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VOLUME 25 , ISSUE 2 ( February, 2024 ) > List of Articles


Efficacy of Visual Oral Health Reinforcement in Reducing Plaque Accumulation and Gingival Bleeding: A Pilot Randomized Controlled Trial

Abdulaziz Abdulrahman Aleid, Alhanouf Alnowaiser, Atheer AlSakakir, Weddad Alburaidi, Abdullah Saleh Almutairi, Nabeel Almotairy

Keywords : Inflammation, Periodontal diseases, Periodontitis, Plaque index, Tooth plaque

Citation Information : Aleid AA, Alnowaiser A, AlSakakir A, Alburaidi W, Almutairi AS, Almotairy N. Efficacy of Visual Oral Health Reinforcement in Reducing Plaque Accumulation and Gingival Bleeding: A Pilot Randomized Controlled Trial. J Contemp Dent Pract 2024; 25 (2):186-190.

DOI: 10.5005/jp-journals-10024-3637

License: CC BY-NC 4.0

Published Online: 14-03-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Aim: To compare oral hygiene (OH) differences during verbal or video OH instructions with or without images displaying poor oral health consequences. Materials and methods: Twenty-one healthy females (18–30 years) were randomly and equally divided into three intervention OH instruction groups: (1) verbal, (2) video-based, (3) video-based with image displaying the consequences of poor OH. Gingival bleeding on probing (BOP), gingival bleeding index (BI), and plaque score (PS) were assessed at baseline and after 4 weeks. Within- and between-group differences were assessed by non-parametric tests. Results: Plaque score only showed a statistical group difference after follow-up [H(2) = 9.214, p = 0.01]. The post hoc test revealed that group III showed a significantly lower PS than groups I and II (p = 0.04 and p = 0.017, respectively). No differences were observed in PS between groups I and II. Group I showed no follow-up reduction in PS, BI, and BOP, while group II showed a statistically significant reduction in BI only after follow-up (p = 0.028). However, group III showed a statistically significant reduction in BOP and PS (p = 0.023 and p = 0.045, respectively) but not BI. Conclusions: Verbal and video-alone OH instructions similarly affect gingival health, while participants who were exposed to images displaying the severe OH consequences had lower PS than verbal or video-alone groups. Clinical significance: The mode of OH instructions is not influential for optimum oral health. However, employing visuals highlighting the severe consequences of poor OH leads to short-term reduction of plaque accumulation.

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