The Influence of Weekly Reminders on Enhancing Patient Compliance in Patients With Fixed Orthodontic Treatment
Study Details
Study Description
Brief Summary
this study is a randomized clinical trial to evaluate the effect of sending weekly reminders to patients undergoing fixed orthodontic appliance treatment. two groups will be formed and participants of the study will be divided between the two groups randomly. the intervention group will receive weekly reminders about the importance of oral hygiene and appliance care with adherence to scheduled appointments. the difference between these parameters will be evaluated between the control and intervention groups to describe the importance of weekly reminders to enhance the compliance and cooperation of the patient. the oral hygiene of the patient will include plaque level(plaque index), gingival statue level( bleeding index), and white spot lesion . appliance care will be recorded when in case of bracket failure and appointments missed will also be recorded .
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: standard care group this group of participants will be used to compare to the intervention group. normal and professional instructions and motivation will be given to them but they will not receive weekly reminders about the importance of adherence to instructions |
|
| Experimental: weekly reminder group this group of participants will receive a weekly reminder about the importance of oral hygiene, appliance care, and adherence to recommendations from the dentist. |
Other: weekly mobile reminder
a weekly reminder will be sent to participants in the intervention group via mobile internet applications
|
Outcome Measures
Primary Outcome Measures
- oral hygiene examination The plaque index system [during the intervention ( follow up for 6 months )]
consists of 4 degree higher score is the worst situation and 0 is the best
- oral hygiene examination - Bleeding Index [during the intervention ( follow up for 6 months )]
bleeding on probing . conatains 3 scores 0 - no bleeding bleeding after 30 seconds bleeding immediately score 0 is the best and score 2 is the worst
- oral hygiene examination white spot lesion [during the intervention ( follow up for 6 months )]
white spot lesion on the tooth will be examined clinically and recorded in photographs
- appliance care [during the intervention ( follow up for 6 months )]
bracket failure will be recorded if there is any brackets/" ] bracket fracture will be recorded at appointments if there is any bracket dislodgments that needs replacement
- adherence to appointment [during the intervention ( follow up for 6 months]
if patient does not come to the appointment it will be recorded as lack of adherence to appointments .
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients with a fixed orthodontic appliance
-
both gender
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age 15-25 years old
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patient or parent have smartphone and internet connection
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malocclusion of the patient undergoing treatment according to Index of Orthodontic Treatment Need IOTN should be grade 1,2, and 3
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good gingival health.
Exclusion Criteria:
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Patients with a removable appliance
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cleft lip and palate patients
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patients with hypomineralization visible on anterior teeth
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susceptible to periodontal disease
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have diabetes
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handicap patients, a severe malocclusion above IOTN grade 3, ceramic brackets, and a child with parents that cannot read.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Sulaimani | Sulaymaniyah | Kurdistan Region | Iraq |
Sponsors and Collaborators
- Shara Qadir Hussein
Investigators
- Principal Investigator: Hadi M Ismael, as.professor, University of Sulaimani
Study Documents (Full-Text)
None provided.More Information
Publications
- Lima IFP, de Andrade Vieira W, de Macedo Bernardino Í, Costa PA, Lima APB, Pithon MM, Paranhos LR. Influence of reminder therapy for controlling bacterial plaque in patients undergoing orthodontic treatment: A systematic review and meta-analysis. Angle Orthod. 2018 Jul;88(4):483-493. doi: 10.2319/111117-770.1. Epub 2018 Apr 17.
- Mohammed H, Rizk MZ, Wafaie K, Ulhaq A, Almuzian M. Reminders improve oral hygiene and adherence to appointments in orthodontic patients: a systematic review and meta-analysis. Eur J Orthod. 2019 Mar 29;41(2):204-213. doi: 10.1093/ejo/cjy045.
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