None listed
Conditions
Brief summary
This study evaluates teledentistry and artificial intelligence (AI) in the screening of new orthodontic referrals as well as during braces treatment in Australian adolescents and adults. Its goal is to improve access to public orthodontic services. Participants will submit photos using a smartphone-compatible platform called Dental Monitoring (DM). . 30 participants treated with braces will be recalled every 6 weeks and another 3o will be recalled when DM recommends it. Groups will be compared by number of appointments needed to complete the levelling and alignment stage of treatment . Patient satisfaction, reduction in waiting lists and the costeffectiveness will also be assessed.
Interventions
Participants in the intervention group will have treatment with braces and be recalled based on the recommendations of the AI-guided Dental Monitoring(TM) system. This system uses a smartphone application that allows patients to take accurate intraoral photos, software that measures individual tooth movements and an internet-based interface where the clinician can monitor patient records and correspond with the patient. Participants will provide intraoral photographs once weekly, with each "scan
Participants in the intervention group will have treatment with braces and be recalled based on the recommendations of the AI-guided Dental Monitoring(TM) system. This system uses a smartphone application that allows patients to take accurate intraoral photos, software that measures individual tooth movements and an internet-based interface where the clinician can monitor patient records and correspond with the patient. Participants will provide intraoral photographs once weekly, with each "scan" taking approximately 5 minutes. Participants will be provided standardised instructions on how to use the DM system. Participants will use the DM system until the levelling and alignment stage of treatment is completed. On average, this takes 6 to 8 months. Reminders for the patient to submit their scans will be sent via the DM application, and the researchers will be notified if participants fail to submit their intraoral photos. The DM system assesses when an orthodontic archwire is passive, indicating that the patient is ready to be recalled for the placement of the next archwrie.
Sponsors
Sydney Local Health District
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
11 Years to 29 Years
Healthy volunteers
Yes
Inclusion criteria
• Sex: Male, female, non-binary, unspecified • Access to smartphone: Routine access to smartphone capable of running the DM™ application with camera functionality • Access to email account • Consent: Willingness to provide informed consent (or parental consent) and to participate and comply with the study requirements • Age range: greater than or equal to 11 to 29 years of age • Dental status: Permanent dentition • Treatment plan: Planned for non-extraction treatment in the upper and lower arches • Incisor relationship: Class I or Class II Division 1/2 incisor relationship (upper tooth which is in crossbite accepted provided orthodontic bracket can be bonded to the tooth and no additional space opening mechanics required to align the tooth) • Crowding: Mandibular and maxillary anterior Little’s Irregularity Index (LII) 1-7
Exclusion criteria
• Participants known to the investigators • Severely ectopic/displaced teeth • Impacted canines requiring mechanical eruption • Significant medical history or medication that would adversely affect the development or structure of teeth or jaws and any subsequent tooth movement • Previous or current orthodontic or orthopaedic treatment • Orthopaedic treatment and/or maxillary expansion required • Craniofacial anomaly present • Hyperdontia or hypodontia • History of trauma, bruxism or parafunction • Past and/or present signs and symptoms of periodontal disease
Outcome results
None listed