The Effects of Oral Hygiene Interventions Prior Orthodontic Treatment in Adults-A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Changes between the Full Mouth Plaque Score(FMPS) measurement at baseline (T0), at 2 weeks (T1), and at 4 weeks (T2) after the intervention
研究概览
简要总结
Orthodontic treatment has many recognized benefits such as enhancing esthetics and improving self-esteem in patients. However, like any other dental treatments, a successful orthodontic treatment requires patient cooperation, especially oral hygiene compliance.
Dental plaque that builds upon the orthodontic brackets in a poor oral environment consists of pathogenic biofilms that can lead to undesirable complications such as white spot lesions, gingivitis, and periodontal breakdown. Poor oral hygiene during orthodontic treatment often results in poor treatment quality and prolonged treatment duration. Fixed appliances increase the retention areas for plaque accumulation and this often makes maintaining good oral hygiene a challenge for the patients. Therefore, effective oral hygiene interventions are key in improving patients' knowledge, influencing good oral hygiene behaviors and ensuring patients can exercise good practices daily at home.
Oral hygiene education given to prospective orthodontic patients will allow them to understand their role and responsibilities in maintaining good oral care during treatment. This will help instill lasting good oral hygiene habits that can be maintained during the fixed appliance stage of treatment, thus reducing possible future treatment complications.
In this study, the investigators evaluate the effects of verbal and video-assisted oral hygiene interventions on patients' oral hygiene prior to orthodontic treatment.
详细描述
The present study evaluates the effectiveness of different oral hygiene interventions on patients' oral hygiene prior to orthodontic treatment.
Participants will be recruited from the Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University Malaya and will be selected from the postgraduate orthodontic treatment waiting list.
Patients meeting the selection criteria will be offered the opportunity to participate in the study during the visit prior to the orthodontic appliance placement. The participants will be equally distributed into two groups as follows:
Group 1: Verbal oral hygiene intervention
Group 2: Video-assisted oral hygiene intervention
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
盲法说明
The interventions and collection of data will be conducted by the same clinician. Therefore, both clinician and participants will not be blinded in this study given the nature of the interventions. However, as the participants will be randomized and allocated by an independent individual, blinding the clinician to the allocated interventions at the beginning of the trial, during baseline assessment, is possible.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age ≥18 years old
- •Plan to undergo orthodontic treatment and is eligible for orthodontic treatment with fixed appliances.
- •Clinical gingival health (<10% bleeding score) or localized gingivitis (10%-30% bleeding score) or generalized gingivitis (>30% bleeding score)
- •Presence of BPE code 0/1/2 with no obvious evidence of interdental recession
- •Have at least 20 teeth
- •Able to understand Bahasa Malaysia and English languages
排除标准
- •Presence of BPE code 3/4
- •Current or previous history of periodontitis
- •Severe or chronic illnesses (such as diabetes, cardiovascular diseases, stroke, etc)
- •Physically impaired
- •Orofacial deformities
- •History of previous orthodontic treatment
- •Intake of antibiotics within 6 months before and during the study period
- •Taking drugs that influence gingival inflammation or bleeding (eg anticoagulants, cortisone)
- •Pregnant or breastfeeding
结局指标
主要结局
Changes between the Full Mouth Plaque Score(FMPS) measurement at baseline (T0), at 2 weeks (T1), and at 4 weeks (T2) after the intervention
时间窗: Baseline, 2 weeks and 4 weeks
Presence or absence of plaque deposits on each tooth surface (mesial, distal, buccal and lingual/palatal) in the dentition is recorded in a dichotomous manner. The plaque deposits will be disclosed using a disclosing solution to facilitate their detection. The presence of plaque is recorded in a plaque chart.
次要结局
- Changes in Full Mouth Bleeding Score (FMBS) at baseline (T0) and at 4 weeks post intervention (T2)(Baseline and 4 weeks)
研究者
Dr. Lee Phey Ling
Principal investigator
University of Malaya