Visual Feedback on Brushing Technique and Habits on Patient Oral Hygiene

NCT ID: NCT05723133

Last Updated: 2024-01-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-24

Study Completion Date

2024-07-30

Brief Summary

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The goal of this clinical trial is to learn about the influence of providing visual feedback on brushing technique and habits on oral health of patients undergoing periodontal treatment.

The main question\[s\] it aims to answer are:

* Is patients' oral health improved by providing visual feedback on their brushing technique using the smartphone brushing app?
* Is there behavioural change of patients based on this daily visual feedback? Participants will receive oral hygiene instructions after initial periodontal treatment and will be randomized in group 1, 2 or 3. Participants will be asked to

* fulfill a brushing diary with the time of brushing every day.
* come back for a check-up appointment every 3 weeks during the study to evaluate oral hygiene.

Researchers will compare manual toothbrush, electric toothbrush without daily personal feedback and electric toothbrush with daily personal feedback to see if visual feedback provide improved oral health

Detailed Description

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Periodontitis is gum disease with jawbone deterioration. Diagnosis is based on clinical examination: plaque score, pocket measurement (measuring the pockets or gum pockets around the teeth with a probe), gingival bleeding index (= bleeding after probing) and radiographic examination. Smoking, genetic factors, and systemic diseases such as diabetes, for example, are known risk factors for this condition. Treatment consists of a deep cleaning, where the tooth roots are freed of plaque and tartar under local anaesthesia, complemented by the necessary oral hygiene instructions. It is important that patients follow these oral hygiene instructions carefully at home and perform them daily, as the aim is to achieve optimal oral hygiene. Good oral hygiene is fundamental in the treatment of periodontitis (Arweiler et al, 2018).

Despite many patients undergoing the proposed professional treatment (deep cleaning), they are often insufficiently able to remove the dental plaque present on a daily basis. To optimise brushing efficiency, both behavioural change and improved brushing technique should be obtained at the patient level.

The primary aim of this randomised clinical trial is to improve patients' oral health by providing visual feedback on their brushing technique using the smartphone brushing app. The secondary aim of the study is to investigate possible behavioural changes of patients based on this daily visual feedback.

Patients requiring periodontal treatment will be recruited at the Department of Periodontology \& Oral Implantology at Ghent University Hospital. Patients will be assigned to three groups by randomisation. In group 1, patients will receive oral hygiene instructions and a new manual toothbrush. In group 2, patients receive the same oral hygiene instructions and a basic electric toothbrush without daily personal feedback using the brushing application. In group 3, patients receive the same oral hygiene instructions and an electric toothbrush with daily personal feedback using the brushing app (Oral-B app). No raw study data will be transferred to Oral B. The only data that will be available to Oral-B is the data that will be included in the publication of this study (A1 article). The use of the app does not require registration of personal data. Brushing time, tooth surface cleaning and brushing pressure will be recorded. Patients will only complete the brushing time in the brushing diary.

Oral hygiene will be evaluated at the start and every 3 weeks during the study through a check-up appointment. Only the first (after 3 weeks) and the last check-up appointment (after 12 weeks) are standard protocol, the remaining appointments (after 6 and 9 weeks) are study-specific. Oral hygiene will be assessed by: plaque score, gingival bleeding index, brushing frequency and brushing duration. The full study will take 12 weeks. Pocket depth will be measured according to usual protocols, namely at intake and at the last check-up (after 12 weeks). The patient's brushing technique and frequency will be recorded through a brushing diary completed by the patient. Where necessary, oral hygiene can be adjusted during each sitting. The check-up after 3 weeks and 12 weeks with measurement of plaque scores, gingival bleeding index and pocket depth are part of the standard protocol for treating periodontitis and are therefore not study-specific. Monitoring after 6 and 9 weeks are study-specific. The primary goal will be evaluated by comparing plaque scores and gingival bleeding index at intake with those at the final check. The secondary goal will be evaluated by brushing frequency and brushing duration throughout the study course. All data collected will be pseudonymised.

Overview:

* Consultation 1 - at start:

o Standard treatment: Evaluation of oral hygiene Determination of clinical score: plaque score, gingival bleeding index Determination of pocket depth

o Study-specific treatment (duration: 10 minutes): Clinical photographs
* Consultation 2 - after 3 weeks:

o Standard treatment: Evaluation of oral hygiene and brushing frequency. Determination of clinical score: plaque score, gingival bleeding index

o Study-specific treatment (duration: 10 minutes): Clinical photographs
* Consultation 3 - after 6 weeks:

o Study-specific treatment (duration: 30 minutes ): Evaluation of oral hygiene + clinical photographs Determination of clinical score: plaque score, gingival bleeding index
* Consultation 4 - after 9 weeks:

o Study-specific treatment (duration: 30 minutes ): Evaluation of oral hygiene + clinical photographs Determination of clinical score: plaque score, gingival bleeding index
* Consultation 5 - after 12 weeks:

o Standard treatment: Evaluation of oral hygiene and brushing frequency. Determination of clinical score: plaque score, gingival bleeding index Determination of pocket depth

o Study-specific treatment (duration: 10 minutes): Clinical photographs
* Completion of the brushing diary by the patient:

