Ann Stomatol. 2010 Jul;1(3-4):29-32. Epub 2011 Feb 13. Perceived and measurable performance of daily brushing and rinsing with an essential oil mouthrinse.

AIMS: To determine whether the oral health benefits of recommending twice daily brushing and rinsing with an essential oil mouthrinse (EOM) are perceived and measurable by dentists and also perceived by their patients at a 3-month recall visit. METHODS: This is a monadic, open label, uncontrolled study involving 766 generally healthy Italian subjects aged 19-66 years, with mild to moderate levels of gingivitis, no pockets of more than 4 mm, and at least 20 scorable teeth. Eight dentists scored subjects for plaque and gingivitis at baseline and at 90 days using simplified 4-point plaque and gingivitis indices. All subjects brushed twice daily, immediately followed by rinsing for 30 sec with 20 ml of an essential oil mouthrinse (Listerine(®)). RESULTS: 735 subjects completed the study (95.9%). Average score reductions were  51.9% and 45.7% for plaque and gingivitis, respectively. About 62% and 70% were judged by the dentists as improved for plaque control and gingival health. 85% of subjects judged the EOM as efficacious. CONCLUSION: The oral health benefits of brushing and rinsing twice daily with an  essential oil mouthrinse are perceived by patients and professionals alike and measurable by dentists at a 3-month recall visit.  Eur J Oral Sci. 2010 Jun;118(3):278-83. doi: 10.1111/j.1600-0722.2010.00735.x.  Rasch analysis of the Geriatric Oral Health Assessment Index.  Franchignoni M, Giordano A, Levrini L, Ferriero G, Franchignoni F.  The aim of this study was to perform a psychometric analysis on the Geriatric Oral Health Assessment Index (GOHAI) using Rasch analysis, a modern statistical approach for examining rating scale data. Eighty-five subjects, long-term residents of a nursing home, were analysed using the GOHAI. The mean GOHAI score  (range 0-48) was 11. Two of the five rating categories (1 = seldom; 3 = often) did not comply with the Rasch criteria for category functioning. After collapsing rating categories into a three-level rating scale (0 = never; 1 = sometimes; 2 =  often/always), the new model met the set criteria. Item 12 'sensitivity to hot, cold or sweets' was misfitting. Rasch analysis showed both the unidimensionality  of (at least) 11 of the 12 items of GOHAI, and the possibility of simplifying the structure of its rating scale. 

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