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Dental self‐efficacy as a determinant to oral health behaviour, oral hygiene and HbA1 c level among diabetic patients
Author(s) -
Syrjälä AnnaMaija H.,
Kneckt Mirka C.,
Knuuttila Matti L. E.
Publication year - 1999
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1034/j.1600-051x.1999.260909.x
Subject(s) - medicine , oral hygiene , tooth brushing , dentistry , self efficacy , oral health , dental plaque , periodontitis , dental floss , dental health , diabetes mellitus , psychology , brush , toothbrush , endocrinology , electrical engineering , psychotherapist , engineering
. Because of a mutual association between severity of periodontitis and poor control of IDDM, regular dental visits and daily oral care are important among diabetics. The aim was to develop a method for analysing dental selfefficacy and to study the relationship between dental self‐efficacy and reported oral health behaviour and oral hygiene. The relationship between oral health behaviour and HbA1 c level was also studied. Data were collected in relation to 149 IDDM patients by means of a quantitative questionnaire, evaluation of dental plaque and patient records. Results showed that tooth brushing self‐efficacy, approximal cleaning self‐efficacy and dental visiting self‐efficacy related to corresponding reported oral health behaviour ( p <0.0005). Visible plaque index (VPI) correlated inversely with tooth brushing self‐efficacy ( r s =−0.208, p =0.012) and dental visiting self‐efficacy ( r s =−0.240, p =0.004). Approximal cleaning self‐efficacy correlated with age ( r s =0.225, p =0.006) and dental visiting self‐efficacy was related to higher professional level of education ( p =0.009). Those having better tooth brushing self‐efficacy ( p =0.020), higher frequency of tooth brushing ( p =0.032) and lower VPI ( p <0.0005) had better HbA1c level. It was concluded that perception of dental self‐efficacy plays a decisive rǒle in relation to oral health behaviour in diabetic patients, and that compliance with dental recommendations is also related to HbA1c level.