- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06897033
AI-Generated WhatsApp Reminders vs. No Reminders: Impact on Oral Health in Young Adults
March 27, 2025 updated by: Mohamed Mostafa Kamel, Cairo University
Effect of Artificial Intelligence-Generated WhatsApp Reminders Compared to No Reminders on Oral Health Among Young Adults: A Randomized Controlled Trial
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.
Study Overview
Status
Not yet recruiting
Study Type
Interventional
Enrollment (Estimated)
60
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Mohamed Mostafa Kamel Khaleil, Bachelor of Dental Surgery
- Phone Number: 00201060922999
- Email: mohamed_moustafa@dentistry.cu.edu.eg
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
- Adult
Accepts Healthy Volunteers
Yes
Description
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.
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
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Health Education followed by Whatsapp AI-Generated Reminders Group
This arm will receive oral health education followed by Whatsapp AI-generated text messages as reminders design to motivate, uplift self efficacy and remind individuals to practice good oral hygiene measures over the course of 3 months.
|
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.
|
|
Active Comparator: Health Education Only
This group will receive personal health education session only.
|
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.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
White Spot Lesion in the oral cavity
Time Frame: 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.
|
3 Months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Presence of Plaque
Time Frame: 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.
|
3 Months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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
- SILNESS J, LOE H. PERIODONTAL DISEASE IN PREGNANCY. II. CORRELATION BETWEEN ORAL HYGIENE AND PERIODONTAL CONDTION. Acta Odontol Scand. 1964 Feb;22:121-35. doi: 10.3109/00016356408993968. No abstract available.
- LOE H, SILNESS J. PERIODONTAL DISEASE IN PREGNANCY. I. PREVALENCE AND SEVERITY. Acta Odontol Scand. 1963 Dec;21:533-51. doi: 10.3109/00016356309011240. No abstract available.
- Albandar JM, Rams TE. Global epidemiology of periodontal diseases: an overview. Periodontol 2000. 2002;29:7-10. doi: 10.1034/j.1600-0757.2002.290101.x. No abstract available.
- Eppright M, Shroff B, Best AM, Barcoma E, Lindauer SJ. Influence of active reminders on oral hygiene compliance in orthodontic patients. Angle Orthod. 2014 Mar;84(2):208-13. doi: 10.2319/062813-481.1. Epub 2013 Sep 12.
- Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod. 1982 Feb;81(2):93-8. doi: 10.1016/0002-9416(82)90032-x.
- Abou El Fadl RK, Abdel Fattah MA, Helmi MA, Wassel MO, Badran AS, Elgendi HAA, Allam MEE, Mokhtar AG, Saad Eldin M, Ibrahim EAY, Elgarba BM, Mehlis M. Periodontal diseases and potential risk factors in Egyptian adult population-Results from a national cross-sectional study. PLoS One. 2021 Nov 3;16(11):e0258958. doi: 10.1371/journal.pone.0258958. eCollection 2021.
- Brigden A, Anderson E, Linney C, Morris R, Parslow R, Serafimova T, Smith L, Briggs E, Loades M, Crawley E. Digital Behavior Change Interventions for Younger Children With Chronic Health Conditions: Systematic Review. J Med Internet Res. 2020 Jul 31;22(7):e16924. doi: 10.2196/16924.
- Fogg BJ. A behavior model for persuasive design. Proceedings of the 4th International Conference on Persuasive Technology. New York: ACM; 2009. p. 40.
- Gentili A, Failla G, Melnyk A, Puleo V, Tanna GLD, Ricciardi W, Cascini F. The cost-effectiveness of digital health interventions: A systematic review of the literature. Front Public Health. 2022 Aug 11;10:787135. doi: 10.3389/fpubh.2022.787135. eCollection 2022.
- Kumar GS, Kashyap A, Raghav S, Bhardwaj R, Singh A, Guram G. Role of Text Message Reminder on Oral Hygiene Maintenance of Orthodontic Patients. J Contemp Dent Pract. 2018 Jan 1;19(1):98-101. doi: 10.5005/jp-journals-10024-2219.
- Mekhemar M, Ebeid K, Attia S, Dorfer C, Conrad J. Oral Health Attitudes among Preclinical and Clinical Dental Students: A Pilot Study and Self-Assessment in an Egyptian State-Funded University. Int J Environ Res Public Health. 2020 Dec 30;18(1):234. doi: 10.3390/ijerph18010234.
- Orth M, Averina M, Chatzipanagiotou S, Faure G, Haushofer A, Kusec V, Machado A, Misbah SA, Oosterhuis W, Pulkki K, Twomey PJ, Wieland E. Opinion: redefining the role of the physician in laboratory medicine in the context of emerging technologies, personalised medicine and patient autonomy ('4P medicine'). J Clin Pathol. 2019 Mar;72(3):191-197. doi: 10.1136/jclinpath-2017-204734. Epub 2017 Dec 22.
- Pubalan S, Zi Hong O, Yongxian T, Mabel L. Assessing effectiveness of WhatsApp messaging program in oral hygiene care for orthodontic patients: A randomised controlled trial. J Orthod. 2024 Dec;51(4):407-414. doi: 10.1177/14653125241230561. Epub 2024 Feb 17.
- Ross MC, Campbell PM, Tadlock LP, Taylor RW, Buschang PH. Effect of automated messaging on oral hygiene in adolescent orthodontic patients: A randomized controlled trial. Angle Orthod. 2019 Mar;89(2):262-267. doi: 10.2319/040618-260.1. Epub 2018 Dec 5.
- Samvel Mkhitaryan, Philippe J. Giabbanelli, Nanne K. de Vries, Rik Crutzen. Dealing with complexity: How to use a hybrid approach to incorporate complexity in health behavior interventions. Intelligence-Based Medicine. 2020; 3-4: 1-13.
- Saxena K, Gunjal S. Influence of WhatsApp and electronic mail reminders on oral hygiene compliance of orthodontic patients using planimetry : A randomized clinical trial. J Orofac Orthop. 2022 Jul;83(4):269-276. doi: 10.1007/s00056-021-00301-6. Epub 2021 May 4.
- 17. Splieth CH. Prevention of periodontal disease in children and adolescents. Int J Paediatr Dent. 2005 Jan;15(1):7-13.
- Senocak I, Camci H. Effect of various active reminders via mobile phone on cooperation of orthodontic teenage patients regarding oral hygiene and Class II elastics use : A three-month follow-up prospective cohort study. J Orofac Orthop. 2024 Sep 14. doi: 10.1007/s00056-024-00549-8. Online ahead of print.
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 (Estimated)
May 1, 2025
Primary Completion (Estimated)
September 1, 2025
Study Completion (Estimated)
September 1, 2025
Study Registration Dates
First Submitted
March 20, 2025
First Submitted That Met QC Criteria
March 20, 2025
First Posted (Actual)
March 26, 2025
Study Record Updates
Last Update Posted (Actual)
April 2, 2025
Last Update Submitted That Met QC Criteria
March 27, 2025
Last Verified
March 1, 2025
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- OPER 1-3-2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
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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