Effectiveness of Mobile Phone Reminder Applications in Improving Oral Hygiene Compliance of Orthodontic Patients

NCT06811688 | Completed

• 2 other identifiers: HAPO-02-K-012-2023-02-1459+966125270000
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this Randomized Controlled Trial (RCT) was to investigate the effectiveness of mobile application as an active reminder for improving oral hygiene compliance of patients undergoing orthodontic treatment using fixed orthodontic appliances.

Conditions

Oral Hygiene

Keywords

Active reminders; Mobile application; Oral hygiene; Orthodontic fixed appliance

Outcome Measures

Primary Outcomes (2)

• Plaque Index

  As described by Silness-Löe plaque index, Six teeth (#16, #12, #24, #36, #32, #44) were used to evaluate the plaque present in each surface including facial, lingual, mesial and distal surface. The thickness of the plaque was measured as follows: 0: absence of microbial plaque, 1: thin film of microbial plaque along the free gingival margin, 2: moderate accumulation with plaque in sulcus, 3: large amount of plaque in sulcus or pocket along the free gingival margin.

  At baseline and 4 weeks

• Gingival index

  Gingival index was used to evaluate the gingival condition in each surface including facial, lingual, mesial and distal. The following scores were used: 0: normal gingiva 1: mild inflammation- slight change in color, slight edema and no bleeding on probing, 2: moderate inflammation- redness, edema and glazing and bleeding on probing 3: severe inflammation- marked redness and edema and tendency to spontaneous bleeding, ulceration.

  At baseline and 4 weeks

Study Arms (2)

Verbal oral hygiene instructions group

NO INTERVENTION

Only verbal instructions on oral hygiene including brushing using soft bristles, brushing for 2 minutes, flossing once daily, the use of fluoridated oral rinse, orthodontic appliance care and avoiding hard and sticky food. These instructions were given at the baseline visit. Then, these subjects were re-examined after 4 weeks

Smartphone reminder application group

EXPERIMENTAL

the subjects received the same oral hygiene instructions that were described to the control group with the addition of downloading two mobile applications: Brushout app and Brush teeth reminder app. These applications were adjusted to send notifications twice daily in the morning and night as reminders to practice oral hygiene. In addition, oral hygiene practice was tracked by a link that was sent electronically and checked by study researchers as a compliance protocol. Like the control group, subjects were re-examined after 4 weeks.

Other: Two mobile applications: Brushout and Brush teeth reminder applications

Interventions

Two mobile applications: Brushout and Brush teeth reminder applications OTHER

These applications were adjusted to send notifications twice daily in the morning and night as reminders to practice oral hygiene.

Also known as: reminder applications, mobile applications, smartphone application

Smartphone reminder application group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• \- 1- Subjects having orthodontic treatment using fixed appliances
• The use of a smartphone to download Brushout app and Brush teeth reminder app

You may not qualify if:

• Subjects having orthodontic treatment using removable appliances

Sponsors & Collaborators

• Umm Al-Qura University: lead

Study Sites (1)

Umm Al-Qura University, Dental Teaching Hospital

Mecca, Saudi Arabia

Location

Related Publications (4)

• Jepsen K, Sculean A, Jepsen S. Complications and treatment errors involving periodontal tissues related to orthodontic therapy. Periodontol 2000. 2023 Jun;92(1):135-158. doi: 10.1111/prd.12484. Epub 2023 Mar 15.

  PMID: 36920050 BACKGROUND

• Santonocito S, Polizzi A. Oral Microbiota Changes during Orthodontic Treatment. Front Biosci (Elite Ed). 2022 Jul 27;14(3):19. doi: 10.31083/j.fbe1403019.

  PMID: 36137992 BACKGROUND

• Patil S, Hedad IA, Jafer AA, Abutaleb GK, Arishi TM, Arishi SA, Arishi HA, Jafer M, Gujar AN, Khan S, Raj AT. Effectiveness of mobile phone applications in improving oral hygiene care and outcomes in orthodontic patients. J Oral Biol Craniofac Res. 2021 Jan-Mar;11(1):26-32. doi: 10.1016/j.jobcr.2020.11.004. Epub 2020 Nov 17.

  PMID: 33344158 BACKGROUND

• Pascadopoli M, Zampetti P, Nardi MG, Pellegrini M, Scribante A. Smartphone Applications in Dentistry: A Scoping Review. Dent J (Basel). 2023 Oct 20;11(10):243. doi: 10.3390/dj11100243.

  PMID: 37886928 BACKGROUND

Study Officials

• Shahinaz N Sembawa, PhD

  Umm AlQura University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: The participants were asked to download two mobile applications: Brushout and Brush teeth reminder applications. These applications were adjusted to send notifications twice daily in the morning and night as reminders to practice oral hygiene.

Study Record Dates

• First Submitted: January 23, 2025
• First Posted: February 6, 2025
• Study Start: February 14, 2023
• Primary Completion: July 31, 2023
• Study Completion: July 31, 2023
• Last Updated: February 6, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)