly assigned to two groups: the control group received basic oral hygiene instruction, while for the study (intervention) group, oral hygiene instruction was based on cognitive behavioural principles and motivational interviewing (MI). Both groups were given oral hygiene instruction once every 15 days, with a total of four sessions over a 2-month period: plaque extension and community periodontal index of treatment needs (CPITN), frequency and duration of brushing, frequency of interdental cleaning and scores based on scale of 'self-efficacy for brushing of the teeth'. Clinical characteristics were compared between the two groups. RESULTS: Both control and intervention group patients showed significantly lower plaque indices, bleeding indices and an improvement in probe depth after the 2-month study period. Interproximal brushing was significantly more frequent among the intervention group (p = 0.016). CONCLUSION: In patients with hyposalivation, the application of oral hygiene instruction based on cognitive principles and MI offers benefits for periodontal health. Longer-term studies are needed to confirm these results. CI - (c) 2013 The Gerodontology Society and John Wiley & Sons A/S. FAU - Lopez-Jornet, Pia AU - Lopez-Jornet P AD - Department of Oral Medicine, Murcia University Dental School, Murcia, Spain. FAU - Fabio, Camacho-Alonso AU - Fabio CA FAU - Consuelo, Rodriguez Agudo AU - Consuelo RA FAU - Paz, Andujar Mateos AU - Paz AM LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20130309 PL - England TA - Gerodontology JT - Gerodontology JID - 8215850 MH - Adult MH - Aged MH - Aged, 80 and over MH - *Cognitive Behavioral Therapy MH - Dental Devices, Home Care MH - Dental Plaque Index MH - Female MH - Health Behavior MH - Humans MH - Male MH - Middle Aged MH - *Motivational Interviewing MH - *Oral Hygiene/education MH - Periodontal Index MH - Periodontal Pocket/classification MH - Saliva/metabolism MH - Self Concept MH - Self Efficacy MH - Single-Blind Method MH - Toothbrushing MH - Xerostomia/psychology/*therapy OTO - NOTNLM OT - CPITN OT - hyposalivation OT - oral hygiene index EDAT- 2013/03/14 06:00 MHDA- 2016/10/19 06:00 CRDT- 2013/03/14 06:00 PHST- 2012/11/27 00:00 [accepted] PHST- 2013/03/14 06:00 [entrez] PHST- 2013/03/14 06:00 [pubmed] PHST- 2016/10/19 06:00 [medline] AID - 10.1111/ger.12037 [doi] PST - ppublish SO - Gerodontology. 2014 Dec;31(4):288-95. doi: 10.1111/ger.12037. Epub 2013 Mar 9.