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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Benedikt Bock & Arndt Guentsch & Roswitha Heinrich-Weltzien & Christina Filz & Melanie Rudovsky & Ina M. Schüler, 2022. "Effect of Individualized Oral Health Care Training Provided to 6–16-Year-Old Psychiatric In-Patients—Randomized Controlled Study," IJERPH, MDPI, vol. 19(23), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:15615-:d:982858
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    References listed on IDEAS

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    1. Alyssa Simon & Jamie Cage & Aderonke A. Akinkugbe, 2021. "Adverse Childhood Experiences and Oral Health Outcomes in U.S. Children and Adolescents: A Cross-Sectional Study of the 2016 National Survey of Children’s Health," IJERPH, MDPI, vol. 18(23), pages 1-14, November.
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