The Dental Care Revolution: Health Education Using AI or Humanized Counseling on Plague Control and Periodontal Treatment Outcome in Patients With Periodontal Disease
- Conditions
- Periodontal Diseases
- Interventions
- Behavioral: The AI-assisted tool used in this study was called Dental Monitoring (DM).
- Registration Number
- NCT06083649
- Brief Summary
The aim of this study was to evaluate the long-term effectiveness of an AI dental monitoring intervention on patients' periodontal disease, preventive behaviors and motivation. This randomized controlled trial included experimental group: AI group (EG-A), AI-humanized group (EG-B) and control group(CG), respectively.
The EG-A and EG-B received AI dental monitoring intervention by taking mouth image at home once a week for six month. Baseline and follow-up surveys were used to collect the data in oral health related quality of life,periodontal parameters, periodontal preventive behaviors and motivation.
- Detailed Description
A randomized experimental design was used. Patients with periodontal disease whose aged 35-65 years were recruited through department of Periodontics 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 follow-ups.
Each patients will be diagnosed periodontal disease by dentist and have more than 16 functional teeth.
Each patients will completed the questionnaire at baseline and at 1-month, 3-month and 6-month follow-up.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 100
- Age between 35-65 years old
- Diagnosed periodontal disease by dentist (Comprehensive Periodontal Treatment Project)
- More than 16 functional teeth
- Have received periodontal treatment within 3 months
- Patient has disease related to periodontal disease (ex. Drug-related excessive gum growth or blood clotting problems, pregnancy, mental illness)
- Disability patients
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental group A (AI Group: EG-A) The AI-assisted tool used in this study was called Dental Monitoring (DM). The AI group scanned their own mouths at home once a week for 6 months, with each scan taking approximately 5 min. After scanning, they uploaded the results to the AI system for evaluation. The AI system then selected and sent a message to each patient depending on their intraoral conditions. Experimental group B (AI and health counseling group: EG-B) The AI-assisted tool used in this study was called Dental Monitoring (DM). The AI and health counseling group scanned their own mouths at home once a week for 6 months, with each scan taking approximately 5 min. After scanning, they uploaded the results to the AI system for evaluation. The EG-B received both AI-assisted DM and real-person oral health counseling and advice from a counselor, who assessed their oral hygiene conditions on the basis of their scanning results and then provided individualized counseling, such as pointing out unclean teeth and offering suggestions on cleaning tools.
- Primary Outcome Measures
Name Time Method gingival index (GI) Change from Baseline GI at 6-month after intervention The gingival 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 12,16,24,32,36,44plaque index (PI) 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 12,16,24,32,36,44Clinical Attachment Loss(CAL) 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.
- Page 4 of 8 - For each patient, CAL will measured each teeth.Probing Pocket Depth (PPD) 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, recorded at six sites (mesial \[buccal and lingual/palatal\], distal \[buccal and lingual/palatal\], mid-buccal, and mid-lingual/palatal) around each tooth, except for the third molar.
OHRQoL(OHIP-14T scales) Change from Baseline at 6 month after intervention Item including that because of problems with your teeth or mouth, you:
* Have you had trouble pronouncing any words because of problems"
* Have you felt that your sense of taste has worsened"
* Have you had painful aching in your mouth"
* Have you found it uncomfortable to eat any foods"
* Have you been self-conscious"
* Have you felt tense"
* Has been your diet been unsatisfactory"
* Have you had to interrupt meals?"
* Have you found it difficult to relax"
* Have you been a bit embarrassed"
* Have you been a bit irritable with other people"
* Have you had difficulty doing your usual jobs"
* Have you felt that life in general was less satisfying"
* Have you been totally unable to function" Responses are scored on a 5-point Likert scale with endpoints ranging from 0 (never) to 4 (very often), indicating the frequency of the problem over the preceding 6 months. The possible scores were 0-56, with lower scores indicating more favorable OHRQoL.
- Secondary Outcome Measures
Name Time Method oral self-care behavior Change from Baseline at 6 month after intervention Item including that:
"How many times do you brush your teeth a day?" The response was (once or twice day or three times or fours times or more/ day).
"How long do you usually brush your teeth each time?" The response was lower than 1 min or 1-2 min or 2-3 min or more than 3 min/ day.
"What is your main method of brushing your teeth?"The response was horizontally or vertically or Circle brush or Rotating brush or Horizontal+vertical+ and by the gum at a 45 degree angle.
"How often do you replace your toothbrush?" The response was 3-6 month or more than 6 month or lower than 1 month or 1-2 month or 2-3 month.
"Do you use a soft-bristled toothbrush?" The response was no or unknown or yes. "Do you have a habit of using interdental brushes?" The response was no or yes. "Do you have a habit of eating snack?" The response was no or yes.Protection Motivation Theory (PMT) scores Change from Baseline PMT at 6-month after intervention Item including that "I think periodontal disease is a serious disease"
* If I do not have periodontal disease prevention behavior, the risk of developing periodontal disease in the future is very high"
* If I stick to periodontal disease prevention behavior, it will improve my oral health"
* I believe that I can follow the periodontal health guidance"
* I find it hard to remember/hard to do periodontal health care guidance"
* Periodontal disease bothers me"
* I want to complete my personal periodontal disease prevention behavior plan" All the items' scores ranged from one to ten, with higher scores indicating a higher level of motivation toward change behaviors.
Cronbach's α was 0.70 for this scale. The scores ranged from one ("impossible") to ten ("very possible"), with the total possible score ranging from seven to seventy
Trial Locations
- Locations (1)
Kaohsiung Medical University Chung-Ho Memorial Hospital
🇨🇳Kaohsiung, Taiwan