- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05068778
Development of an AI App to Improve Compliance in Periodontal Maintenance Patients
May 25, 2022 updated by: McGuire Institute
Development of an Artificial Intelligence Platform / Digital Dental Hygienist to Improve Compliance in Periodontal Maintenance Patients
An Artificial Intelligence platform to develop an app which improves compliance in periodontal treatments
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
To develop the accuracy of an AI-determined decision-making process for compliance score (CS) assignment, to assess clinical efficacy, and develop patient reported outcomes of AI-facilitated communication / education on a subject's oral health behaviors over successive maintenance visits.
Study Type
Observational
Enrollment (Actual)
50
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Nebraska
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La Vista, Nebraska, United States, 68128
- Metro West Orthodontics & Periodontics
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-
Texas
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Houston, Texas, United States, 77063-7229
- Perio Health Professionals
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
N/A
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
50 subjects minimum, 18-75 years of age, treated for periodontitis in a private practice who are currently following a periodontal maintenance regimen.
Description
Inclusion Criteria:
- Subjects 18 to 75-yrs of age
- Subjects with diagnosis and treatment of Generalized and/or Localized Periodontitis Stages I, II, or III; grades A-C and or Peri-implantitis (Generalized Mild, Moderate, or Advanced Chronic Periodontitis) who are following a periodontal maintenance interval of every three months.
- Subjects are able to provide self-care (oral hygiene) without disabilities requiring assistance with daily oral hygiene measures.
- Subjects will have read, understood and signed an institutional review board (IRB) approved Informed Consent Form (ICF).
- Subjects must be able and willing to follow study procedures and instructions.
Exclusion Criteria:
- Subjects who do not own or are incapable of interacting with a smart phone or device
- Subjects who are incapable of operating an application on a smart phone or device
- Subjects who are not compliant with periodontal maintenance / recall intervals (Based on Wilson's classification as any lack of compliance with their recommended maintenance interval- therefore exclude subjects who demonstrate erratic compliance or noncompliance)18
- Subjects who require active periodontal therapy during the study
- Subjects who are on immunosuppressive medications, chemotherapy, or radiation therapy which would adversely affect their periodontal stability.
- Subjects participating in other clinical studies involving therapeutic intervention (either medical or dental).
Subjects, who in the opinion of the investigator, for any reason other than those listed above, will not be able to complete the study per protocol.
-
Exclusion Criteria:
-
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To identify the input variables the AI utilizes to arrive at CS assignment and message selection for subject interaction via DDH app
Time Frame: through study completion, approximately 7 months
|
Digital hygiene app will provide messages to subjects via their smartphone regarding their their lst maintenance appointment and throughout the study.
|
through study completion, approximately 7 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Compliance Score Accuracy
Time Frame: 6 months
|
the increase the compliance score ant 3 and 6 months after subject begins use of the AI app
|
6 months
|
change in recession
Time Frame: 6 months
|
number of subjects with a lesser degree of recession from baseline to end of study due to increased subject compliance
|
6 months
|
change in probing depth
Time Frame: 6 months
|
number of subjects with a lesser probing depth from baseline to end of study due to increased subject compliance
|
6 months
|
change in clinical attachment level
Time Frame: 6 months
|
number of subjects with improved clinical attachment level due to increased subject compliance
|
6 months
|
change in gingival inflammation
Time Frame: 6 months
|
number of subjects with a reduction in gingival inflammation due to increased subject compliance
|
6 months
|
decrease mobility
Time Frame: 6 months
|
number of subjects showing a decreased degree of tooth mobility due to increased subject compliance
|
6 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
PRO
Time Frame: 6 months
|
PRO for subject experience using the AI app system
|
6 months
|
Subject demographics
Time Frame: 6 months
|
determination of demographics on subjects with periodontal disease
|
6 months
|
AI generated surveys
Time Frame: 6 months
|
survey to determine subjects progress, risk disease, oral hygiene needs, coping and goal setting abilities, and compliance
|
6 months
|
Hygienist In office subject survey
Time Frame: 6 months
|
to measure subjects hygiene and other life events (e.g.
work stress)
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Study Director: Rick Heard, DDS, The McGuire Institute
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- O'Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol. 1972 Jan;43(1):38. doi: 10.1902/jop.1972.43.1.38. No abstract available.
- Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018 Jun;89 Suppl 1:S159-S172. doi: 10.1002/JPER.18-0006. Erratum In: J Periodontol. 2018 Dec;89(12):1475.
- Free C, Knight R, Robertson S, Whittaker R, Edwards P, Zhou W, Rodgers A, Cairns J, Kenward MG, Roberts I. Smoking cessation support delivered via mobile phone text messaging (txt2stop): a single-blind, randomised trial. Lancet. 2011 Jul 2;378(9785):49-55. doi: 10.1016/S0140-6736(11)60701-0.
