Abstract

ABSTRACTOBJECTIVETo analyze the effectiveness of educational interventions performed in health services in the improvement of clinical behaviors and outcomes in oral health.METHODSWe have carried out a systematic review of the literature searching the PubMed, Lilacs, and SciELO databases. We have included studies that have investigated interventions performed by health professionals working in health services and who have used educational actions as main approach to improve behavioral and clinical outcomes in oral health.RESULTSThe search amounted to 832 articles and 14 of them met all the inclusion criteria. Five studies have only exclusively evaluated the effectiveness of interventions on caries reduction, three have exceptionally evaluated oral health behaviors, and the other articles have evaluated the effectiveness of interventions for both clinical outcomes (dental caries and periodontal conditions) and behaviors in oral health. Most of the studies (n = 9) were based on randomized controlled trials; the other ones have evaluated before and after the intervention. Five studies have reported a significant reduction of dental caries, and five of the six studies evaluating behavioral outcomes have found some positive change.CONCLUSIONSMost studies evaluating behavioral and periodontal outcomes have shown significant improvements in favor of interventions. All studies evaluating caries have shown a reduction in new lesions or cases of the disease in the groups receiving the interventions, although only five of the eleven articles have found a statistically significant difference. Educational interventions carried out by health professionals in the context of their practice have the potential to promote oral health in the population.

Highlights

  • Motivational interviewing in improving oral health

  • The influence of an oral health education program provided in a community dental clinic on the prevalence

  • Conflito de Interesses: Os autores declaram não haver conflito de interesses

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Summary

Tipo de estudo Ensaio randomizado e controlado Antes e depois

Público-alvo Pais e suas crianças Gestantes Crianças Mulheres usuárias de serviços públicos. Demonstração de escovação em macromodelos Postagem de cartões postais via correio Demonstração em vídeos Demonstração em álbum de fotos Entrega de copo transitório Ligações Profissional que implementou a intervenção Mais de um profissional Dentista Agente comunitário de saúde Médico Enfermeiro Dose da intervenção (número de contatos) 1 a 3 4 a 12 Não informado Tempo máximo de avaliação (meses) 2 a 6 7 a 12 13 a 24 36 a 60 Não informado Taxa de acompanhamento superior a 80%

Clínicos Comportamentais Clínicos e comportamentais
Uso frequente ou muito frequente de serviços odontológicos
Sangramento gengival
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