Dental Hygiene
Conditions
Brief summary
Impact of a personalized video in oral hygiene motivation: The study hypothesis is that the use of a personalized oral hygiene video, made available to the patient via a cloud-based system, in conjunction with a text-based two-way recall system will increase patient compliance, hence leading to improvement or oral hygiene.
Detailed description
The strategy studied is composite: * First, a personalized video of the patient's oral hygiene routine (toothbrushing and interdental hygiene) is recorded and made available to him-her via a cloud-based system. The patient is instructed to view it with his-her smartphone and/or tablet when brushing his-her teeth. * Second, the patient is registered in a text-based recall system. This recall system will remind him-her the oral hygiene regimen suited to his-her personal situation and contains a link to his cloud-hosted video. 12 text messages for each patient will be sent over the course of the study (8 weeks). This is a two-way system as patients will be inquired about their compliance to oral hygiene. If the patient declare compliance, he-she will be congratulated (positive reinforcement). If the patient declares non-compliance, he-she will be informed he-she will be offered additional counselling at the next appointment.
Interventions
* First, a personalized video of the patient's oral hygiene routine (toothbrushing and interdental hygiene) is recorded and made available to him-her via a cloud-based system. The patient is instructed to view it with his-her smartphone and/or tablet when brushing his-her teeth. * Second, the patient is registered in a text-based recall system. This recall system will remind him-her the oral hygiene regimen suited to his-her personal situation and contains a link to his cloud-hosted video. 12 text messages for each patient will be sent over the course of the study (8 weeks). This is a two-way system as patients will be inquired about their compliance to oral hygiene. If the patient declare compliance, he-she will be congratulated (positive reinforcement). If the patient declares non-compliance, he-she will be informed he-she will be offered additional counselling at the next appointment.
traditional oral hygiene education
Sponsors
Study design
Intervention model description
* Allocation : Randomized (with stratification on center and gender) * Endpoint Classification : Safety/Efficacy Study * Intervention Model : Parallel Assignment * Masking : Double blind (Operator, Outcomes Assessor) * Primary Purpose : Prevention
Eligibility
Inclusion criteria
* 18 years old and older, having a good understanding of French language (read, write, speak, listen) * With at least 20 teeth, including 4 first molars and 4 first or second premolars (4 interdental sites between premolars and molars) * Patient attending an appointment in a centre participating to the trial * Patient able to support treatment * Patient affiliated to a health insurance scheme * Patient giving his informed consent and accepting the modalities of the study * Patient agreeing to attend up to 4 appointments dedicated to the study, during 8 weeks after the initial appointment (motivational interview) * Patient in possession of an internet-enabled smartphone or tablet * Patient has a personal e-mail address * Patient agreeing to be registered within the system of text-based recalls for the duration of the study
Exclusion criteria
* Patient having previously benefited from a periodontal therapy (less than 1 year ago) or currently enrolled in a periodontal therapy program * Patient having previously benefited from an oral hygiene motivation session less than 1 year ago * Patient has had a calculus removal procedure less than 1 month ago * Patient bears orthodontic appliances (any kind, for 1 or both arches) * Patient bears removable dental prosthesis (any kind, for 1 or both arches) * Patient allergic to benzoic acid preservatives (or thought to be) * Patient has a high risk of infective endocarditis * Patient benefiting from antiaggregant or anticoagulation therapy * Patient is haemophilic * Patient is unable to answer questions * Patient is unable (from a cognitive or physical standpoint) to perform toothbrushing twice a day * Patient is unable (from a cognitive or physical standpoint) to use interdental brushes and/or dental floss (at least once a day) * Patient uses on a regular basis (more than once a week) interdental brushes and/or dental floss in addition to toothbrushing * Patient under tutelage or guardianship * Patient deaf or blind * Non cooperative patient * Patient will be changing geographical location (ie. moving away) during the duration of the study, hence compromising follow-up visits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| O'Leary Plaque Control Record | 8 weeks | Measures the presence (1) or absence (0) of dental plaque on 6 sites per tooth for all teeth in mouth |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bleeding on Probing Index | 8 weeks | Measures the presence (1) or absence (0) of bleeding at the gingival margin up to 30 seconds after the insertion of the periodontal probe in the sulcus |
| Patient satisfaction | 8 weeks | Measured by a dedicated questionnaire |
| Patient motivation | 8 weeks | Measured by a dedicated questionnaire |
Countries
Belgium, France