- Newton JT, Asimakopoulou K. Managing oral hygiene as a risk factor for periodontal disease: a systematic review of psychological approaches to behaviour change for improved plaque control in periodontal management. J Clin Periodontol. 2015 Apr;42 Suppl 16:S36-46. doi: 10.1111/jcpe.12356.
- Tonetti MS, Eickholz P, Loos BG, Papapanou P, van der Velden U, Armitage G, Bouchard P, Deinzer R, Dietrich T, Hughes F, Kocher T, Lang NP, Lopez R, Needleman I, Newton T, Nibali L, Pretzl B, Ramseier C, Sanz-Sanchez I, Schlagenhauf U, Suvan JE. Principles in prevention of periodontal diseases: Consensus report of group 1 of the 11th European Workshop on Periodontology on effective prevention of periodontal and peri-implant diseases. J Clin Periodontol. 2015 Apr;42 Suppl 16:S5-11. doi: 10.1111/jcpe.12368.
- Shapiro SC. Encyclopedia of Artificial Intelligence. New York: Wiley; 1992.
- Park WJ, Park JB. History and application of artificial neural networks in dentistry. Eur J Dent. 2018 Oct-Dec;12(4):594-601. doi: 10.4103/ejd.ejd_325_18.
- Jackson P. Introduction to Expert Systems. London: Addison Wesley; 1986
- Khanna S. Artificial intelligence: contemporary applications and future compass. Int Dent J. 2010 Aug;60(4):269-72.
- Xie X, Wang L, Wang A. Artificial neural network modeling for deciding if extractions are necessary prior to orthodontic treatment. Angle Orthod. 2010 Mar;80(2):262-6. doi: 10.2319/111608-588.1.
- Kim EY, Lim KO, Rhee HS. Predictive modeling of dental pain using neural network. Stud Health Technol Inform. 2009;146:745-6.
- Reddy MS, Shetty SR, Shetty RM, Vannala V, Sk S. Future of periodontics lies in artificial intelligence: Myth or reality? J Investig Clin Dent. 2019 Nov;10(4):e12423. doi: 10.1111/jicd.12423. Epub 2019 May 23. No abstract available.
- Wilson TG Jr, Glover ME, Malik AK, Schoen JA, Dorsett D. Tooth loss in maintenance patients in a private periodontal practice. J Periodontol. 1987 Apr;58(4):231-5. doi: 10.1902/jop.1987.58.4.231.
- Miyamoto T, Kumagai T, Jones JA, Van Dyke TE, Nunn ME. Compliance as a prognostic indicator: retrospective study of 505 patients treated and maintained for 15 years. J Periodontol. 2006 Feb;77(2):223-32. doi: 10.1902/jop.2006.040349.
- McGuire MK, Nunn ME. Prognosis versus actual outcome. III. The effectiveness of clinical parameters in accurately predicting tooth survival. J Periodontol. 1996 Jul;67(7):666-74. doi: 10.1902/jop.1996.67.7.666.
- Needleman I, Nibali L, Di Iorio A. Professional mechanical plaque removal for prevention of periodontal diseases in adults--systematic review update. J Clin Periodontol. 2015 Apr;42 Suppl 16:S12-35. doi: 10.1111/jcpe.12341.
- Asimakopoulou K, Nolan M, McCarthy C, Newton JT. The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. J Periodontol. 2019 Sep;90(9):948-956. doi: 10.1002/JPER.18-0385. Epub 2019 Apr 17.
- Amerio E, Mainas G, Petrova D, Giner Tarrida L, Nart J, Monje A. Compliance with supportive periodontal/peri-implant therapy: A systematic review. J Clin Periodontol. 2020 Jan;47(1):81-100. doi: 10.1111/jcpe.13204. Epub 2019 Nov 13.
- Asimakopoulou K, Newton JT, Daly B, Kutzer Y, Ide M. The effects of providing periodontal disease risk information on psychological outcomes - a randomized controlled trial. J Clin Periodontol. 2015 Apr;42(4):350-5. doi: 10.1111/jcpe.12377. Epub 2015 Mar 24.
- Wilson TG Jr, Glover ME, Schoen J, Baus C, Jacobs T. Compliance with maintenance therapy in a private periodontal practice. J Periodontol. 1984 Aug;55(8):468-73. doi: 10.1902/jop.1984.55.8.468.
- Miller SC. Textbook of Periodontia: Philadelphia, Blakiston; 1938
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 10, 2021
Primary Completion (Anticipated)
January 30, 2023
Study Completion (Anticipated)
June 1, 2023
Study Registration Dates
First Submitted
August 27, 2021
First Submitted That Met QC Criteria
September 24, 2021
First Posted (Actual)
October 6, 2021
Study Record Updates
Last Update Posted (Actual)
May 26, 2022
Last Update Submitted That Met QC Criteria
May 25, 2022
Last Verified
May 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Asua 001-2020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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