Oral Hygiene, White Spot Lesion, Gingivitis
Conditions
Brief summary
This study will compare the use of text message reminders versus multiple in-person sessions of oral hygiene instructions and motivation on improving oral hygiene measurements.
Detailed description
Orthodontic treatment (i.e. braces) makes it hard to keep good oral hygiene. The purpose of this research study is to compare the use of text message reminders versus multiple in-person sessions of oral hygiene instructions and motivation on improving oral hygiene measurements. Participation in this study will last up to 6 months and will consist of 4 study visits to the VCU Orthodontic clinic which are also regular visits for treatment. Measurements to assess participant's oral health will be taken during these visits. Participants will be randomly assigned to 1 of 4 groups which may include receiving different types of text messages, repeated in-person oral hygiene instructions, or both, or neither.
Interventions
Oral hygiene instructions and motivation
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 11-20 that have their own mobile device 2. Patients have cellular plan that allows them to receive text messages at no extra cost 3. Patients that will undergo treatment with full fixed appliances
Exclusion criteria
1. patients with significant medical or dental history, including patients with bleeding disorders that would require antibiotic prophylaxis 2. Pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in 3-item Bleeding Index (BI) | Initial visit to 4 - 6 weeks | Dental examiner observation of gum bleeding during exam after wires have been removed and participant has brushed teeth. Ratings are 0=absence of bleeding after 30 seconds, 1=bleeding observed after 30 seconds, 2=immediate bleeding |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in 5-item Modified Gingival Index (MGI) | Initial visit to 4 - 6 weeks | Dental examiner observation of inflammation during exam after wires have been removed and participant has brushed teeth. Ratings are 0=Absence of inflammation, 1=Mild inflammation (marginal or papillary unit), 2=Mild inflammation (entire marginal and papillary unit), 3=Moderate inflammation, 4=severe inflammation |
| Change in 6 item Plaque index (PI) | Initial visit to 4 - 6 weeks | Dental examiner observation of plaque during exam after wires have been removed and participant has brushed teeth. Ratings are 0= no plaque, 1=Discontinuous band of plaque at gingival margin, 2=Up to 1-mm continuous band of plaque at gingival margin, 3=Band of plaque wider than 1 mm but less than 1/3 of surface, 4=Plaque covering between 1/3 and 2/3 of surface, 5=Plaque covering 2/3 or more of surface |
Countries
United States