Effectiveness of Medical Coaching in Enhancing Periodontal Health and Lifestyle

NCT06887946 | Completed DMC

• 1 other identifier: Medical Coaching in Perio
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Periodontitis is a chronic inflammatory disease that adversely influences the supporting tissues of the teeth. It is primarily characterized by the accumulation of bacterial plaque and the host immune response. Traditional periodontal therapy emphasizes the central roles of both oral hygiene education and risk factor management; however, maintaining a long-term optimal behavioral compliance remains challenging. The purpose of this Randomized Controlled Trial is to assess how effective is Medical Coaching on Oral Health (MCOH) in improving plaque control (PCR) and gingival health (GBI) in patients with periodontitis after one month, in comparison to traditional oral hygiene instructions (OHI).

Conditions

Periodontitis

Keywords

Medical Coaching; Periodontitis; Stress; gingival health

Outcome Measures

Primary Outcomes (2)

• Plaque Control Record (PCR) .

  The percentage value was calculated as follows: Number of surfaces with plaque / Total number of surfaces examined × 100. The lower the percentage, the better the plaque control; the higher the percentage, the worse the oral hygiene.

  30 days

• Gingival Bleeding Index (GBI)

  The calculation to the GBI was as follows: number of bleeding sites/number of evaluated sites ×100. obtain the percentage value was as follows: number of bleeding sites/number of evaluated sites ×100

  30 days

Study Arms (2)

Medical Couching

EXPERIMENTAL

MCOH group (n=32) . The baseline assessments included periodontal status, PCR, GBI (describe the achronym) and a systematic questionnaire on lifestyle factors (smoking, alcohol, food, exercise, sleep, and stress). The intervention group received tailored MCOH sessions that comprised goal-setting, emotional hurdle assessment and action planning, whereas the control group received conventional OHI.

Other: Medical couching and traditional

control group

OTHER

Control group (n=32.)Control group received traditional OHI using the tell-show-do method, which was personalized based on the individual PCR and GBI. The recommendations were tailored to each participant, based on personalized instructions to improve plaque control, decrease of gingival inflammation and facilitate optimal patient compliance, contributing to oral hygiene performance.

Other: Medical couching and traditional

Interventions

Medical couching and traditional OTHER

The control group received traditional OHI using the tell-show-do method, which was personalized based on the individual PCR and GBI. The recommendations were tailored to each participant, based on personalized instructions to improve plaque control, decrease of gingival inflammation and facilitate optimal patient compliance, contributing to oral hygiene performance. The intervention group was actively engaged in an iterative, collaborative process, based on the following steps: Definition of the goals of oral hygiene and lifestyle styles according to the SMART model (Specific, Measurable, Achievable, Realistic, Timely):

Medical Couching; control group

Eligibility Criteria

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

You may qualify if:

• Periodontitis Patients

You may not qualify if:

• Patients who do not wish to participate in the study.

Sponsors & Collaborators

• University of Bari Aldo Moro: lead

Study Sites (1)

Anna Antonacci

Bari, 70124, Italy

Location

Related Publications (1)

• Antonacci A, D'Albis G, Bartolomeo N, Agneta MT, Abbinante A, Marini L, Pilloni A, Capodiferro S. Effectiveness of Medical Coaching in Enhancing Periodontal Health and Lifestyle: A Clinical Trial. Oral Dis. 2026 Jan 7. doi: 10.1111/odi.70183. Online ahead of print.

  PMID: 41501894 DERIVED

MeSH Terms

Conditions

Periodontitis

Condition Hierarchy (Ancestors)

Periodontal Diseases; Mouth Diseases; Stomatognathic Diseases

Study Officials

• Giuseppe D'Albis Dr, DDS

  University of Bari Aldo Moro

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: randomized controlled trial

Study Record Dates

• First Submitted: March 19, 2025
• First Posted: March 21, 2025
• Study Start: January 1, 2025
• Primary Completion: March 1, 2025
• Study Completion: March 15, 2025
• Last Updated: March 25, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

IT (1)