Abstract：
BACKGROUND:This study determines the effects of a routine assessment (Treatment as Usual, TAU) versus a risk communication intervention (Risk) versus a Goal-Setting, Planning and Self-Monitoring (GPS) intervention on periodontal disease patients' clinical and psychological outcomes. METHODS:In a three-arm randomized controlled trial (RCT; registration: ISRCTN59696243) adults (N = 97) judged to have moderate oral hygiene attended a primary dental care setting for a standard consultation. Intervention participants received an individualized calculation of their periodontal disease risk using only the Previser Risk Calculator (Risk group) or supplemented with a GPS-behavioral intervention (GPS group). Clinical, behavioral and psychological measures were obtained at baseline, 4 and 12 weeks later. RESULTS:Percent plaque reduced significantly (P < 0.05) in intervention groups but not in TAU group. Percent of sites bleeding-on-probing reduced in all groups, but the effect was more pronounced in the intervention groups. Interdental cleaning frequency improved only in the intervention groups (P < 0.05). Brushing frequency and probing depths showed little variation across time/groups. Disease risk and most thoughts about periodontal disease changed across time (P < 0.05). CONCLUSIONS:A simple behavioral intervention using individualized periodontal disease risk communication, with or without GPS, reduced plaque and bleeding and increased interdental cleaning over 12 weeks. This is the first study in the field to show that risk communication and behavioral techniques such as Goal-Setting, Planning and Self-Monitoring can improve periodontal outcomes.
journal_name
J Periodontoljournal_title
Journal of periodontologyauthors
Asimakopoulou K,Nolan M,McCarthy C,Newton JTdoi
10.1002/JPER.18-0385subject
Has Abstractpub_date
2019-09-01 00:00:00pages
948-956issue
9eissn
0022-3492issn
1943-3670journal_volume
90pub_type
杂志文章,随机对照试验abstract：BACKGROUND:The main problem in the posterior instrumental treatment of periodontitis is the re-epithelization of the periodontal defects, leading to the formation of an unphysiological, long junctional epithelium inhibiting the regeneration of periodontal attachment. A precondition for the re-epithelization is the inte...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1999.70.4.388
更新日期：1999-04-01 00:00:00
abstract：BACKGROUND:There are four key studies in the periodontology literature reporting the correlation between supernumerary teeth and aggressive periodontitis. The aim of this study is to detect such a relationship. METHODS:Patients with supernumerary teeth were identified retrospectively from their orthopantomographs and ...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.2004.75.11.1458
更新日期：2004-11-01 00:00:00
abstract：:Eleven patients presenting with acute necrotizing ulcerative gingivitis (ANUG) collected 24-hour urine samples during and after the course of their ANUG. The Porter-Silber technique was used to determine the 17-hydroxycorticosteroid concent of the urine, a physiological measure of stress. All of the patients had signi...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1975.46.12.721
更新日期：1975-12-01 00:00:00
abstract：BACKGROUND:Gingival recession (GR) defects can be treated by various methods, including acellular dermal matrix (ADM) or coronally advanced flaps (CAFs). The aim of this histomorphometric experiment is to compare the efficacy of ADM and CAF for treating GR defects in dogs. METHODS:In eight beagle dogs, a critical-size...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.2012.120380
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:The objective of this study was to systematically review the diagnostic criteria, indications, and need for treatment of ankyloglossia (tongue-tie), as well as the various treatment options for patients in different age groups. METHODS:The MEDLINE databases and the Cochrane Library were searched according t...
journal_title：Journal of periodontology
pub_type： 杂志文章,评审
doi：10.1902/jop.2009.090086
更新日期：2009-08-01 00:00:00
abstract：:1. The subjective separation of the normal and the diseased periodontium for splinting purposes is artificial. With the exception of cases of secondary trauma from occlusion, the diseased periodontium should be treated in the same manner as the normal periodontium with regards to splinting. 2. Retionales for stabiliza...
journal_title：Journal of periodontology
pub_type： 杂志文章,评审
doi：10.1902/jop.1976.47.7.405
更新日期：1976-07-01 00:00:00
abstract：BACKGROUND:The aim of the present review is to systematically evaluate the effects of autogenous platelet concentrates on clinical outcomes of the surgical treatment of periodontal diseases. METHODS:MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials were searched using a combination of specific se...
