Effect of Individualized Oral Health Care Training Provided to 6–16-Year-Old Psychiatric In-Patients—Randomized Controlled Study

Benedikt Bock, Arndt Guentsch, Roswitha Heinrich-Weltzien, Christina Filz, Melanie Rudovsky and Ina M. Schüler ()
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Benedikt Bock: Section of Preventive and Paediatric Dentistry, Jena University Hospital, 07743 Jena, Germany
Arndt Guentsch: Department of Surgical Sciences, Marquette University School of Dentistry, Milwaukee, WI 53201-1881, USA
Roswitha Heinrich-Weltzien: Section of Preventive and Paediatric Dentistry, Jena University Hospital, 07743 Jena, Germany
Christina Filz: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Jena University Hospital, 07743 Jena, Germany
Melanie Rudovsky: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Jena University Hospital, 07743 Jena, Germany
Ina M. Schüler: Section of Preventive and Paediatric Dentistry, Jena University Hospital, 07743 Jena, Germany

IJERPH, 2022, vol. 19, issue 23, 1-13

Abstract: Background: To assess the effect of individualized oral health care training (IndOHCT) administered to 6–16-year-old psychiatric in-patients on dental plaque removal. Methods: 74 in-patients with mental health disorders (49 males) aged 6–16 years with a mean age of 10.4 ± 2.3 years, were randomly divided into two equal groups. At the start of hospitalization, one calibrated dentist assessed the oral health status in the hospital setting. In-patients of the intervention group (IG) received IndOHCT, while those of the control group (CG) got an information flyer. Dental plaque was assessed by the Turesky modified Quigley-Hein-Index (TI) at the start (t0) and at the end of hospitalization before (t1a) and after (t1b) autonomous tooth brushing. Results: During hospitalisation, the TI was reduced in both groups (t0→t1a: IG = −0.1; CG = −0.2, p = 0.71). However, in-patients receiving IndOHCT achieved significantly higher plaque reduction rates than the controls when plaque values before and after autonomous tooth brushing were compared (t1a→t1b: IG = −1.0; CG = −0.8; p = 0.02). The effect size (ES) demonstrates the efficacy of IndOHCT (ES = 0.53), especially in children with mixed dentition (ES = 0.89). Conclusions: IndOHCT enabled hospitalized children and adolescents with mental health disorders to achieve a better plaque reduction by tooth brushing but failed to improve self-controlled routine oral hygiene.

Keywords: toothbrushing; dental plaque; child; adolescent; mental disorders; motivational interview; oral health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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