White Spot Lesions, Dental Plaque, Oral Hygiene, Oral Health
Conditions
Keywords
Oral hygiene, Reminders
Brief summary
This randomized controlled trial aims to evaluate the effectiveness of artificial intelligence-generated WhatsApp reminders on improving oral hygiene practices among individuals aged 20-40 years visiting the periodontal clinic at El-Qasr El-Ainy Dental Hospital. Participants will be randomly assigned to either receive health education followed by AI-generated WhatsApp reminders over a 3-month period or to a control group receiving health education only. The primary outcome is the presence of white spot lesions, assessed using the modified Gorelick White Spot Lesion (WSL) index. Secondary outcomes include the presence of dental plaque, measured by the Plaque Index (PI). This study seeks to determine whether AI-generated reminders can enhance oral hygiene adherence compared to standard health education alone.
Interventions
Participants will receive dental health education in a one to one personal session followed by Text messages generated by AI large language model (ChatGPT free version) about oral hygiene practices for three month in a tapering frequency. These messages will be designed based on Fogg's Behavior Model, focusing on enhancing motivation, ability, and providing clear triggers for action.
Oral health education in a one to one session explaining the importance of oral hygiene measures and demonstrating teeth brushing techniques and healthy dietary guidelines and recommendations.
Sponsors
Study design
Masking description
To maintain blinding in my study, I will implement the following steps: Supervisor-Managed Allocation: My supervisor will independently assign participants to either the intervention or control group. Each participant will receive a unique code corresponding to their group assignment, ensuring I remain unaware of their allocation. Automated Messaging System: I will set up an automated system to send WhatsApp reminders based on the codes assigned. This system will operate without revealing to me which participants receive the messages, preserving the blinding.
Eligibility
Inclusion criteria
* Received a non-surgical periodontal treatment and oral hygiene instructions. * Own a smartphone with WhatsApp installed. * Willing and able to provide informed consent to participate in the study.
Exclusion criteria
* Individuals with pre-existing oral health conditions requiring specialized care. * Patients who received surgical periodontal interventions. * Participation in another oral health or diet-related study. * Individuals who do not use WhatsApp or are unwilling to receive messages through the platform.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| White Spot Lesion in the oral cavity | 3 Months | Presence of white spot lesions which will be measured by the modified Gorelick WSL index (Gorelick et al., 1982) which uses categorical scoring system from 0-3. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Presence of Plaque | 3 Months | Presence of dental plaque which will be measured using the Plaque Index (PI) (Silness & Löe, 1964) measured as percentage (%) of tooth surfaces with plaque. |