- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05418322
The Effects of Oral Hygiene Interventions Prior Orthodontic Treatment in Adults
The Effects of Oral Hygiene Interventions Prior Orthodontic Treatment in Adults-A Randomized Clinical Trial
Orthodontic treatment has many recognized benefits such as enhancing esthetics and improving self-esteem in patients. However, like any other dental treatments, a successful orthodontic treatment requires patient cooperation, especially oral hygiene compliance.
Dental plaque that builds upon the orthodontic brackets in a poor oral environment consists of pathogenic biofilms that can lead to undesirable complications such as white spot lesions, gingivitis, and periodontal breakdown. Poor oral hygiene during orthodontic treatment often results in poor treatment quality and prolonged treatment duration. Fixed appliances increase the retention areas for plaque accumulation and this often makes maintaining good oral hygiene a challenge for the patients. Therefore, effective oral hygiene interventions are key in improving patients' knowledge, influencing good oral hygiene behaviors and ensuring patients can exercise good practices daily at home.
Oral hygiene education given to prospective orthodontic patients will allow them to understand their role and responsibilities in maintaining good oral care during treatment. This will help instill lasting good oral hygiene habits that can be maintained during the fixed appliance stage of treatment, thus reducing possible future treatment complications.
In this study, the investigators evaluate the effects of verbal and video-assisted oral hygiene interventions on patients' oral hygiene prior to orthodontic treatment.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The present study evaluates the effectiveness of different oral hygiene interventions on patients' oral hygiene prior to orthodontic treatment.
Participants will be recruited from the Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University Malaya and will be selected from the postgraduate orthodontic treatment waiting list.
Patients meeting the selection criteria will be offered the opportunity to participate in the study during the visit prior to the orthodontic appliance placement. The participants will be equally distributed into two groups as follows:
Group 1: Verbal oral hygiene intervention
Group 2: Video-assisted oral hygiene intervention
A block randomization technique with 1:1 ratio of 5:5:5:5 fixed block sizes with no stratification will be used to randomly allocate the participants into the two interventions.
After baseline recording, full mouth supragingival scaling and treatments to remove any plaque retentive factor will be given to participants with the following measure:
i) Baseline full mouth plaque score >10% or ii) Baseline full mouth bleeding score >10%
Following treatment, each participant from group 1 will be given oral hygiene instruction verbally by a clinician face to face. In contrast, each participant from group 2 will be required to watch a pre-recorded oral hygiene instruction video via a tablet in a separate room away from the clinician. The oral hygiene instructions given in the two methods will be prepared in Bahasa Malaysia and English versions with the same content to avoid bias.
The aim of the study is to evaluate the effects of verbal and video-assisted oral hygiene interventions on patients' oral hygiene prior to orthodontic treatment.
The objectives of the study are:
- To determine the changes in Full-mouth Plaque Score (FMPS) and Full-mouth Bleeding Score (FMBS) for both verbal and video groups after receiving oral hygiene instruction.
- To compare the outcomes of Full-mouth Plaque Score (FMPS) and Full-mouth Bleeding Score (FMBS) between patients receiving verbal and video-assisted oral hygiene instruction.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Kuala Lumpur, Malaysia, 50603
- universiti malaya
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age ≥18 years old
- Plan to undergo orthodontic treatment and is eligible for orthodontic treatment with fixed appliances.
- Clinical gingival health (<10% bleeding score) or localized gingivitis (10%-30% bleeding score) or generalized gingivitis (>30% bleeding score)
- Presence of BPE code 0/1/2 with no obvious evidence of interdental recession
- Have at least 20 teeth
- Able to understand Bahasa Malaysia and English languages
Exclusion Criteria:
- Presence of BPE code 3/4
- Current or previous history of periodontitis
- Smokers
- Severe or chronic illnesses (such as diabetes, cardiovascular diseases, stroke, etc)
- Physically impaired
- Orofacial deformities
- History of previous orthodontic treatment
- Intake of antibiotics within 6 months before and during the study period
- Taking drugs that influence gingival inflammation or bleeding (eg anticoagulants, cortisone)
- Pregnant or breastfeeding
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Verbal Oral Hygiene Intervention
Each participant will be given oral hygiene instruction verbally by a clinician face to face.
|
The oral hygiene instructions given in the two methods will be prepared in Bahasa Malaysia and English versions with the same content to avoid bias.
