Effect of mHealth on Interdental Brushing in Type 2 Embrasures"
Effect of Mobile Health(mHealth) on Interdental Brushing in Type 2 Embrasures": A Randomized Controlled Clinical Trial.
1 other identifier
interventional
72
1 country
1
Brief Summary
Plaque biofilm is the etiological factor for the development of gingival and periodontal diseases. There are certain areas in mouth where plaque removal is difficult, which includes palatal, lingual and interproximal areas. Among these, interproximal areas are most difficult to clean due to inability of toothbrush to reach that area properly. So, interdental aids are required to remove plaque from the proximal areas efficiently. Consequently, plaque accumulation most often starts in interdental areas, where resultant periodontal lesions are observed most commonly. It is the ethical responsibility of the dental professional to educate patients about the progression of destructive periodontal disease, so that patients understand the need for plaque removal and control. It is not easy for patients to develop any new habits of using different cleaning aids. Many studies have proven mobile health to be effective in improving patient's compliance for better oral hygiene maintenance. So, proper means of education such as mobile health could lead to behavior change and adoption of new habit of using interdental aid on regular basis. Use of mobile technology to track and improve health outcomes is known as mobile health. No studies till date have evaluated mobile health in improving interdental brushing. It is possible that we can reinforce patient on the use of interdental brush with the help of text messages. Therefore, the present randomized controlled clinical trial is designed to evaluate the compliance of interdental brushing with the use of text messages.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 29, 2022
CompletedFirst Posted
Study publicly available on registry
October 4, 2022
CompletedStudy Start
First participant enrolled
November 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2024
CompletedMay 12, 2023
May 1, 2023
1.7 years
September 29, 2022
May 11, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Plaque Index
Quigley \& Hein modification will be used which will measure the plaque level on buccal, labial and lingual surface of teeth with the help of disclosing agent.0 = no plaque 1. = separate flecks of plaque at the cervical margin of the tooth 2. = a thin continuous band of plaque (up to 1 mm) at the cervical margin 3. = a band of plaque wider than 1 mm but covering less than 1/3 of crown 4. = plaque covering at least 1 /3 but less than 2/3 of the crown 5. = plaque covering 2/3 or more of crown
6 months
Papillary Bleeding Index
* Papillary bleeding index by Saxer et al will be used to assess gingival bleeding. A blunt periodontal probe was carefully inserted into the gingival sulcus at the base of the papilla on the mesial aspect, then moved coronally to the papilla tip. This was repeated on the distal aspect of the same papilla. The intensity of any bleeding thus provoked was recorded on a 0-4scale. Score 0 No bleeding Score 1- A single discreet bleeding point appears Score 2 - Several isolated bleeding points or a single fine line of blood appears Score 3 - The interdental triangle fills with blood shortly after probing Score 4- Profuse bleeding occurs after probing blood flows immediately into the marginal sulcus
6 months
Study Arms (2)
Test group
EXPERIMENTALScaling and root planing, interdental brushing demonstration and regular text messages in type 2 embrasure patients.
Control group
ACTIVE COMPARATORScaling and root planing, interdental brushing demonstration in type 2 embrasure patients.
Interventions
Scaling and root planing, interdental brushing demonstration and regular text messages in type 2 embrasure patients.
Scaling and root planing, interdental brushing demonstration in type 2 embrasure patients.
Eligibility Criteria
You may qualify if:
- Patients with type 2 embrasures, with atleast 4 interdental spaces eligible for use of interdental brush.
- or 3 periodontitis with probing pocket depth ≤5mm.
- Age - 30-55 years.
- Patients who own mobile phones.
- Patients who can read and write.
- No history of performing interdental oral hygiene on regular basis.
- Patients willing to comply with the given instructions regarding the use of interdental brush.
You may not qualify if:
- Smokers and orthodontic patients.
- Patient with systemic disease that can influence the outcome of therapy.
- Physically and mentally impaired patients.
- Patient on drugs associated with gingival overgrowth.
- Pregnant females.
- Patients on oral contraceptives or hormone replacement therapy.
- Overhanging restorations.
- Patients using any other cleaning aids like mouthwash.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Post Graduate Institute of Dental Sciences
Rohtak, Haryana, 124001, India
Related Publications (1)
Yadav J, Tanwar N, Sharma RK, Sangwan A. Mobile Health to Improve Efficacy of Interdental Brushing Among Periodontitis Patients: A Randomized Clinical Trial. J Periodontal Res. 2025 Jun;60(6):559-569. doi: 10.1111/jre.13362. Epub 2024 Nov 25.
PMID: 39584464DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jyoti Yadav, BDS
Post graduate institute of dental sciences, Rohtak
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 29, 2022
First Posted
October 4, 2022
Study Start
November 1, 2022
Primary Completion
June 30, 2024
Study Completion
June 30, 2024
Last Updated
May 12, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will not share