Periodontal disease Oral Health
Conditions
Interventions
Current interventions as of 10/06/2026:
The intervention will be an implementation strategy that will be codeveloped with key informants (clinical teams, service commissioners and patients) to addre
Sponsors
Queen Mary University of London
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Current key inclusion criteria as of 10/06/2026: 1. Work Package 1: Practice Recruitment 1.1. All general dental practices (GDPs) within the NHS North East London Integrated Care Board area — including City of London, Hackney, Tower Hamlets, Waltham Forest, Newham, Redbridge, Barking and Dagenham, and Havering — will be invited to participate. 1.2. To be eligible, GDPs must: 1.2.1. Have a cohort of at least 250 patients who regularly attend the practice. 1.2.2. Provide periodontal care under an active NHS contract. 1.2.3. Include a dental hygienist as part of the clinical team (i.e. they provide routine scaling and polishing in primary care). 2. Work Packages 1 and 2: Staff and Patient Recruitment 2.1. From each participating GDP, the following staff will be recruited: 2.1.1. At least one dentist 2.1.2. At least one dental hygienist 2.1.3. At least one receptionist involved in the administrative (e.g. referral process, booking appointments) and/or clinical management of periodontal patients 2.2. Up to two adult periodontal patients will also be recruited from each GDP. These patients should be at different stages of treatment. 3. Work Package 3: Patient Eligibility and Volume 3.1. Eligible GDPs should see at least one eligible patient with periodontal disease per week. _____ Previous key inclusion criteria: 1. Work Package 1: Practice Recruitment 1.1. All general dental practices (GDPs) within the NHS North East London Integrated Care Board area — including City of London, Hackney, Tower Hamlets, Waltham Forest, Newham, Redbridge, Barking and Dagenham, and Havering — will be invited to participate. 1.2. To be eligible, GDPs must: 1.2.1. Have a cohort of at least 250 patients who regularly attend the practice. 1.2.2. Provide periodontal care under an active NHS contract. 1.2.3. Include a dental hygienist as part of the clinical team (i.e. they provide routine scaling and polishing in primary care). 2. Work Packages 2 and 3: Staff and Patient Recruitment 2.1. From each participating GDP, the following staff will be recruited: 2.1.1. At least one dentist 2.1.2. At least one dental hygienist 2.1.3. At least one receptionist involved in the administrative (e.g. referral process, booking appointments) and/or clinical management of periodontal patients 2.2. Up to two adult periodontal patients will also be recruited from each GDP. These patients should be at different stages of treatment. 3. Work Package 4: Patient Eligibility and Volume 3.1. Eligible GDPs should see at least one eligible patient with periodontal disease per week.
Exclusion criteria
Exclusion criteria: GDPs that are not situated in the Northeast of London, do not see patients with periodontal disease or do not provide treatment for periodontal patients Children or adult patients without periodontal disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome(s) as of 10/06/2026: The feasibility study (WP3) will evaluate implementation outcomes using the RE-AIM framework. The following indicators will be measured for each RE-AIM domain (including their corresponding timing during the 12-month life of the feasibility study): 1. Reach: numbers of periodontal patients who were approached and deemed eligible, recruitment rates, and reasons for non-participation (measured after all patients have been recruited) 2. Effectiveness: proportion of engaging patients after step 1, engaging patients with periodontitis remission/control (probing pocket depth <4 mm) and stable periodontitis (probing pocket depth = 4 mm and no bleeding on probing) after step 2, and appropriate referrals to specialised services (measured after each step of periodontal treatment) 3. Adoption (uptake): participation rates at GDP-level and clinical staff-level, reasons for non-participation, and representativeness of participating GDPs and clinical staff (measured after the recruitment stage is completed) 4. Implementation: adaptations made to the implementation strategy, consistency of its delivery across GDPs and clinical staff, and direct costs of implementing the strategy (measured at 12 months). A full economic evaluation will not be carried out, only the feasibility of collecting such data 5. Maintenance: patients’ attendance to maintenance recalls (attrition rate), comparison of the characteristics of recall attenders versus non-attenders and the number of periodontal patients that were treated as per the BSP guidelines after recruitment targets were achieved (measured at 12 months) The above quantitative indicators will be complemented with qualitative data from interviews with members of the clinical team (dentists, dental hygienists and receptionists) and patients to gather in-depth information on the different domains of the RE-AIM framework. _____ Previous primary outcome(s) The feasibility study (WP4) will evalu | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
England, United Kingdom
Contacts
Public ContactAalia Karamat
Outcome results
None listed