A thesis has looked at the impact that psychological talking therapy can have on the oral health of a group of young adults. It was found that this treatment had a very positive impact on oral health. Therefore, there is a high probability that talking therapy could be used more in combination with oral health interventions in the future.
A recent thesis has examined the impact that psychological therapy has, when combined with dental advice, on the oral health of a group of 16–25-year-olds [1].
Young adults with caries are at high risk of further oral health problems. However, action can be taken, which can assist in modifying unhealthy behaviours.
But there are challenges when helping patients in this category, as support and treatment is not always successful. But this thesis looked to see if psychological treatment could be a useful treatment tool [1].
About the author
Jennie Hagman is a practicing dentist in Sweden. Her recent thesis was about odontological psychology [1].
Psychology is something that is increasingly being looked at in oral health. For example, past studies have found that psychological therapies like Cognitive Behavioral Therapy, can have a positive impact on oral health [2].
Hagman suggested that young adults aged 18-25 are a vulnerable age group. She reasoned that during this age range, many move away from home, become employed and therefore become responsible for their finances [3].
Moreover, this also coincides with having to pay for healthcare. As dental care is typically rather expensive, many people opt for infrequent dental consultations [3]. However, this can take a toll on oral health.
What makes this worse is that this age group often has a high-sugar diet, may smoke and/or vape [3]. This is obviously a very negative combination for oral health.
It is also known that people in this age group are at a high risk of developing mental health problems [4]. Therefore, Hagman was interested in seeing how talking therapy treatment could impact oral health.
The Research
Hagman’s thesis involved a study in Västra Götaland – a region in Sweden, Europe [1]. In general, the oral health of Swedish adults is strong.
However, Hagman notes that this state of good oral health is not consistent across various locations, age groups and socioeconomic statuses [1]. Certain groups have worse oral health.
The study involved 135 young adults in the Västra Götaland area. These adults all had a high incidence of caries – the dental term for decayed teeth, which in some cases amounts to requiring a cavity filling [1].
During the study, all 135 were given standardized oral health information through public dental care [1]. However, half were also given psychological treatment too [1].
This involved half of the group having regular talking therapy. It used a style of therapy called “Acceptance and Commitment Therapy” (ACT) (1). This is a type of therapy that involves a therapist helping a patient to change harmful patterns of thoughts and behaviours that seem to prevent us from living an enjoyable life [5].
The therapy involved the therapist and patient working together to identify the value and importance of good oral health. Furthermore, other focuses included acceptance, and commitment to the aim of improving harmful oral health habits [1].
The results showed that the group that received ACT had a very positive response [1]. An immediate response was seen, with oral health quickly improving.
For example, the group that received therapy had an improvement in the quality and quantity of toothbrushing [1]. Moreover, their use of floss, toothpicks and fluoride also increased [1].
This was in contrast to the group that only received dental advice. They had lower rates of quality and quantity of toothbrushing, along with rates of flossing and the use of toothpicks [1].
Interestingly, the author pointed out that women benefited more than men from the ACT treatment [1]. This could be an important consideration going forward, if therapy becomes a common part of oral health treatment.
Conclusions
The results showed that ACT had a very beneficial effect on the group. It is certainly positive to see the effect that talking therapy can have, and it shows that therapy could be used in cases where oral health is poor.
Usually, when people have poor oral health, dentists will spend time giving them advice on how they can improve their dental health. But this doesn’t always work.
Therefore, having an approach aside from advice is useful. As a result, this thesis suggests that therapy could be a suggestion made by dentists for patients with oral health problems.
Hagman said that her findings “show that there’s a need to develop effective methods and techniques to promote oral health, and that theory-based methods aimed at modifying people’s behavior can potentially enhance self-care and oral health alike” [3].
Thinking points…
1) We mentioned earlier in the article that those aged between 16 and 25 are in a vulnerable position when it comes to oral health. If you, or someone you know, is in this age range, remember it is very important to have excellent oral hygiene. As part of this, a crucial element of strong oral health is attending regular dental check-ups. These check-ups allow a dentist to provide an overview of your oral health. We recommend booking an appointment now!
2) Have you considered attending talking therapy? While it may not be for everyone, therapy is known for having positive psychological effects. However, this study also suggests it can have a positive impact on oral health. Therefore, you may wish to consider attending therapy, as it can have a positive impact on multiple areas of your life. Why not have a discussion about this with your dentist at your next check-up?
What we offer at Savanna Dental
Savanna Dental is a Calgary dental clinic that provide its patient with a wide range of dental services.
It is very important to have excellent oral hygiene. This involves brushing your teeth at least twice a day, flossing regularly and eating healthily. Therefore, this should help your oral health.
We advise our patients to attend our Calgary dental clinic at least twice per year for a regular dental check-up. At these check-ups, we provide our patients with advice, and look for any problems. If problems are found, we have many treatments available. For example, these include cavity fillings and root canals.
Here at Savanna Dental, we also have some cosmetic treatments available! These include dental implants, teeth whitening and Invisalign™! Many people find that these treatments have a positive impact on their appearance, confidence and self-esteem.
Moreover, all of our services at our Calgary dental clinic Savanna Dental are set in line with the Alberta Dental Fee Guide. This ensures transparent and fair pricing.
We hope to see you soon at our Savanna Dental clinic in Calgary! You can find out more about us by visiting our website https://savannadentalclinic.ca.
References
[1] Hagman, J. (2022). Young adults and oral health – Oral health behaviors and an intervention for better oral health. Gothenburg University Library: Doctoral Thesis. Available: https://gupea.ub.gu.se/handle/2077/72051.
[2] Zhang, Q., Zhang, J., Ran, W., Yu, S., & Jin, Y. (2020). Effectiveness of cognitive behavioral therapy on kinesiophobia and oral health-related quality of life in patients with temporomandibular disorders, study protocol for a randomized controlled trial. Medicine (Baltimore). 99 (47): e23295. ISBN: 978-91-8009-784-0.
[3] University of Gothenburg. (2022). Young adults with caries can improve their oral health. Available: https://medicalxpress.com/news/2022-11-young-adults-caries-oral-health.html. Last accessed: 2nd December 2022.
[4] Burns, J. M., Durkin, L. A., & Nicholas, J. (2009). Mental Health of Young People in the United States: What Role Can the Internet Play in Reducing Stigma and Promoting Help Seeking?. Journal of Adolescent Health. 45 (1): p95-97. DOI: https://doi.org/10.1016/j.jadohealth.2008.12.006.
[5] Mental Health General. (2022). Acceptance and Commitment Therapy: Everything You Need to Know. Available: www.mentalhealthgeneral.com/acceptance-and-commitment-therapy-everything-you-need-to-know. Last accessed: 3rd December 2022.