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Two-thirds of patients brush off their dentist's advice, study suggests

The best efforts of dentists don't always mean people will look after their teeth, British researchers have found.

A study by a team at the University of Newcastle upon Tyne discovered that only up to one-third of gum disease patients, who received advice on how long to brush their teeth, followed it to the letter.

Yet the same people perceived their brushing habits to be better than they were a finding which has major implications for dentists wishing to change their patients' behaviour.

Gum disease can eventually lead to multiple tooth loss, but in many cases damage can be stabilised or reversed if treatment is combined with a good home toothcare regime. For the study, patients were given advice on a regime which in particular said they should brush their teeth twice a day for two minutes each time.

Each of the 17 study participants used an electronic 'data logger' powered toothbrush that recorded brushing time. The brush had a light on the handle that flashed when two minutes had elapsed. They were also asked to fill in diaries detailing their brushing habits. The experiment recorded brushing times for two periods of four weeks.

When researchers analysed the data, the data logger toothbrushes showed approximately one-third of people followed the advice whereas the diaries suggested that more than half of patients thought they had been compliant.

The results of the study are published in the British Dental Journal.

Lead researcher, Dr Giles McCracken, a lecturer with Newcastle University's School of Dental Sciences, said: "Research has shown that brushing for two minutes is the optimum time for most people to remove the plaque from your teeth. If you brush for less time, you aren't removing enough, and if you brush for longer the benefits may not be much greater.

"The fact that many participants in our experiment said they had followed the dentist's advice when our records proved they had
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Contact: Claire Jordan
44-191-222-7850
University of Newcastle upon Tyne
13-May-2005


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