The Influence of Weekly Reminders on Enhancing Patient Compliance in Patients With Fixed Orthodontic Treatment

NCT05331820 | Completed

• 1 other identifier: 1
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

this study is a randomized clinical trial to evaluate the effect of sending weekly reminders to patients undergoing fixed orthodontic appliance treatment. two groups will be formed and participants of the study will be divided between the two groups randomly. the intervention group will receive weekly reminders about the importance of oral hygiene and appliance care with adherence to scheduled appointments. the difference between these parameters will be evaluated between the control and intervention groups to describe the importance of weekly reminders to enhance the compliance and cooperation of the patient. the oral hygiene of the patient will include plaque level(plaque index), gingival statue level( bleeding index), and white spot lesion . appliance care will be recorded when in case of bracket failure and appointments missed will also be recorded .

Conditions

Patient Compliance

Keywords

patient compliance; orthodontic patients; reminder

Outcome Measures

Primary Outcomes (5)

• oral hygiene examination The plaque index system

  consists of 4 degree higher score is the worst situation and 0 is the best

  during the intervention ( follow up for 6 months )

• oral hygiene examination - Bleeding Index

  bleeding on probing . conatains 3 scores 0 - no bleeding 1. bleeding after 30 seconds 2. bleeding immediately score 0 is the best and score 2 is the worst

  during the intervention ( follow up for 6 months )

• oral hygiene examination white spot lesion

  white spot lesion on the tooth will be examined clinically and recorded in photographs

  during the intervention ( follow up for 6 months )

• appliance care

  bracket failure will be recorded if there is any brackets/" \] bracket fracture will be recorded at appointments if there is any bracket dislodgments that needs replacement

  during the intervention ( follow up for 6 months )

• adherence to appointment

  if patient does not come to the appointment it will be recorded as lack of adherence to appointments .

  during the intervention ( follow up for 6 months

Study Arms (2)

standard care group

NO INTERVENTION

this group of participants will be used to compare to the intervention group. normal and professional instructions and motivation will be given to them but they will not receive weekly reminders about the importance of adherence to instructions

weekly reminder group

EXPERIMENTAL

this group of participants will receive a weekly reminder about the importance of oral hygiene, appliance care, and adherence to recommendations from the dentist.

Other: weekly mobile reminder

Interventions

weekly mobile reminder OTHER

a weekly reminder will be sent to participants in the intervention group via mobile internet applications

weekly reminder group

Eligibility Criteria

• Age: 15 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patients with a fixed orthodontic appliance
• both gender
• age 15-25 years old
• patient or parent have smartphone and internet connection
• malocclusion of the patient undergoing treatment according to Index of Orthodontic Treatment Need IOTN should be grade 1,2, and 3
• good gingival health.

You may not qualify if:

• Patients with a removable appliance
• cleft lip and palate patients
• patients with hypomineralization visible on anterior teeth
• susceptible to periodontal disease
• have diabetes
• handicap patients, a severe malocclusion above IOTN grade 3, ceramic brackets, and a child with parents that cannot read.

Sponsors & Collaborators

• Shara Qadir Hussein: lead

Study Sites (1)

University of Sulaimani

Sulaymaniyah, Kurdistan Region, Iraq

Location

Related Publications (3)

• Mohammed H, Rizk MZ, Wafaie K, Ulhaq A, Almuzian M. Reminders improve oral hygiene and adherence to appointments in orthodontic patients: a systematic review and meta-analysis. Eur J Orthod. 2019 Mar 29;41(2):204-213. doi: 10.1093/ejo/cjy045.

  PMID: 29947755 BACKGROUND

• Lima IFP, de Andrade Vieira W, de Macedo Bernardino I, Costa PA, Lima APB, Pithon MM, Paranhos LR. Influence of reminder therapy for controlling bacterial plaque in patients undergoing orthodontic treatment: A systematic review and meta-analysis. Angle Orthod. 2018 Jul;88(4):483-493. doi: 10.2319/111117-770.1. Epub 2018 Apr 17.

  PMID: 29664334 BACKGROUND

• Hussein S, Ismail H. Influence of Reminder on Enhancing Compliance in Patients with Fixed Orthodontic Appliance Treatment (a Randomized Controlled Clinical Trial). Patient Prefer Adherence. 2023 Jul 20;17:1759-1769. doi: 10.2147/PPA.S418109. eCollection 2023.

  PMID: 37492635 DERIVED

MeSH Terms

Conditions

Patient Compliance

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Hadi M Ismail, as.professor

  University of Sulaimani

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Masking Details: the orthodontist did not know the group of their patients .
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: investigator

Study Record Dates

• First Submitted: December 3, 2021
• First Posted: April 18, 2022
• Study Start: November 28, 2021
• Primary Completion: March 13, 2023
• Study Completion: April 1, 2023
• Last Updated: April 19, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will not share

Locations

IR (1)