What do systematic reviews say?

Psychological interventions vs no treatment

• Interventions for the cessation of non‐nutritive sucking habits in children 2015 · Cochrane All outcomes
  SoF (psychological interventions vs no treatment): Adverse events - insufficient information reported. Table 3 (adverse outcomes after one month; Haryett 1967), psychological treatment group: reported upset 1/11 (9%);…
  1 study
  GRADE not reported

Psychological interventions vs no treatment

The review found no eligible studies for this question.

• Interventions for the cessation of non‐nutritive sucking habits in children 2015 · Cochrane All outcomes
  Occlusion: Not reported.
  0 studies
  No studies found

Psychological interventions (positive and negative reinforcement) vs no treatment

Psychological interventions (positive and negative reinforcement) led to higher sucking cessation (long term) compared with no treatment; GRADE not reported.

• Interventions for the cessation of non‐nutritive sucking habits in children 2015 · Cochrane All outcomes

  Long term (12 months or more)
  RR 6.25 [1.65, 23.65]
  1 study · 57 participants
  GRADE not reported

Psychological interventions (positive/negative reinforcement, habit reversal, DRO) vs no treatment

Psychological interventions (positive/negative reinforcement, habit… may leads to higher sucking cessation (short term) compared with no treatment (low certainty).

• Interventions for the cessation of non‐nutritive sucking habits in children 2015 · Cochrane All outcomes

  Short term (less than 12 months)
  RR 6.16 [1.18, 32.10]
  2 studies · 87 participants
  Low

Psychological / counselling interventions (counselling, acupuncture, cognitive behavioural therapy, relaxation therapy, behaviour modification, electromyographic biofeedback, hypnosis, re-education) vs Another intervention, or no intervention

The review found no eligible studies for this question.

• Interventions for iatrogenic inferior alveolar and lingual nerve injury 2014 · Cochrane All outcomes
  Results: 'No studies evaluated ... psychological interventions.' No eligible RCT of psychological / counselling interventions (CBT, relaxation, behaviour modification, biofeedback, hypnosis, re-education, acupuncture).
  0 studies
  No studies found

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs attention control

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes
  Weinstein 1996 reported that the psychological intervention led to improvements in plaque score greater than that noted in the attention control group; however the sample size in each arm was very small (n=5) and the…
  2 studies
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs attention control

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes

  5 weeks (2 weeks post-intervention)
  Stewart 1991: there were no differences between the attention control group and the cognitive behavioural (psychological) intervention group for self reported flossing; it cannot be concluded that the cognitive…
  1 study · 50 participants
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs attention control

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes

  5 weeks (2 weeks post-intervention)
  Stewart 1991: for self reported brushing only the comparison of the control group with the cognitive behavioural intervention was significant; the cognitive behavioural (psychological) intervention conveyed no…
  1 study · 50 participants
  GRADE not reported

Psychological intervention + palatal arch vs Psychological intervention + palatal crib

Psychological intervention + palatal arch led to lower sucking cessation (short term) compared with psychological intervention + palatal crib; GRADE not reported.

• Interventions for the cessation of non‐nutritive sucking habits in children 2015 · Cochrane All outcomes

  Short term (less than 12 months)
  RR 0.30 [0.13, 0.74]
  1 study · 22 participants
  GRADE not reported

Psychological intervention (positive reinforcement) vs Alternative psychological intervention (negative reinforcement)

• Interventions for the cessation of non‐nutritive sucking habits in children 2015 · Cochrane All outcomes

  Long term (12 months or more)
  Larsson 1972, comparing positive reinforcement with negative reinforcement, also provided long-term data. Again, no statistically significant between-group differences were shown (Analysis 6.2).
  1 study
  GRADE not reported

Psychological intervention (habit reversal / positive reinforcement) vs Alternative psychological intervention (DRO / negative reinforcement)

• Interventions for the cessation of non‐nutritive sucking habits in children 2015 · Cochrane All outcomes

  Short term (less than 12 months)
  Christensen 1987 (20 participants) compared habit reversal (HR) with differential reinforcement of other behaviour (DRO): no statistically significant difference. Larsson 1972 (38 participants) compared positive with…
  2 studies · 58 participants
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs usual care or no treatment

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes

  4 months
  Little 1997 observed and rated participants on flossing skill; Analysis of Covariance found a significant difference favouring the intervention group.
  1 study · 107 participants
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs usual care or no treatment

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes
  The impact of psychological interventions on clinical markers was assessed in three studies (Little 1997; Stewart 1991; Weinstein 1996). All three found that psychological interventions resulted in improved plaque…
  3 studies
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs usual care or no treatment

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes
  Stewart 1996: the psychological intervention group demonstrated significantly higher change in self efficacy scores for flossing at post-intervention compared to the other two groups (control and educational). Flossing…
  1 study · 117 participants
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs usual care or no treatment

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes

  4 months
  Little 1997: no change in pocket depth; there were no differences between the intervention and control groups in overall change in pocket depth. (Some analyses suggested greater change in the intervention group when…
  1 study · 107 participants
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs usual care or no treatment

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes

  4 months
  Little 1997 reported decreased gingival bleeding in the active intervention group: gingival bleeding present in 9% of the intervention group at baseline and 4% at 4-month follow up, versus 10% of the control group on…
  1 study · 107 participants
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs usual care or no treatment

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes

  4 months
  Little 1997: no change in attachment loss; no differences between the intervention and control groups in overall change in attachment (loss of attachment) markers.
  1 study · 107 participants
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs usual care or no treatment

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes

  4 months
  Little 1997 observed and rated participants on brushing skill; Analysis of Covariance found a significant difference favouring the intervention group (one of four measures on which significant differences were found…
  1 study · 107 participants
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs usual care or no treatment

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes
  Stewart 1996: for dental knowledge the control group showed no change pre- and post-intervention, whereas the psychological intervention group improved dental knowledge significantly (both intervention groups improved…
  1 study · 117 participants
  GRADE not reported

Psychological intervention based on a specified psychological model/theory (to increase adherence to oral hygiene instructions) vs Educational intervention (oral hygiene education/instruction)

• Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases 2007 · Cochrane All outcomes

  5 weeks (2 weeks post-intervention)
  Stewart 1991: for self reported brushing only the comparison of the control group with the cognitive behavioural intervention was significant; the cognitive behavioural (psychological) intervention showed no…
  1 study · 50 participants
  GRADE not reported