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Updated: Jun 9, 2025

Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
Published on: May 9, 2022
Effects of self-management interventions based on the COM-B model on peri-implant condition in older adults with
Meichun Hu1,2, Liuping Yu2, Yannan Cao1,2
1Department of Stomatology, Affiliated Hospital of Jiangnan University, 1000 Hefeng Road, 214000, Wuxi, China.
Objectives:
This study evaluated the impact of self-management interventions based on the COM-B model on peri-implant conditions in older adults with periodontitis.
Materials And Methods:
The patients were randomly divided into two groups: Group 1 (control group) received only an oral health education (OHE) pamphlet. Group 2 (test group) performed a self-management intervention based on the COM-B model. Each patient was examined for the most inflammatory implant. The measurement parameters included self-efficacy, self-management ability, and clinical indicators such as probing depth (PD), bleeding on probing (BOP), modified gingival index (mGI), modified plaque index (mPI), and peri-implant mucositis severity score (PMSS). The data was collected at baseline, 4, 8, and 12 weeks.
Results:
42 patients underwent testing for 3 months. After 12 weeks, the improvement of self-efficacy, self-management ability, and the reduction of BOP, mPI, and PMSS in the test group was significantly higher than in the control group.
Conclusion:
The study suggests that self-management interventions based on the COM-B model can enhance the self-management ability of older adults with periodontitis and reduce peri-implant inflammation. This method is more effective than distributing OHE pamphlets.
Trial Registration:
The randomized controlled clinical trial was registered on Chinese Clinical Trial Registry (No. ChiCTR2400082660, Date: 03/04/2024).
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