journal_title：Journal of periodontology
pub_type： 杂志文章,meta分析,评审
doi：10.1902/jop.2010.100605
更新日期：2011-08-01 00:00:00
abstract：:The relation between utilization of dental services from community dentists and the extent and severity of alveolar bone loss is reported for a panel of men followed for over 6 years. Oral health data were collected by the Department of Veterans Affairs, Dental Longitudinal Study, which began in 1969 and still continu...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1994.65.5s.551
更新日期：1994-05-01 00:00:00
abstract：BACKGROUND:The protease-induced cytotoxicity of P. gingivalis may partly result from alteration of the extracellular matrix and/or surface receptors that mediate interaction between the host cells and their matrix. While P. gingivalis-induced degradation of E-cadherin has been documented, there is no information on the...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.2001.72.5.641
更新日期：2001-05-01 00:00:00
abstract：BACKGROUND:The aim of this study was to seek the critical time for impairment of alveolar bone regeneration after ovariectomy (OVX) in rats. METHODS:A total of 32 female rats were used. Test group rats were divided into a 2M group (n = 8), a 3M group (n = 8) and a 4M group (n = 8) according to the duration from OVX to...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1002/JPER.19-0537
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:Full-mouth scaling (FMS) is claimed by some researchers to be superior to standard scaling and root planing (SRP). The aim of the present study was to evaluate clinical outcomes of two modalities of non-surgical periodontal therapy for patients with chronic periodontitis. METHODS:In a prospective, randomize...
journal_title：Journal of periodontology
pub_type： 杂志文章,随机对照试验
doi：10.1902/jop.2007.070010
更新日期：2007-11-01 00:00:00
abstract：:A 1% carrageenan solution was injected into the palatal mucosa of male guinea pigs between the two first molars. Biopsy specimens were taken 1, 3, 6, 12 and 24 hours after the injection. Control specimens with healthy mucosa and tyrode injected mucosa were used in order to evaluate the carrageenan-induced inflammation...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1979.50.3.114
更新日期：1979-03-01 00:00:00
abstract：BACKGROUND:Green tea is a very popular beverage, and in vitro studies have shown that green tea polyphenols inhibit the growth and cellular adherence of periodontal pathogens and their production of virulence factors. We investigated the epidemiologic relationship between the intake of green tea and periodontal disease...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.2009.080510
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:Some studies have reported an association between gestational diabetes mellitus (GDM) and periodontitis. The aim of the present study is to analyze this potential association and the influence of risk variables associated with GDM. METHODS:This case-control study includes 360 women, 90 with GDM and 270 cont...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.2012.120350
更新日期：2013-09-01 00:00:00
abstract：:The purpose of this study was to determine which treatment of a large osseous defect adjacent to an endosseous dental implant would produce the greatest regeneration of bone and degree of osseointegration: barrier membrane therapy plus demineralized freeze-dried bone allograft (DFDBA), membrane therapy alone, or no tr...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1997.68.10.933
更新日期：1997-10-01 00:00:00
abstract：:Extracts of corn and some nuts were found to ubiquitously stimulate both adult and newborn cord blood lymphocytes to transform and produce a factor chemotactic for monocytes. This indicates that corn and nuts contain a mitogen and are potential stimulators of the cellular immune response. The exposure of lymphocytes t...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1975.46.9.562
更新日期：1975-09-01 00:00:00
abstract：:Human gingival fibroblasts were cultured in vitro using as substrates an extracellular matrix (matrix) and polytetrafluoride (PTFE) membranes, which are used in guided tissue regeneration. To test the degree of biocompatibility of these membranes, the cellular proliferation and the accumulation of extracellular matrix...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1997.68.9.857
更新日期：1997-09-01 00:00:00
abstract：:A system of nomenclature for deformities of the alveolar process is presented. Descriptive, familiar topographic terms are used (crater, trench, moat, ramp and plane), and specific criteria are given for each term. Two hundred randomly selected osseous deformities in dry skulls were classified by two examiners at inde...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1984.55.6.336
更新日期：1984-06-01 00:00:00
abstract：BACKGROUND:The baseline periodontal examination is reported to be a painful dental procedure, but currently there are limited practical techniques to reduce this pain. The objective of this study is to evaluate the efficacy of an intrapocket anesthetic gel in the reduction of pain on periodontal probing in a group of u...
