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A 8-month Study on the Use of Intra-oral Camera and Text Messages on Gingivitis Control

Not Applicable
Completed
Conditions
Gingivitis
Behavior and Behavior Mechanisms
Interventions
Device: Intra Oral Camera
Device: Mobile Text Messages
Registration Number
NCT03439969
Lead Sponsor
University of Lisbon
Brief Summary

To investigate the effects of using an intra-oral camera (IOC) during supportive periodontal therapy, and oral hygiene mobile text messages (SMS) between appointments on clinical, behavioral and psychological parameters of patients with gingivitis.

Detailed Description

Dental hygiene behaviours are of paramount importance for controlling gingival health. There is evidence on the use of IOC and of text messages in boosting motivation, sustainability and clinical efficacy of dental hygiene behaviors. Orchestrating these two technologies is expected to create a coaction effect which could improve behavior change interventions, but the effectiveness of such strategy needs to be inspected.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
233
Inclusion Criteria

Gingivitis BOMP > 0.5 20 teeth (minimum 5 per quadrant) > 18 years old

Exclusion Criteria

periodontitis (pockets >3), smoking, orthodontics, pregnancy removable partial dentures

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intra Oral CameraIntra Oral CameraDental appointment, one hour and included activities that are normally part of a SPT consultation, as well as specific behavior change techniques, such as the use of reinforcement, goal-setting and feedback. Special attention was given to patient communication and words such as 'cleaning' and 'hygiene' were replaced by therapeutic synonyms (e.g. inflamed areas and controlling the inflammation). In this group, the device SOPROCARE® by Acteon was used in the examination and diagnosis and also for the establishment of therapeutic goals, strategies and skills.
Mobile Text MessagesMobile Text MessagesDental appointment, one hour and included activities that are normally part of a SPT consultation, as well as specific behavior change techniques, such as the use of reinforcement, goal-setting and feedback.. Participants in the SMS group further received a total of 16 messages (SMS). One per week.
Intra Oral Camera and Text MessagesIntra Oral CameraDental appointment, one hour and included activities that are normally part of a SPT consultation, as well as specific behavior change techniques, such as the use of reinforcement, goal-setting and feedback. Special attention was given to patient communication and words such as 'cleaning' and 'hygiene' were replaced by therapeutic synonyms (e.g. inflamed areas and controlling the inflammation). In this group, the device SOPROCARE® by Acteon was used in the examination and diagnosis and also for the establishment of therapeutic goals, strategies and skills.Participants also received SMS a total of 16 messages (SMS). One per week.
Intra Oral Camera and Text MessagesMobile Text MessagesDental appointment, one hour and included activities that are normally part of a SPT consultation, as well as specific behavior change techniques, such as the use of reinforcement, goal-setting and feedback. Special attention was given to patient communication and words such as 'cleaning' and 'hygiene' were replaced by therapeutic synonyms (e.g. inflamed areas and controlling the inflammation). In this group, the device SOPROCARE® by Acteon was used in the examination and diagnosis and also for the establishment of therapeutic goals, strategies and skills.Participants also received SMS a total of 16 messages (SMS). One per week.
Primary Outcome Measures
NameTimeMethod
Change from BOMP (Bleeding on Marginal Probing) at 4 & 8 monthsBaseline, 4 months & 8 months

Gingival bleeding Index

Secondary Outcome Measures
NameTimeMethod
HAPA (Health Action Process Approach) behavioral variables questionnaire.Baseline, 4 & 8 months.

Measures adapted to oral health from previous studies with the HAPA model (Godinho et al. 2015) were used. All the HAPA variables were evaluated using a 7 point Likert-type scale, ranging from totally disagree (1) to totally agree (7), unless otherwise stated.

SMS (Short Messages Service) text messages opinion questionnaireAt 4 months.

Opinion about receiving SMS and how can it influence the appointment.

Intra Oral Camera opinion questionnaireAt 4 and 8 months.

Opinion about receiving Intra Oral camera and how can it influence the appointment.

Self-report Dental Hygiene Behaviors questionnaire.Baseline, 4 and 8 months.

Level of toothbrushing and dental floss frequency.

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