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Full Mouth Plaque Score (FMPS) (primary outcome) and Full Mouth Bleeding Score (FMBS) were recorded ad baseline (T0). Consequently, test group was scanned with an IOS, a digital 3D model created and was used during MI including oral hygiene instructions (OHI), while control patients received MI only. After\n                      <jats:italic>\u2265<\/jats:italic>\n                      \u200966 days (mean: 72 days) (T1), FMPS and FMBS as well as patients\u2019 level of adherence and concordance by means of dedicated questionnaires were assessed and compared to T0.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 80 patients (mean age 58.2\u2009\u00b1\u200915.2; 47 female; 62 non-smokers; 18 light smokers) were randomized and available for analysis. Mean FMPS change was 16.65\u2009\u00b1\u200922.95 for the test group and 6.98\u2009\u00b1\u200919.41 for the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.045), while FMBS change was 6.77\u2009\u00b1\u20097.30 for the test group and was 4.64\u2009\u00b1\u200912.87 for the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.366). Time for MI was 24.02\u2009\u00b1\u20091.60\u00a0min (Test group) and 22.52\u2009\u00b1\u20091.79 (Control group) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Patients\u2019 adherence, recorded as interdental care, showed a statistically significant difference in favor of the test group (test group: \u201cyes\u201d=37 (92.5%); \u201cno\u201d=3 (7.5%); control group: \u201cyes\u201d=23 (57.5%); \u201cno\u201d=17 (42.5%) (p\u2009&lt;\u20090.001)).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Within the limits of this RCT, the implementation of IOS to generate digital three-dimensional models of patients\u2019 dentition demonstrated potential for improving the effectiveness of OHI during a single-session MI in terms of FMPS reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical significance<\/jats:title>\n                    <jats:p>The incorporation of intraoral scanning technology may represent a beneficial visual adjunct that strengthens patient-clinician communication and could contribute to enhanced self-performed oral hygiene, improved plaque control, and increase patient adherence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00784-026-06867-y","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T02:44:04Z","timestamp":1776912244000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhanced efficacy of oral hygiene instructions during motivational interviewing using intraoral scanner technology: a randomized clinical trial"],"prefix":"10.1007","volume":"30","author":[{"given":"Jacopo","family":"Lanzetti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Ferrati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armando","family":"Crupi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umberto","family":"Gibello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Roccuzzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Pera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"issue":"9","key":"6867_CR1","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1111\/j.1600-051X.2004.00563.x","volume":"31","author":"P Axelsson","year":"2004","unstructured":"Axelsson P, Nystr\u00f6m B, Lindhe J (2004) The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. 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