journal_title：Journal of periodontology
pub_type： 杂志文章,随机对照试验
doi：10.1902/jop.2012.110106
更新日期：2012-12-01 00:00:00
abstract：:The cross-sectional relationship between severe loss of periodontal attachment (LPA) and worsening immune status due to HIV infection was evaluated in 474 HIV-infected subjects (416 men, 58 women) aged 18 to 49 years who had been classified at stages 1 through 6 of the Walter Reed Army Institute of Research (WR) Stagi...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1995.66.6.421
更新日期：1995-06-01 00:00:00
abstract：:The modification of a methacrylic gel for use as a periodontal dressing was attempted. The increased adhesion and rigidity of the resultant material appeared consistent with the clinical findings. Satisfactory retention of the dressing was found in 85% of those placed on a group of patients attending for periodontal s...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1975.46.8.465
更新日期：1975-08-01 00:00:00
abstract：:The responses of four tooth/site groupings to periodontal therapy were evaluated. Eighty-two patients with periodontitis were treated in a split mouth design with coronal scaling, root planing, modified Widman surgery, and flap with osseous resectional surgery. Patients were evaluated prior to therapy, 4 weeks post-Ph...
journal_title：Journal of periodontology
pub_type： 临床试验,杂志文章
doi：10.1902/jop.1990.61.3.173
更新日期：1990-03-01 00:00:00
abstract：BACKGROUND:Several risk indicators for periodontal disease severity have been identified. The association of these factors with tooth loss for periodontal reasons was investigated in this cross-sectional comparative study. METHODS:All extractions performed in 21 general dental practice clinics (25% of such clinics in ...
journal_title：Journal of periodontology
pub_type： 杂志文章,多中心研究
doi：10.1902/jop.2005.76.11.1910
更新日期：2005-11-01 00:00:00
abstract：:The aim of this controlled clinical trial was to assess the effect on healing following tetracycline (TTC) conditioning and fibrin-fibronectin sealing system (FFSS) application in association with flap debridement surgery (FDS) in 11 patients under treatment for moderate to severe periodontitis. Selection criteria inc...
journal_title：Journal of periodontology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1902/jop.1996.67.7.688
更新日期：1996-07-01 00:00:00
abstract：:The purpose of this study was to evaluate interexaminer and intraexaminer probing force variations in various regions of the mouth and adjacent to different tooth surfaces. Fifty-eight dental clinicians composed of 13 periodontists, 15 general dentists, 15 hygienists and 15 senior dental students probed the facial sur...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.1983.54.8.488
更新日期：1983-08-01 00:00:00
abstract：BACKGROUND:Porphyromonas gingivalis has been implicated as an etiologic agent of rheumatoid arthritis (RA) because of the expression of peptidylarginine deiminase. The present study evaluates whether periodontal treatment may affect serum antibodies to P. gingivalis and citrulline levels in relation to disease activity...
journal_title：Journal of periodontology
pub_type： 杂志文章,随机对照试验
doi：10.1902/jop.2013.130079
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Sex hormones are linked to inflammation and bone turnover. The goal of this study is to explore the association between sex hormone levels and periodontitis in men using data from the third National Health and Nutrition Examination Survey (NHANES III). METHODS:Data from 755 men (aged ≥ 30 years), including ...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.2015.140530
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:The most recent classification of periodontal diseases includes a new section on traumatic gingival lesions. Traumatic lesions of the gingiva are thought to be highly prevalent, yet the periodontal literature contains few references on the topic. The purpose of this article is to present a broad spectrum of ...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.2004.75.5.762
更新日期：2004-05-01 00:00:00
abstract：BACKGROUND:A specific labeler of the human gingival fibroblast (HGF) does not exist. Anionic maghemite nanoparticles allow labeling of a wide cell variety and their recognition in cellular, organotypical, and animal models. METHODS:We studied internalization effects of nanoparticles on an HGF phenotype in vitro, evalu...
journal_title：Journal of periodontology
pub_type： 杂志文章
doi：10.1902/jop.2006.050064
更新日期：2006-02-01 00:00:00
abstract：BACKGROUND:The analgesic and anti-inflammatory efficacy of tenoxicam and meloxicam were evaluated in this double-masked, randomized, prospective study by analyzing pain scores and the need for rescue-analgesic agents following dental implant surgery. METHODS:One hundred patients, in whom 241 dental implants were place...
journal_title：Journal of periodontology
pub_type： 杂志文章,随机对照试验
doi：10.1902/jop.2007.070192
更新日期：2007-12-01 00:00:00
