Oral health Oral Health
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Dentate with a minimum of 18 scorable teeth 2. Without removable dental prostheses or fixed or removable orthodontic appliances 3. Average plaque score of =2.0 on the Turesky plaque index and >10% bleeding on probing (BOP) of all sites. Patients with =50% BOP will be excluded. 4. Willing and able to use a manual toothbrush. Patients currently using a power brush will be requested to use a manual brush for the duration of the study. 5. If assigned to the video OHI group, participannts must have a smartphone and be confident in re-playing recorded videos
Exclusion criteria
Exclusion criteria: 1. Medical condition and/or regular use of any medication which might affect the outcome of the study, as determined by the study dentist, principally a course of anti-inflammatory, antimicrobial or statin drugs 2. Has undergone periodontal surgery within the previous 2 years. 3. Secondary modifying factors in relation to periodontal disease (e.g. immunocompromised individuals and smokers, including e-cigarettes) 4. Any participant who, in the judgement of the investigator, should not participate in the study 5. An employee of the research team or student at each of the study sites 6. Patients who do not have a smart phone or have a smart phone but are unfamiliar with accessing recorded videos on their smartphone will not be included in the subset receiving the videoed oral health instruction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Bleeding on probing measured using the gingival bleeding index (BOP) at baseline and 12 weeks. BOP scores will be recorded at 4 sites around each eligible tooth at baseline and week 12. The scores will be measured using a 2-point scale, YES (bleeding observed) or NO (no bleeding observed). The proportion of bleeding sites compared to all examined sites will provide the percentage of bleeding per participant. 2. Plaque levels measured using the Modified Tureskey Index at baseline and 12 weeks. Plaque presence will be assessed at 4 sites per tooth of all eligible teeth and scored on a 5-point (0-5) scale. The total score recorded for all teeth is calculated, then divided by the number of tooth surfaces assessed, giving the Turesky score. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient perceptions of effectiveness of a viewing video instruction at home as part of their dental care assessed by questionnaire at 3 months after they initially receive the instruction 2. Patient attitudes to oral health assessed by questionnaire at baseline and 3 months | — |
Countries
England, United Kingdom