Carlos Alberto Serrano Méndez

Karen Andrea Avendaño Calderón

Paula Andrea Moreno Caro


ABSTRACT. Background: Several epidemiology reports have shown high prevalence of gingivitis among adolescents and young individuals in Colombia. The Third Colombian Oral Health Study described how approximately 70 % of individuals 15-24 years had gingival bleeding. Objective: To evaluate the efficacy of an individualized oral hygiene program that uses social media to treat gingivitis on young university students from Bogotá, Colombia. Methods: Thirty-eight students with gingivitis participated in a program that included: Individualized oral hygiene instruction, professional removal of plaque and calculus and, recall and support on oral hygiene through the use of social media. Evaluated clinical parameters included: plaque accumulation, bleeding on probing, probing depth and clinical attachment levels, these measured at baseline and at a follow-up examination four weeks later. Wilcoxon test was used. Results: Plaque accumulation was significantly reduced from 72.6 % to 29.6 %, similarly bleeding on probing was reduced, from 36.7 % to 13.8%, a slight reduction in probing depth and gain in attachment level was observed. Subjects reported an increased frequency for toothbrushing and use of dental floss. Conclusion: The program showed efficacy in the treatment of gingivitis, subjects were highly positive to the use of social media.



gingivitis, oral health education, oral hygiene, primary prevention, social media, young adult, oral epidemiology, prevention and control

