Effects of Active Reminders and Motivational Techniques on Oral Hygiene and Gingival Health in Orthodontic Patients
Study Details
Study Description
Brief Summary
This study will compare the use of text message reminders versus multiple in-person sessions of oral hygiene instructions and motivation on improving oral hygiene measurements.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Orthodontic treatment (i.e. braces) makes it hard to keep good oral hygiene. The purpose of this research study is to compare the use of text message reminders versus multiple in-person sessions of oral hygiene instructions and motivation on improving oral hygiene measurements. Participation in this study will last up to 6 months and will consist of 4 study visits to the VCU Orthodontic clinic which are also regular visits for treatment. Measurements to assess participant's oral health will be taken during these visits. Participants will be randomly assigned to 1 of 4 groups which may include receiving different types of text messages, repeated in-person oral hygiene instructions, or both, or neither.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: Control No messages or oral hygiene instructions |
|
| Experimental: Text message reminders Standardized text reminding patients to brush their teeth will be sent at 5:15 PM on Thursdays |
Behavioral: Oral hygiene instructions
Oral hygiene instructions and motivation
|
| Active Comparator: In-person oral hygiene instructions Oral hygiene instructions and motivation during visit |
Behavioral: Oral hygiene instructions
Oral hygiene instructions and motivation
|
| Experimental: Text messages and in-person instructions standardized text reminding patients to brush their teeth will be sent at 5:15 PM on Thursdays and oral hygiene instructions and motivation during visit |
Behavioral: Oral hygiene instructions
Oral hygiene instructions and motivation
|
Outcome Measures
Primary Outcome Measures
- Change in 3-item Bleeding Index (BI) [Initial visit to 4 - 6 weeks]
Dental examiner observation of gum bleeding during exam after wires have been removed and participant has brushed teeth. Ratings are 0=absence of bleeding after 30 seconds, 1=bleeding observed after 30 seconds, 2=immediate bleeding
- Change in 3-item Bleeding Index (BI) [4 - 6 weeks to 8 - 12 weeks]
Dental examiner observation of gum bleeding during exam after wires have been removed and participant has brushed teeth. Ratings are 0=absence of bleeding after 30 seconds, 1=bleeding observed after 30 seconds, 2=immediate bleeding
- Change in 3-item Bleeding Index (BI) [8 - 12 weeks to 12 - 18 weeks]
Dental examiner observation of gum bleeding during exam after wires have been removed and participant has brushed teeth. Ratings are 0=absence of bleeding after 30 seconds, 1=bleeding observed after 30 seconds, 2=immediate bleeding
Secondary Outcome Measures
- Change in 5-item Modified Gingival Index (MGI) [Initial visit to 4 - 6 weeks]
Dental examiner observation of inflammation during exam after wires have been removed and participant has brushed teeth. Ratings are 0=Absence of inflammation, 1=Mild inflammation (marginal or papillary unit), 2=Mild inflammation (entire marginal and papillary unit), 3=Moderate inflammation, 4=severe inflammation
- Change in 5-item Modified Gingival Index (MGI) [4 - 6 weeks to 8 - 12 weeks]
Dental examiner observation of inflammation during exam after wires have been removed and participant has brushed teeth. Ratings are 0=Absence of inflammation, 1=Mild inflammation (marginal or papillary unit), 2=Mild inflammation (entire marginal and papillary unit), 3=Moderate inflammation, 4=severe inflammation
- Change in 5-item Modified Gingival Index (MGI) [8 - 12 weeks to 12 - 18 weeks]
Dental examiner observation of inflammation during exam after wires have been removed and participant has brushed teeth. Ratings are 0=Absence of inflammation, 1=Mild inflammation (marginal or papillary unit), 2=Mild inflammation (entire marginal and papillary unit), 3=Moderate inflammation, 4=severe inflammation
- Change in 6 item Plaque index (PI) [Initial visit to 4 - 6 weeks]
Dental examiner observation of plaque during exam after wires have been removed and participant has brushed teeth. Ratings are 0= no plaque, 1=Discontinuous band of plaque at gingival margin, 2=Up to 1-mm continuous band of plaque at gingival margin, 3=Band of plaque wider than 1 mm but less than 1/3 of surface, 4=Plaque covering between 1/3 and 2/3 of surface, 5=Plaque covering 2/3 or more of surface
- Change in 6 item Plaque index (PI) [4 - 6 weeks to 8 - 12 weeks]
Dental examiner observation of plaque during exam after wires have been removed and participant has brushed teeth. Ratings are 0= no plaque, 1=Discontinuous band of plaque at gingival margin, 2=Up to 1-mm continuous band of plaque at gingival margin, 3=Band of plaque wider than 1 mm but less than 1/3 of surface, 4=Plaque covering between 1/3 and 2/3 of surface, 5=Plaque covering 2/3 or more of surface
- Change in 6 item Plaque index (PI) [8 - 12 weeks to 12 - 18 weeks]
Dental examiner observation of plaque during exam after wires have been removed and participant has brushed teeth. Ratings are 0= no plaque, 1=Discontinuous band of plaque at gingival margin, 2=Up to 1-mm continuous band of plaque at gingival margin, 3=Band of plaque wider than 1 mm but less than 1/3 of surface, 4=Plaque covering between 1/3 and 2/3 of surface, 5=Plaque covering 2/3 or more of surface
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age 11-20 that have their own mobile device
-
Patients have cellular plan that allows them to receive text messages at no extra cost
-
Patients that will undergo treatment with full fixed appliances
Exclusion Criteria:
-
patients with significant medical or dental history, including patients with bleeding disorders that would require antibiotic prophylaxis
-
Pregnant women
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Virginia Commonwealth University | Richmond | Virginia | United States | 23298 |
Sponsors and Collaborators
- Virginia Commonwealth University
Investigators
- Principal Investigator: Shroff Bhavna, DDS, Virginia Commonwealth University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HM20014910