Effect of Pre-treatment Photographs on Oral Hygiene Maintenance in Orthodontic Patients

NCT06010797 | Completed

• 1 other identifier: RehmatMPGDTH
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Dental photography is an essential component of orthodontic treatment. Photographs enable the clinician to keep record of different stages of treatment. Other uses are for treatment planning, communicating with the patients and other specialists, comparison of pre-treatment and post-treatment changes, for research purpose and also for patient's motivation. Images captured before, during and after treatment provide legal protection when necessary. In the orthodontic discipline, at least three extra-oral and five intra-oral photographs are recommended. Extra-oral photographs should correctly reflect patient's appearance and intra-oral photographs should show complete dentition and occlusion. Oral hygiene is controlled by the patient during orthodontic treatment which requires proper motivation. Motivational methods are classified as chair-side education, message reminders, behavioral modification and Hawthorne effect. Patients' motivation plays an important role in maintaining favorable oral hygiene. A number of studies have shown the effect of motivational methods on oral hygiene improvement. In one of these studies, 80 patients who needed orthodontic treatment were selected and randomly distributed into two equal groups as control group and study group. The study group patients were included in a Whatsapp where they shared their own photographs (selfies) and received text messages, while the control group patients were not included in any Whatsapp group. Baseline PI scoring was 0.48(0.34) in control group and 0.41(0.32) in study group, After 3 months PI scoring was 1.72(0.33) in control group and 1.68(0.40) in study group. Results showed that sharing of selfies improves oral hygiene compliance in Orthodontic patients. The purpose of this study was to determine probable effect of pre-treatment photographs on oral hygiene maintenance in orthodontic patients. To our knowledge no such study has been done previously. This would help us in making patients understand the importance of oral hygiene maintenance. The results will also be used by other practitioners.

Conditions

Oral Hygiene; Photographs

Keywords

Oral hygiene; Photographs; Dental; Orthodontics; Periodontitis; Gingivitis; Index

Outcome Measures

Primary Outcomes (1)

• Good oral hygiene measured by plaque index

  Plaque scores at T0 and T1 were compared to assess improvement in oral hygiene

  3 months

Study Arms (2)

Orthodontic patients who are shown pre-treatment photographs

EXPERIMENTAL

Group A included 30 patients who were shown their pre-treatment extra-oral and intra-oral photographs.

Device: Showing Pre-treatment photographs of the patient

Orthodontic patients who were not shown pre-treatment photographs

NO INTERVENTION

Group B included 30 patients who were not shown their pre-treatment extra-oral and intra-oral photographs.

Interventions

Showing Pre-treatment photographs of the patient DEVICE

Extra-oral and intra-oral dental photographs of patients were taken before starting Orthodontic treatment. Experimental group were shown their photographs while control group were not shown their photographs.

Orthodontic patients who are shown pre-treatment photographs

Eligibility Criteria

• Age: 13 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patients of both genders
• Between age 13-25 years

You may not qualify if:

• Patients with previous orthodontic treatment
• Handicapped patients
• Patients with any systemic disease
• Generalized periodontal disease
• Congenital malformations

Sponsors & Collaborators

• Rehmat Memorial Post Graduate Dental Teaching Hospital: lead

Study Sites (1)

Rehmat Memorial Dental Postgraduate Teaching Hospital

Abbottabad, Khyber Pakhtaunkha, 22010, Pakistan

Location

MeSH Terms

Conditions

Periodontitis; Gingivitis; Erythema Multiforme

Condition Hierarchy (Ancestors)

Periodontal Diseases; Mouth Diseases; Stomatognathic Diseases; Infections; Gingival Diseases; Erythema; Skin Diseases; Skin and Connective Tissue Diseases; Skin Diseases, Vesiculobullous

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: It was a double blinded randomized controlled trial. Patients and the investigator recording indices were blinded.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 20, 2023
• First Posted: August 25, 2023
• Study Start: August 10, 2020
• Primary Completion: July 4, 2021
• Study Completion: July 4, 2021
• Last Updated: September 5, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)