1. Loe H, Theilade E, Borglum JS. Experimental Gingivitis in Man. J. Periodontol. 1965 Enero; 35(1):5-15.
2. Trombelli L, Tatakis DN, Scapoli C, Bottega S, Orlandini E, Tosi M. Modulation of Clinical Expression of Plaque-induced Gingivitis. II. Identification of “high.responder” and “low-responder” subjects. J. Clin. Periodontol. 2004 Abril; 31(4):239-252.
3. Abbas F, van der Velden U, Hart A, Moorer WR, Vroom TM, Scholte G. Bleeding/plaque Ratio and the Development of Gingivial Inflammation. J Clin Periodontol. 1986 Septiembre; 13(9):774-782.
4. Franco AM, Suarez E, Tovar S, Jácome S, Ruiz JA. III Estudio Nacional de Salud Bucal: Enfermedad Periodontal. Ministerio de Salud de Colombia, Bogotá: República de Colombia, Ministerio de Salud 1999: 99-108.
5. Peñaloza RE, Suárez E, Palacio Y, Garnica JA, Gómez LC, Sánchez H, Becerra A, Uzaheta A, Amaya J, Escobar D. IV Estudio Nacional de Salud Bucal:Estado Periodontal. Bogotá, Ministerio de Salud de Colombia 2015: 77-85.
6. Page R, Eke PI, Wei L, Thorton-Evans GO, Genco RJ. Update of the case definitions for population-based surveillance of periodontitis. J. Periodontol. 2012 Diciembre; 83 (12):1149-1454.
7. Axelsson P, Nystrom B, Lindhe J. The Long-term Effect of a Plaque Control Program on Tooth Mortality, Caries and Periodontal Disease in Adults. J. Clin. Periodontol. 2004 Septiembre; 31(9):749-757.
8. Bogren A, Teles R, Torresyap G, Haffajee AD, Socransky SS, Lidhe J, Wennstrom JL. A Three-year Prospective Study of Adults with Gingivitis. I. Clinical Periodontal Parameters. J. Clin. Periodontol. 2007 Enero; 34(1):1-6.
9. Teles RP, Bogren A, Patel M, Wennstrom JL, Socransky SS, Haffajee AD. A Three-year Prospective Study of Adult Subjects with Gingivitis II: Microbiological Parameters. J. Clin. Periodontol. 2007 Enero; 34(1):7-17.
10. Jonnsson B, Ohm K, Oscarsson N, Lundberg P. The Effectiveness of an Individually Tailored Oral Hygiene Educational Program on Oral Hygiene Behavior in Patients with Periodontal Disease: A Blinded Randomized Controlled Clinical Trial. One-year Follow-up. J. Clin. Periodontol. 2009 Diciembre; 38(12):1025-1034.
11. Bandura A. Self-efficacy Towards an Unifying Theory of Behavior Change. Psychol. Rev. 1977 Marzo; 84(2):191-215.
12. Zhang R, Cheok A. Singaporean Adolescent Perception on Online Social Communication: An Exploratory Factor Analysis. Journal of Educational Computational Research 2011 Marzo; 45(2):203-221.
13. Gómez M, Rosas S, Farias P. El Uso Académico de las Redes Sociales. Comunicar: Revista Científica de Comunicación y Educación 2012 Marzo; 19(38):131-138.
14. Colás P, González T, de Pablos J. Juventud y Redes Sociales: Motivaciones y Usos Preferentes. Comunicar: Revista Científica de Comunicación y Educación 2013 Marzo; 20 (40):15-23.
15. García-Sans A. Las Redes Sociales como Herramientas para el Aprendizaje Colectivo: Una Experiencia con Facebook. Periodismo, Comunicación y Sociedad 2008 Julio; 2 (5):49-59.
16. Hurling R, Claessen JP, Nicholson J, Schafer F, Tomiln CC, Lowe CF. Automated Coaching to Help Parents Increase their Childrens Brushing Frequency: An Exploratory Trial. Community Dent. Health 2013 Junio; 30(2):88-93.
17. O¨Leary TJ, Drake RB, Naylor JE. The Plaque Control Record. J. Periodontol. 1972 Enero; 43(1):38.
18. Joss A, Adler R, Lang NP. Bleeding on probing. A parameter for monitoring periodontal conditions in clinical practice. J. Clin. Periodontol. 1994 Julio; 21(6):402-408.
19. Bass CC. An Effective Method of Personal Oral Hygiene. Journal of Louisiana Medical Society 1954 Marzo; (106):100-112.
20. Marulanda AM, Coral D, Sabogal D, Serrano C. Periodontal Conditions of Colombian University Students Aged 16 to 35. Braz. Oral Res. 2014 Enero; 28(1):1-7.
21. Mariotti A. Dental Plaque-Induced Gingival Diseases. Ann. Periodontol. 1999 Diciembre; 4(1):7-19.
22. Schatzle M, Loe H, Burgin W, Anerud A, Boysen H, Lang NP. Clinical Course of Chronic Periodontitis. I. Role of Gingivitis. J. Clin. Periodontol. 2003 Octubre ;30(10):887-901.
23. Westfelt E. Rationale of Mechanical Plaque Control. J. Clin. Periodontol. 1996 Marzo; 23(3):263-267.
24. Chapple ILC, van der Wejden F, Doerfer C, Herrera D, Shapira L, Polak D, Madianos P, Louropoulos A, Machtei E, Domos N, Greenwell H, van Winkelhoff AJ, Kuru BE, Arweiler N, Teughels W, Aimetti M, Molina A, Montero E, Graziani F. Primary Prevention of Periodontitis: Managing Gingivitis. J. Clin. Periodontol. 2015 June; 42 (Suppl. 16): S71-S76.
25. Harris CE, Chestnut IG. The Use of the Internet to Access Oral Health-Related Information by Patients Attending Dental Hygiene Clinics. Int. J. Dent. Hyg. 2005 Mayo; 3(2):70-73.
26. Naganandini S, Rhao R, Kulkami SB. Survey on the Use of the Internet as a Source of Oral Health Information among Dental Patients in Bangalore, India. Oral Health Prev. Dent. 2014 Marzo; 12(2):141-147.
27. Gibbs L, Waters E, Christian B, Teeth Tales: A Community-Based Child Oral Health Promotion Trial with Migrant Families in Austalia, BMJ Open 2015 Junio;11(5):6
How to Cite
Serrano Méndez, C., Avendaño Calderón, K., & Moreno Caro, P. (2017). Efficacy of an Individualized Prevention Program Including Social Media Support on University Students with Gingivitis. Universitas Odontologica, 36(76). https://doi.org/10.11144/Javeriana.uo36-76.epho
Public Health and Oral Epidemiology
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