Using Augmented Reality Dental Care Training in Health Education on Periodontal Status, Blood Sugar Control and Quality of Life in Patients With Poorly Controlled Type 2 Diabetes
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Plaque Control Record (PCR)
Study Overview
Brief Summary
The aim of this study was to evaluate the long-term effectiveness of an AR dental care training in health education on periodontal status, blood sugar control and quality of life in patients with poorly controlled type 2 diabetes. This randomized controlled trial included experimental group: AR group (EG-A), AR-health consulting group (EG-B) and control group (CG), respectively.
The EG-A and EG-B received AR dental care training intervention 2 to 3 times during non-surgical periodontal treatment.
Baseline and follow-up surveys were used to collect the data in periodontal index, blood sugar data, oral health knowledge, attitudes, behavior, oral health-related quality of life.
Detailed Description
A randomized experimental design was used. Patients with type 2 diabetes whose aged 35-65 years and HbA1c over 7% in the past six months were recruited through department of Endocrinology and Metabolism in Kaohsiung Medical University Hospital.
Each group was expected for 100 per group, patients will be randomized into each group. G*Power (version 3.1.9.4) was used for power analysis.
All patients will underwent periodontal examination at baseline and at 1-month, 3-month, 6-month and 1 year follow-ups.
Each patients will be diagnosed periodontal disease by dentist and have more than 12 functional teeth.
Each patients will completed the questionnaire at baseline and at 1-month, 3- month,6-month and 1 year follow-up.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 35 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age 35 years old (inclusive) and above
- •HbA1c over 7% in the past six months
- •There are more than 12 functional teeth to ensure that the patient has enough teeth to evaluate the periodontal condition
Exclusion Criteria
- •Have received periodontal treatment within the previous 6 months
- •Habits of smoking, drugs and betel nut chewing
- •Taking antibiotics and osteoporosis bisphosphonates and other drugs regularly
- •People with cognitive function or physical and mental disabilities
- •Severely impaired diseases (for example: cancer, renal function or liver failure, etc.)
Arms & Interventions
AR group (EG-A)
Behavioral: AR intervention For the EG-A, the AR dental care training system will give to patients that 2 to 3 times tooth clean skill learning course (including Bass method of brushing and inter-dental toothbrush brushing technique) during non-surgical periodontal treatment period.
Intervention: AR Dental Care Training System (Device)
AR-health consulting group (EG-B)
Behavioral: AR intervention For the EG-B, the AR dental care training system will give to patients that 2 to 3 times tooth clean skill learning course (including Bass method of brushing and inter-dental toothbrush brushing technique) during non-surgical periodontal treatment period.
The health counseling will also provide professional oral health related courses (including oral care for diabetes and periodontal disease, etc.)
Intervention: AR Dental Care Training System (Device)
Control group (CG)
the control group(CG) only have standard oral hygiene education
Outcomes
Primary Outcomes
Plaque Control Record (PCR)
Time Frame: Change from Baseline PCR at 1 year after intervention
The Plaque Control Record is a very simple percentage or score of the total amount of bacteria present in your mouth. A tooth has 6 surfaces at the gum line being; the lingual side (distal, middle, mesial) and buccal side (distal, middle, mesial). For each patient, PCR will measured each teeth.
Gingival index (GI)
Time Frame: Change from Baseline GI at 1 year after intervention
The gingiva inflammation status of 6 tooth was recorded using the gingiva index, as follows: 0 = No inflammation. 1. = Mild inflammation, slight change in color, slight edema, no bleeding on probing 2. = Moderate inflammation, moderate glazing, redness, bleeding on probing 3. = Severe inflammation, marked redness and hypertrophy, ulceration, tendency to spontaneous bleeding. For each patient, GI will measured by the teeth 12,16,24,32,36,44
Plaque index (PI)
Time Frame: Change from Baseline PI at 1 year after intervention
The plaque status of 6 tooth was recorded using the plaque index, as followes: 0 = No plaque 1. = Thin film of plaque, scraped with explorer 2. = Moderate amount of plaque, visible with naked eyes 3. = Abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin. For each patient, PI will measured by the teeth 12,16,24,32,36,44
Probing Pocket Depth (PPD)
Time Frame: Change from Baseline PPD at 1 year after intervention
Using periodontal probe to measure the depth from the bottom of the periodontal pocket to the gingival margin. For each patient, PPD will measured each teeth.
Clinical Attachment Loss(CAL)
Time Frame: Change from Baseline CAL at 1 year after intervention
Using periodontal probe to measure the distance from the enamel-dentin junction to the bottom of the periodontal pocket. For each patient, CAL will measured each teeth.