* Brushing time, cleaning of tooth surfaces, brushing pressure, brushing technique, frequency and motivation
* 2x a day, 2 min per brushing

Conditions

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Toothbrushing Oral Hygiene Dental Plaque

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized clinical trial with 3 treatment arms (control group: manual toothbrush; test group 1: electric toothbrush without digital visual feedback; test group 2: electric toothbrush with visual feedback). Every patient received the same initial treatment and oral hygiene instructions. Sealed envelops will determine in which group the patient will participate.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
The patient and treating dentist cannot be masked. The investigators and outcome assessors are masked

Study Groups

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Active Comparator: Control group: Manual Toothbrush

Patients will receive oral hygiene instructions and a new manual toothbrush

Group Type ACTIVE_COMPARATOR

Oral hygiene instructions

Intervention Type BEHAVIORAL

The same oral hygiene instructions are given to all patients. It is important for the patient to scrupulously follow these oral hygiene instructions at home and carry them out daily.

Test group: Electric Toothbrush without visual feedback

Patients will receive the same oral hygiene instructions and an electric toothbrush without daily personal feedback using the brushing application.

Group Type EXPERIMENTAL

Electric toothbrush

Intervention Type DEVICE

Patients will receive oral hygiene instructions and an electric toothbrush with or without daily personal feedback using the brushing app (Oral-B app).

Oral hygiene instructions

Intervention Type BEHAVIORAL

The same oral hygiene instructions are given to all patients. It is important for the patient to scrupulously follow these oral hygiene instructions at home and carry them out daily.

Test group: Electric Toothbrush with visual feedback

Patients will receive the same oral hygiene instructions and an electric toothbrush with daily personal feedback using the brushing app (Oral-B app).

Group Type EXPERIMENTAL

Electric toothbrush

Intervention Type DEVICE

Patients will receive oral hygiene instructions and an electric toothbrush with or without daily personal feedback using the brushing app (Oral-B app).

Oral hygiene instructions

Intervention Type BEHAVIORAL

The same oral hygiene instructions are given to all patients. It is important for the patient to scrupulously follow these oral hygiene instructions at home and carry them out daily.

Interventions

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Electric toothbrush

Patients will receive oral hygiene instructions and an electric toothbrush with or without daily personal feedback using the brushing app (Oral-B app).

Intervention Type DEVICE

Oral hygiene instructions

The same oral hygiene instructions are given to all patients. It is important for the patient to scrupulously follow these oral hygiene instructions at home and carry them out daily.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients in need of periodontal treatment
* Willing to keep a brushing diary
* Possess a smartphone so that they are able to install and handle the application on their phone

Exclusion Criteria

* Smoking
* Systemic disease
* Pregnancy
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Ghent

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Véronique Christiaens, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

University Ghent

Locations

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BV Paro Glibert

Geraardsbergen, Oost-Vlaanderen, Belgium

Site Status RECRUITING

Ghent University

Ghent, Oost-Vlaanderen, Belgium

Site Status RECRUITING

Praktijk voor Parodontologie

Sint-Niklaas, Oost-Vlaanderen, Belgium

Site Status RECRUITING

Centrum voor Parodontologie en Orale Implantologie

Zottegem, Oost-Vlaanderen, Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Véronique Christiaens, Prof. Dr.

Role: CONTACT

093324017

Maarten Glibert, Dr.

Role: CONTACT

055890680

Facility Contacts

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Maarten Glibert, Dr.

Role: primary

055890680

Jan Cosyn, Professor

Role: primary

Sabine Lamoral

Role: primary

037770197

Jan Cosyn, Professor

Role: primary

0496100121

References

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Adam R, Ram Goyal C, Qaqish J, Grender J. Evaluation of an oscillating-rotating toothbrush with micro-vibrations versus a sonic toothbrush for the reduction of plaque and gingivitis: results from a randomized controlled trial. Int Dent J. 2020 Apr;70 Suppl 1(Suppl 1):S16-S21. doi: 10.1111/idj.12569.

Reference Type RESULT
PMID: 32243576 (View on PubMed)

Nathoo S, Mankodi S, Mateo LR, Chaknis P, Panagakos F. A clinical study comparing the supragingival plaque and gingivitis efficacy of a specially engineered sonic powered toothbrush with unique sensing and control technologies to a commercially available manual flat-trim toothbrush. J Clin Dent. 2012;23 Spec No A:A11-6.

Reference Type RESULT
PMID: 23448083 (View on PubMed)

Grender J, Ram Goyal C, Qaqish J, Adam R. An 8-week randomized controlled trial comparing the effect of a novel oscillating-rotating toothbrush versus a manual toothbrush on plaque and gingivitis. Int Dent J. 2020 Apr;70 Suppl 1(Suppl 1):S7-S15. doi: 10.1111/idj.12571.

Reference Type RESULT
PMID: 32243573 (View on PubMed)

Other Identifiers

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BC-11037

Identifier Type: -

Identifier Source: org_study_id

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