The oral hygiene education will be validated by three dental specialists.
A similar large dental teeth model and toothbrush will be used for the purpose of oral hygiene demonstration.
|
Other: Video-assisted Oral Hygiene Intervention
Each participant will be required to watch a pre-recorded oral hygiene instruction video via a tablet in a separate room away from the clinician
|
The oral hygiene instructions given in the two methods will be prepared in Bahasa Malaysia and English versions with the same content to avoid bias.
The oral hygiene education will be validated by three dental specialists.
A similar large dental teeth model and toothbrush will be used for the purpose of oral hygiene demonstration.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes between the Full Mouth Plaque Score(FMPS) measurement at baseline (T0), at 2 weeks (T1), and at 4 weeks (T2) after the intervention
Time Frame: Baseline, 2 weeks and 4 weeks
|
Presence or absence of plaque deposits on each tooth surface (mesial, distal, buccal and lingual/palatal) in the dentition is recorded in a dichotomous manner.
The plaque deposits will be disclosed using a disclosing solution to facilitate their detection.
The presence of plaque is recorded in a plaque chart.
|
Baseline, 2 weeks and 4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Full Mouth Bleeding Score (FMBS) at baseline (T0) and at 4 weeks post intervention (T2)
Time Frame: Baseline and 4 weeks
|
Presence or absence of gingival bleeding on each tooth surface (mesial, distal, buccal and lingual/palatal) in the dentition is recorded in a dichotomous manner.
The FMBS will be performed through gentle probing of the gingival crevice on each tooth surface.
A positive finding will be recorded if bleeding occurs within 10 seconds.
The presence of bleeding is recorded in a FMBS chart.
|
Baseline and 4 weeks
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Axelsson P, Nystrom B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol. 2004 Sep;31(9):749-57. doi: 10.1111/j.1600-051X.2004.00563.x.
- Lew KK. Attitudes and perceptions of adults towards orthodontic treatment in an Asian community. Community Dent Oral Epidemiol. 1993 Feb;21(1):31-5. doi: 10.1111/j.1600-0528.1993.tb00715.x.
- Soldo M, Matijevic J, Malcic Ivanisevic A, Cukovic-Bagic I, Marks L, Nikolov Boric D, Jukic Krmek S. Impact of oral hygiene instructions on plaque index in adolescents. Cent Eur J Public Health. 2020 Jun;28(2):103-107. doi: 10.21101/cejph.a5066.
- Cardoso Mde A, Saraiva PP, Maltagliati LA, Rhoden FK, Costa CC, Normando D, Capelozza Filho L. Alterations in plaque accumulation and gingival inflammation promoted by treatment with self-ligating and conventional orthodontic brackets. Dental Press J Orthod. 2015 Mar-Apr;20(2):35-41. doi: 10.1590/2176-9451.20.2.035-041.oar.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- PheyLing UMalaya
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Oral Hygiene
-
Riyadh Colleges of Dentistry and PharmacyUnknown
-
University of BarcelonaCompleted
-
GlaxoSmithKlineCompletedOral HygieneUnited States
-
San Diego State UniversityVista Community ClinicCompleted
-
Virginia Commonwealth UniversityDentaQuest Institute, Inc.WithdrawnOral Hygiene
-
Riyadh Colleges of Dentistry and PharmacyUnknown
-
GlaxoSmithKlineCompleted
Clinical Trials on Oral Hygiene Intervention
-
University of Mississippi Medical CenterCompletedEsophageal Cancer | Lung CancerUnited States
-
Wake Forest University Health SciencesCompletedHead and Neck Cancer | Radiation Toxicity | Radiation-Induced Xerostomia | Oral Complications of Chemotherapy and Head/Neck RadiationUnited States
-
The University of Hong KongCompleted
-
University of California, IrvineLivionex IncCompletedPeriodontitis | Gingivitis | Dental PlaqueUnited States
-
University of BaghdadNot yet recruitingElectronic Cigarette Use | Plaque Induced Gingivitis
-
Cukurova UniversityCompleted
-
Shanghai Ninth People's Hospital Affiliated to...Completed
-
University of CopenhagenDeerland Probiotics and EnzymesCompleted
-
University of Sao Paulo General HospitalUnknown
-
Virginia Commonwealth UniversityCompletedGingivitis | Oral Hygiene | White Spot LesionUnited States