PRISM (Pictorial Representation of Illness and Self-Measure) as Visual Tool to Support Oral Health Education Prior to Endoprosthetic Joint Replacement—A Novel Approach in Dentistry
Abstract
:1. Introduction
2. Methods
2.1. Patients
2.2. Oral Examination
2.3. PRISM and Verbal Briefing
2.4. Questionnaires
2.5. Study Flow
2.6. Statistical Analysis
3. Results
3.1. Part I—Cross-Sectional Study (n = 122)
3.1.1. Patients
3.1.2. PRISM Findings
3.2. Part II—Interventional Study (n = 80)
3.2.1. Patients
3.2.2. Questionnaires
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Patients before Implantation of EP (n = 122) | |
---|---|
Gender (female in % (n)) | 46.7% (57) |
Age in years (mv ± sd) | 66.38 ± 11,42 |
Number of remaining teeth (mv ± sd) | 18.66 ± 8.42 |
Dental treatment need (% (n)) | 24.6% (30) |
Periodontal treatment need (% (n)) | 86.1% (105) |
Presence of potential dental focus (% (n)) | 43.4% (53) |
Patients before Implantation of EP (n = 122) | ||
---|---|---|
Importance of healthy teeth (in mm, mv ± sd (median, range)) | 11.0 ± 33.9 (0, 0–170) | |
Importance of healthy gums (in mm, mv ± sd (median, range)) | 11.8 ± 34.4 (0, 0–169) | |
Importance of consulting dentist (in mm, mv ± sd (median, range)) | 13.4 ± 42.0 (0, 0–209) | |
Cluster relationship of EP and teeth (% (n)) | Same importance of EP and teeth | 76.2% (93) |
Teeth more important than EP | 11.5% (14) | |
EP more important than teeth | 12.3% (15) |
Importance of Healthy Teeth | Importance of Healthy Gums | Importance of Consulting the Dentist | Relationship EP and Teeth | |
---|---|---|---|---|
Age | 0.76 a | 0.68 a | 0.64 a | 0.16 b |
Gender | 0.68 c | 0.57 c | 0.09 c | 0.02 b |
Number of teeth | 0.04 a | 0.41 a | 0.29 a | 0.26 b |
Dental treatment need | 0.46 c | 0.19 c | 0.56 c | 0.56 b |
Periodontal treatment need | 0.64 c | 0.45 c | 0.12 c | 0.76 b |
Potential dental focus | 0.62 a | 0.74 a | 0.61 a | 0.86 b |
PRISM (n = 40) | Control (n = 40) | p-Value | |
---|---|---|---|
Gender (female in % (n)) | 55.0% (22) | 47.5% (19) | 0.67 |
Age in years (mv ± sd) | 69.78 ± 11.02 | 70.02 ± 11.04 | 0.87 |
Number of remaining teeth (mv ± sd) | 21.10 ± 8.09 | 19.10 ± 8.63 | 0.29 |
Dental treatment need (% (n)) | 42.5% (17) | 45.0% (18) | 0.99 |
Periodontal treatment need (% (n)) | 80.0% (32) | 75.0% (30) | 0.79 |
Presence of a potential dental focus (% (n)) | 30.0% (12) | 30.0% (12) | 0.99 |
Question | PRISM (n = 40) | Control (n = 40) | ||||
---|---|---|---|---|---|---|
Before | After | p-Value | Before | After | p-Value | |
I perceive EP as a foreign body | 1.35 ± 1.83 | 0.58 ± 1.26 | 0.01 | 1.35 ± 1.76 | 1.10 ± 1.69 | 0.36 |
Oral health has high relevance in my life | 4.28 ± 1.41 | 4.55 ± 1.15 | 0.12 | 4.50 ± 1.15 | 4.70 ± 0.65 | 0.34 |
My oral health status is a problem | 1.20 ± 1.62 | 0.88 ± 1.40 | 0.23 | 1.42 ± 1.95 | 1.35 ± 1.94 | 0.76 |
My teeth are a disruptive factor | 0.59 ± 1.41 | 0.34 ± 0.94 | 0.23 | 0.79 ± 1.82 | 0.72 ± 1.62 | 0.81 |
I see a relationship between EP and teeth | 1.60 ± 1.86 | 4.20 ± 1.24 | <0.01 | 1.33 ± 1.83 | 4.43 ± 1.24 | <0.01 |
I see a relationship between EP and gums | 1.50 ± 1.88 | 4.05 ± 1.41 | <0.01 | 1.05 ± 1.75 | 4.43 ± 1.15 | <0.01 |
I see a relationship between EP and dental consultations | 2.18 ± 2.22 | 4.18 ± 1.57 | <0.01 | 1.85 ± 2.09 | 4.23 ± 1.37 | <0.01 |
Since I need an EP, I performed oral hygiene less intensively | 0.65 ± 1.41 | 0.65 ± 1.37 | 0.99 | 0.40 ± 1.19 | 0.73 ± 1.54 | 0.19 |
Since I need an EP, I visited the dentist less often for prevention | 0.68 ± 1.56 | 0.77 ± 1.51 | 0.72 | 1.05 ± 1.96 | 1.20 ± 1.95 | 0.82 |
Since I need an EP, I have less energy to perform oral hygiene | 0.37 ± 1.13 | 0.70 ± 1.44 | 0.12 | 0.63 ± 1.35 | 1.05 ± 1.80 | 0.13 |
Since I need an EP, oral health has a lower importance in my life | 0.60 ± 1.39 | 0.85 ± 1.67 | 0.29 | 0.63 ± 1.53 | 0.93 ± 1.83 | 0.42 |
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Schmalz, G.; Schmidt, L.; Haak, R.; Büchi, S.; Goralski, S.; Roth, A.; Ziebolz, D. PRISM (Pictorial Representation of Illness and Self-Measure) as Visual Tool to Support Oral Health Education Prior to Endoprosthetic Joint Replacement—A Novel Approach in Dentistry. J. Clin. Med. 2022, 11, 2508. https://doi.org/10.3390/jcm11092508
Schmalz G, Schmidt L, Haak R, Büchi S, Goralski S, Roth A, Ziebolz D. PRISM (Pictorial Representation of Illness and Self-Measure) as Visual Tool to Support Oral Health Education Prior to Endoprosthetic Joint Replacement—A Novel Approach in Dentistry. Journal of Clinical Medicine. 2022; 11(9):2508. https://doi.org/10.3390/jcm11092508
Chicago/Turabian StyleSchmalz, Gerhard, Laura Schmidt, Rainer Haak, Stefan Büchi, Szymon Goralski, Andreas Roth, and Dirk Ziebolz. 2022. "PRISM (Pictorial Representation of Illness and Self-Measure) as Visual Tool to Support Oral Health Education Prior to Endoprosthetic Joint Replacement—A Novel Approach in Dentistry" Journal of Clinical Medicine 11, no. 9: 2508. https://doi.org/10.3390/jcm11092508