Motivational Interviewing for adolescent oral health

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This large well-conducted 3-arm cluster RCT compared motivational interviewing(MI) with prevailing health education. Both MI arms of the study were more effective in eliciting positive changes in adolescents’ oral health behaviours and preventing dental caries after 12 months.

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School-based oral health education only has short term impact

The review found that adding family-based interventions to school-based interventions may reduce the onset of smoking by 4-25%.

This review of school-based oral health education included 12 trials and found it was effective in reducing plaque accumulation over a short period. there was no long-term evidence on the effectiveness.

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Caries prevention in young children: topical fluoride alone not sufficient suggests trial

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This large trial investigated the use of a ‘preventive package’ of fluoride varnish, fluoride toothpaste, toothbrush and standard dental health education in children between 2-3 years attending general practice. The intervention did not keep young children caries free but did reduce caries levels.

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Computer games for oral health education in young children

Behavioural and cognitive-behavioural group-based parenting interventions are effective at improving child conduct problems, parental mental health and parenting skills in the short term, in the parents of children aged 3-12.

This small RCT of a computer game to deliver oral health education in high caries risk children and families was highly satisfactory to users. Improvements in knowledge were demonstrated is the short term > however there was a high drop out rate an further studies are needed to assess change sin other groups and longer term benefits.

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Oral Health in nursing homes: education for staff and residents

All the evidence relates to care homes and there is hardly any evidence for any other setting.

9 trials were included in this Cochrane review of oral health education & training for care home residents & staff . These trials provided insufficient evidence from which to draw evidence about the effects of the interventions so more high quality studies are needed.

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Oral health advice for people with serious mental illness: lack of evidence about effectiveness

The research found that mindfulness helped more with the negative symptoms of schizophrenia

This Cochrane review update of oral health advice for patients with serious mental illness only included 3 RCTs. The identified studies were of low to moderate quality providing limited evidence to support decision making about the effectiveness of oral health advice for people with serious mental illness.

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Oral health promotion in dental practices

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44 studies were included in the review of oral health promotion in dental practice that was undertaken to the recent NICE guidance on this topic. 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.

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Oral health promotion during pregnancy: little evidence available

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This review of oral health promotion in pregnancy included 7 studies with the majority (5) focused on improving knowledge. The description of the interventions was generally vague and just one was based on a recognised health behaviour theory.

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The use of motivational interviewing to improve oral health has potential but needs more research

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The use of motivational interviewing is increasing in dentistry and the recent SIGN guideline (Dental Elf  18th March 2014)  recommended that  oral health promotion interventions should be based on recognised health behaviour theory and models such as motivational interviewing. The aim of this review was to analyze the effectiveness of motivational interviewing in changing oral [read the full story…]

Limited evidence on the benefit of providing oral healthcare education to care home nurses on their attitude and their oral hygiene care skills

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Oral care is an important element of care for older people in care homes as oral health is often poor and can deteriorate rapidly causing pain discomfort and impacting on nutrition and quality of life.  With growing numbers of older people this is an area of increasing demand. This aim of the review was to [read the full story…]