2. Comparison 2 ‐ Personalised one‐to‐one OHA versus routine one‐to‐one OHA.
Ramsay 2018 | |||||||||||
Intervention: personalised 1‐to‐1 OHA provided by the dentist or hygienist Frequency: reinforcement of OHA was provided at the discretion of the dentist/hygienist Intensity: not reported Control: routine 1‐to‐1 OHA provided by dentist or hygienist Frequency: reinforcement of OHA was provided at the discretion of the dentist/hygienist Intensity: not reported (Adults; primary care setting) | |||||||||||
Endpoint | Gingivitis (GI) | Plaque | Caries | ||||||||
Personalised | Routine | Outcome not measured | Outcome not measured | ||||||||
n Mean (SD) |
n Mean (SD) |
MD (95% CI) |
|||||||||
36 months | 712 39.2 (23.8) |
615 38.7 (24.9) |
‐2.50 (‐8.30 to 3.30) | ||||||||
Jönsson 2009 | |||||||||||
Intervention: individually tailored oral health education programme based on cognitive behavioural therapy Frequency: median number of visits: 9 Intensity: approximately 60 minutes for each session up to the 3‐month follow‐up, and approximately 45 minutes for the maintenance period. An extra 10 minutes was needed for the first 2 sessions Control: preventive care instruction by hygienist Frequency: median number of intervention visits: 8 Intensity: approximately 60 minutes for each session up to the 3‐month follow‐up, and approximately 45 minutes for the maintenance period (Adults, moderate to advanced periodontitis; secondary care setting) | |||||||||||
Endpoint | Gingivitis (GI) | Plaque (modified PI) | Caries | ||||||||
Personalised | Routine | Personalised | Routine | Outcome not measured | |||||||
n Mean (SD) |
n Mean (SD) |
MD (95% CI) |
n Mean (SD) |
n Mean (SD) |
MD (95% CI) |
||||||
3 months | 54 0.27 (0.14) |
56 0.52 (0.20) |
‐0.25 (‐0.31 to ‐0.19) | 54 0.17 (0.11) |
56 0.32 (0.22) |
‐0.15 (‐0.21 to ‐0.09) | |||||
12 months | 53 0.21 (0.16) |
55 0.50 (0.17) |
‐0.29 (‐0.35 to ‐0.23) | 53 0.14 (0.13) |
55 0.31 (0.16) |
‐0.17 (‐0.22 to ‐0.12) | |||||
Lepore 2011 | |||||||||||
Intervention: personalised oral health action plan delivered by the dentist Frequency: 1 initial visit Intensity: not reported Control: routine OHA delivered by the dentist Frequency: 1 initial visit Intensity: not reported (Children; secondary care setting) | |||||||||||
Endpoint | Gingivitis (not specified) | Plaque (index not reported) | Caries (dmft) | ||||||||
Personalised | Routine | Personalised | Routine | Personalised | Routine | ||||||
n Mean change (post‐pre) (SD) |
n Mean change (post‐pre) (SD) |
MD (95% CI) |
n Mean change (post‐pre) (SD) |
n Mean change (post‐pre) (SD) |
MD (95% CI) |
n Mean change (post‐pre) (SD) |
n Mean change (post‐pre) (SD) |
MD (95% CI) |
|||
2 months | 37 ‐0.45 (Not reported) |
32 0.00 (Not reported) |
Not estimable | 37 ‐0.97 (Not reported) |
32 ‐0.10 (Not reported) |
Not estimable | 37 0.00 (Not reported) |
32 0.00 (Not reported) |
Not estimable | ||
Schmalz 2018 | |||||||||||
Intervention: tailored toothbrush instruction (oscillation rotation, sonic action, manual) provided by the dentist plus OHA Frequency: 1 visit Intensity: not reported Control: OHA and no tailored toothbrush instruction (Adults; secondary care setting) | |||||||||||
Endpoint | Gingivitis (GI) | Plaque (modified QHI) | Caries | ||||||||
Personalised | Routine | Personalised | Routine | Outcome not measured | |||||||
n Mean (SD) |
n Mean (SD) |
MD (95% CI) | n Mean (SD) |
n Mean (SD) |
MD (95% CI) | ||||||
3 months | 66 0.97 (0.13) |
65 0.99 (0.09) |
‐0.03 (‐0.06 to 0.01) | 66 1.13 (0.32) |
65 1.17 (0.33) |
‐0.04 (‐0.15 to 0.08) |
CI = confidence interval; dmft = number of decayed, missing or filled primary teeth; GI = gingival index (Löe 1963); MD = mean difference; modified QHI = Turesky Modified Quigley and Hein plaque index; n = number; OHA = oral hygiene advice; PI = plaque index (Silness 1964); SD = standard deviation.