Mobile Application Push Notification in Improving Oral Hygiene Behaviour in Adolescent Orthodontic Patients: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 78
- 主要终点
- Gingival health
研究概览
简要总结
This research looks at whether using a mobile phone app that sends push-notification reminders can help adolescent orthodontic patients keep their teeth and gums cleaner during treatment.
When teenagers wear braces, it's easy for food and plaque to get stuck around brackets and wires, which can lead to gingivitis and white spot lesions if oral hygiene isn't maintained. Traditional reminders from dentists often fade over time, so this study tests a more consistent, digital approach.
The app sends daily notifications reminding users to brush and care for their teeth. The study will compare three groups:
App with push-notification reminders,
App without reminders, and
Control group with normal instructions only.
Researchers will measure changes in plaque and gum health and use a questionnaire to see if the reminders also improve patients' knowledge, attitude, and practice (KAP) about oral hygiene.
In simple terms, the project tests if short smartphone reminders can make orthodontic patients more consistent, informed, and motivated in caring for their teeth.
详细描述
General objective:
To evaluate the effectiveness of push notification oral hygiene reminders on oral hygiene improvement and behavioural changes
Specific objectives:
To evaluate the oral hygiene improvement using push notification in a mobile phone application To assess the improvement in knowledge, attitude and practice (KAP) towards oral hygiene using push notification reminders in a mobile phone application
Study Design This is a 3-arm parallel-group randomized controlled trial (RCT) to evaluate the effectiveness of push notification-based oral hygiene reminders on oral hygiene improvement and behavioural changes among orthodontic patients with fixed appliances.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 12 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 12-18 years
- •Suitable for upper and lower arch fixed appliance treatment
- •Good oral hygiene
- •Able to understand Bahasa Malaysia and/or English
- •Possess a personal or parental smartphone with app access
排除标准
- •Medically compromised or syndromic patients
- •Need to skip bracket bonding
- •On antibiotics
- •Undergoing periodontal therapy
- •Already using another dental reminder or behavior-change app
- •Patients with cognitive or developmental limitations preventing app use
结局指标
主要结局
Gingival health
时间窗: 6, 12, 18 and 24 weeks
Assess Gingival Index using the scale below: 0 Normal gingiva: pink, firm, no inflammation, no bleeding. 1. Mild inflammation: slight color change, slight edema, no bleeding on probing. 2. Moderate inflammation: redness, edema, glazing, bleeding on probing. 3. Severe inflammation: marked redness, edema, ulceration, spontaneous bleeding. 8 teeth (4 on each arch) will be assessed on all patients. The points are accumulated to assess the gingival condition.
Plaque amount
时间窗: 6, 12, 18 and 24 weeks
Orthodontic Plaque Index will be assessed using the following: 0 No visible plaque. 1. Thin film of plaque detected only by running a probe/explorer. 2. Visible plaque covering less than one-third of the bracket area. 3. Heavy plaque accumulation covering more than one-third of the area (thick, clearly visible deposits). patient's will be asked to chew on a disclosing tablet first, and 4 points will be assessed for each tooth: * Gingival area (margin) * Mesial area * Distal area * Occlusal/incisal area 8 teeth will be assessed (4 each arch). The score is accumulated to assess plaque amount.
次要结局
- Oral Hygiene and Interdental Cleaning(baseline and 24 weeks)
研究者
Kumeran A/L Mohan
Asst Prof Dr
International Islamic University Malaysia