None listed
Conditions
Brief summary
The study aims to trial a remote care model which should give remote patients earlier and better access to orthodontic care using their local dentist and an application, supported by an orthodontist remotely. This is a Quasi-Experimental trial to investigate the efficacy of a virtual care model, using artificial intelligence (AI) to provide orthodontic treatment by dentists to public rural and metropolitan NSW patients, while under the remote supervision of orthodontists, in comparison to conventional face-to-face treatment provided by specialists. Participants: Up to 90 patients, aged 8-18 years, who are eligible to receive orthodontic treatment in the public system and meet the orthodontic treatment severity criteria will be selected. Treatment will be done using aligners with Dental Monitoring (DM Group) and compared to treatment using aligners without DM (Positive Control Group) and conventional braces treatment without DM (Negative Control Group).
Interventions
Up to 30 Participants in the intervention group will have treatment with aligners 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
Up to 30 Participants in the intervention group will have treatment with aligners 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 treatment is completed. On average, this takes 12 to 18 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. Participants will be recalled to return to the clinic for attachment placement, interproximal reduction as required. Orthodontic treatment will be provided by general dentist supervised remotely by orthodontists. Instructions will be provided via a pamphlet with illustrations. Instructions have been designed specifically for the study. The orthodontist will determine if treatment is complete.
Sponsors
Sydney Local Health District
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
8 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
1. SDH Patients on orthodontic waiting list from the participating rural and metropolitan LHDs 2. 8-18 years of age 3. Class I and II malocclusion (maximum ½ unit Class II) 4. Permanent Dentition 5. Severe crowding (Greater than or equal to 7 mm per arch) 6. No need for rapid maxillary expansion 7. Good oral hygiene and no periodontal problems 8. No congenital anomalies 9. Must have a smart phone 10. Willingness to provide informed consent and willingness to participate and comply with the study requirements. Inclusion criteria Positive and Negative Control Groups (Non-DM): 1. SDH Patients on orthodontic waiting list 2. 8-18 years of age 3. Class I and II malocclusion (maximum ½ unit Class II) 4. Permanent Dentition 5. Severe crowding (Greater than or equal to 7 mm per arch) 6. No need for rapid maxillary expansion 7. Good oral hygiene and no periodontal problems 8. No missing teeth 9. No congenital anomalies 10. Must have a smart phone. 11. Willingness to provide informed consent and willingness to participate and comply with the study requirements.
Exclusion criteria
1. Not available for follow-up 2. Severely ectopic/displaced teeth 3. Impacted canines requiring mechanical eruption 4. Significant medical history or medication that would adversely affect the development or structure of teeth or jaws and any subsequent tooth movement 5. Previous or current orthodontic or orthopaedic treatment 6. Orthopaedic treatment and/or maxillary expansion required 7. Craniofacial anomaly present 8. Hyperdontia or hypodontia 9. History of trauma, bruxism or parafunction 10. Past and/or present signs and symptoms of periodontal disease
Outcome results
None listed