RecruitingNot ApplicableNCT06162923

The Effectiveness of Reinforcement of Oral Hygiene Education Through Video During Fixed Orthodontic Treatment in Adults

The Effectiveness of Reinforcement of Oral Hygiene Education Through Video During Fixed Orthodontic Treatment in Adults -A Randomised Clinical Trial


Sponsor

University of Malaya

Enrollment

48 participants

Start Date

Apr 1, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

Effective oral hygiene education is paramount to ensure lasting good oral hygiene habits in patients receiving fixed orthodontic treatment. Repetition and reinforcement play an important role in the sustainability of oral health behaviour. Video-based oral hygiene education can be provided in chairside, or it can be provided to the participant to watch at home, saving clinicians a lot of time. The study aims to investigate the long-term effects of different methods of video-assisted oral hygiene reinforcement on the oral hygiene of participants receiving fixed orthodontic treatment, as well as the consequences when reinforcement is discontinued. Sixty participants will be randomly allocated to three groups at a 1:1:1 ratio in this three-arm parallel, randomized clinical trial. Sixty participants will be randomly allocated to the control group, study group 1 (onsite video) and study group 2 (remote video). The Orthodontic Plaque Index (OPI) and Full-mouth Bleeding Score (FMBS) will be measured at baseline and every two months for up to 12 months. Following data collection, statistical data analysis will be conducted to compare the outcomes and changes between the three groups.


Eligibility

Min Age: 18 Years

Inclusion Criteria9

  • Age ≥18 years old
  • Require fixed orthodontic treatment in upper and lower arches
  • Agree to use conventional stainless-steel brackets
  • Full-Mouth Plaque Score of 40-70%
  • Absence of caries and overhanging or distorted restoration
  • Stable or no periodontal diseases with the presence of Basic Periodontal Examination (BPE) code 0/1/2 with no obvious evidence of interdental recession
  • Have at least 20 teeth (Ozlu et al., 2021)
  • Capable of using and accessing technology gadgets such as a smartphone, tablet, laptop, and computer
  • Having access to the internet and having WhatsApp's account

Exclusion Criteria10

  • Presence of BPE code 3/4
  • Presence of current active periodontal disease
  • Smokers
  • Severe or chronic illnesses (such as diabetes, cardiovascular diseases, stroke, etc)
  • Physically impaired and syndromic patient
  • Orofacial deformities
  • History of previous orthodontic treatment
  • Intake of antibiotics within 6 months before and during the study period
  • Taking drugs that influence gingival inflammation or bleeding (eg anticoagulants, cortisone)
  • Pregnant or breastfeeding

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Interventions

BEHAVIORALOn-site video group

Each participant will receive standard oral hygiene reinforcement verbally, followed by watching a pre-recorded oral hygiene instruction video on a tablet

BEHAVIORALRemote video group

After receiving normal oral hygiene reinforcement verbally, each participant will be sent a video link Whatapps instant message, which they are required to watch at home


Locations(1)

Faculty of Dentistry, Universiti Malaya

Kuala Lumpur, Malaysia

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NCT06162923


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