Gingival index (GI)
Time Frame: Change from Baseline GI at 1-month after intervention
The gingiva inflammation status of 6 tooth was recorded using the gingiva index, as follows: 0 = No inflammation. 1. = Mild inflammation, slight change in color, slight edema, no bleeding on probing 2. = Moderate inflammation, moderate glazing, redness, bleeding on probing 3. = Severe inflammation, marked redness and hypertrophy, ulceration, tendency to spontaneous bleeding. For each patient, GI will measured by the teeth 12,16,24,32,36,44
Gingival index (GI)
Time Frame: Change from Baseline GI at 3-month after intervention
The gingiva inflammation status of 6 tooth was recorded using the gingiva index, as follows: 0 = No inflammation. 1. = Mild inflammation, slight change in color, slight edema, no bleeding on probing 2. = Moderate inflammation, moderate glazing, redness, bleeding on probing 3. = Severe inflammation, marked redness and hypertrophy, ulceration, tendency to spontaneous bleeding. For each patient, GI will measured by the teeth 12,16,24,32,36,44
Gingival index (GI)
Time Frame: Change from Baseline GI at 6-month after intervention
The gingiva inflammation status of 6 tooth was recorded using the gingiva index, as follows: 0 = No inflammation. 1. = Mild inflammation, slight change in color, slight edema, no bleeding on probing 2. = Moderate inflammation, moderate glazing, redness, bleeding on probing 3. = Severe inflammation, marked redness and hypertrophy, ulceration, tendency to spontaneous bleeding. For each patient, GI will measured by the teeth 12,16,24,32,36,44
Probing Pocket Depth (PPD)
Time Frame: Change from Baseline PPD at 6-month after intervention
Using periodontal probe to measure the depth from the bottom of the periodontal pocket to the gingival margin. For each patient, PPD will measured each teeth.
Plaque index (PI)
Time Frame: Change from Baseline PI at 1-month after intervention
The plaque status of 6 tooth was recorded using the plaque index, as followes: 0 = No plaque 1. = Thin film of plaque, scraped with explorer 2. = Moderate amount of plaque, visible with naked eyes 3. = Abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin. For each patient, PI will measured by the teeth 12,16,24,32,36,44
Plaque index (PI)
Time Frame: Change from Baseline PI at 3-month after intervention
The plaque status of 6 tooth was recorded using the plaque index, as followes: 0 = No plaque 1. = Thin film of plaque, scraped with explorer 2. = Moderate amount of plaque, visible with naked eyes 3. = Abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin. For each patient, PI will measured by the teeth 12,16,24,32,36,44
Plaque index (PI)
Time Frame: Change from Baseline PI at 6-month after intervention
The plaque status of 6 tooth was recorded using the plaque index, as followes: 0 = No plaque 1. = Thin film of plaque, scraped with explorer 2. = Moderate amount of plaque, visible with naked eyes 3. = Abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin. For each patient, PI will measured by the teeth 12,16,24,32,36,44
Probing Pocket Depth (PPD)
Time Frame: Change from Baseline PPD at 1-month after intervention
Using periodontal probe to measure the depth from the bottom of the periodontal pocket to the gingival margin. For each patient, PPD will measured each teeth.
Probing Pocket Depth (PPD)
Time Frame: Change from Baseline PPD at 3-month after intervention
Using periodontal probe to measure the depth from the bottom of the periodontal pocket to the gingival margin. For each patient, PPD will measured each teeth.
Clinical Attachment Loss(CAL)
Time Frame: Change from Baseline CAL at 1-month after intervention
Using periodontal probe to measure the distance from the enamel-dentin junction to the bottom of the periodontal pocket. For each patient, CAL will measured each teeth.
Clinical Attachment Loss(CAL)
Time Frame: Change from Baseline CAL at 3-month after intervention
Using periodontal probe to measure the distance from the enamel-dentin junction to the bottom of the periodontal pocket. For each patient, CAL will measured each teeth.
Clinical Attachment Loss(CAL)
Time Frame: Change from Baseline CAL at 6-month after intervention
Using periodontal probe to measure the distance from the enamel-dentin junction to the bottom of the periodontal pocket. For each patient, CAL will measured each teeth.
Plaque Control Record (PCR)
Time Frame: Change from Baseline PCR at 1-month after intervention
The Plaque Control Record is a very simple percentage or score of the total amount of bacteria present in your mouth. A tooth has 6 surfaces at the gum line being; the lingual side (distal, middle, mesial) and buccal side (distal, middle, mesial). For each patient, PCR will measured each teeth.
Plaque Control Record (PCR)
Time Frame: Change from Baseline PCR at 3-month after intervention
The Plaque Control Record is a very simple percentage or score of the total amount of bacteria present in your mouth. A tooth has 6 surfaces at the gum line being; the lingual side (distal, middle, mesial) and buccal side (distal, middle, mesial). For each patient, PCR will measured each teeth.
Plaque Control Record (PCR)
Time Frame: Change from Baseline PCR at 6-month after intervention
The Plaque Control Record is a very simple percentage or score of the total amount of bacteria present in your mouth. A tooth has 6 surfaces at the gum line being; the lingual side (distal, middle, mesial) and buccal side (distal, middle, mesial). For each patient, PCR will measured each teeth.
Secondary Outcomes
- Oral Health Related Quality of Life(OHRQoL)(Change from Baseline at 1 year after intervention)
- Oral health knowledge(Change from Baseline at 1 year after intervention)
- Attitude toward oral health(Change from Baseline at 1 year after intervention)
- Oral health knowledge(Change from Baseline at 1-month after intervention)
- Oral health knowledge(Change from Baseline at 3-month after intervention)
- Oral health knowledge(Change from Baseline at 6-month after intervention)
- Attitude toward oral health(Change from Baseline at 1-month after intervention)
- Attitude toward oral health(Change from Baseline at 3-month after intervention)
- Attitude toward oral health(Change from Baseline at 6-month after intervention)
- Oral Health Related Quality of Life(OHRQoL)(Change from Baseline at 1-month after intervention)
- Oral Health Related Quality of Life(OHRQoL)(Change from Baseline at 3-month after intervention)
- Oral Health Related Quality of Life(OHRQoL)(Change from Baseline at 6-month after intervention)