93 Oral Health Interventions in Patients with a Mental Health Disorder Table 3. Summary of results of oral health interventions in mental health. (continued) First Author, Year Publication Intervention Group (N) Control Group (N) Intervention Comparator Results Effect +/- Khokhar et al. [52] N = 59 No control group Staff: education on importance of dental care and inclusion in care planning. Patients: provided with toothbrushes, toothpaste and mouthwash. Informa-tion and advice on basic dental hygiene by visual aids, posters and demonstration models. Registration status with dental practices. List of local dental practitioners was provided. No comparator. Access to toothbrushes increased from 68% to 86%. Knowledge of basic oral hygiene was improved from 55% to 61%. Brushing twice daily increased from 29% to 38%. There was a small increase from 34% to 39% of patients registered at dentist. There was no change in patients who had their dentures checked within the last 5 years. + De Mey et al. [28] N = 27 (Pr) N = 24 (P) No control group Nurses: PowerPoint presentation about oral care, available tools, oral diseases (gingivitis, periodontal disease and caries), and oral health related to smoking, alcohol and drugs. Cleaning methods and tools were demonstrated by an O.H. Patients: an O.H. set up a treatment plan after oral examination. Toothbrush and fluoridated toothpaste. Concrete instructions on brushing and cleaning. Images were used of the toothbrush in different positions. Instruction card. No comparator Nurses: knowledge was significantly improved (p < 0.001). Patients: Dental plaque index was significantly improved on plaque index/6 (p ≤ 0.001), and plaque index/2 (p < 0.001). Concerning gingival bleeding index there was a significant change (p < 0.05). No significant changes were observed in bleeding index/2. + 4
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