Comparison of Mobile Application and Traditional Methods in Classification (CMATMCPP:ACS)

Comparison of Mobile Application and Traditional Methods in Classification of Periodontitis Patients: A Cross-Sectional Study

In this study, periodontal disease classifications of patients with periodontitis were performed using a mobile application and conventional methods. A total of 122 patients with periodontitis who presented to the Periodontology Clinic of the Faculty of Dentistry at Bolu Abant İzzet Baysal University were included in the study. The classification of periodontitis was carried out according to the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions and the EFP S3-level clinical practice guideline.

In the study, periodontal classification of 122 patients with periodontitis was performed using a mobile application (Peribrain) by a student, a clinical student (manual), and a clinician (manual). In the mobile application, the following parameters were assessed: age, presence of diabetes, smoking status, deepest periodontal pocket depth, interproximal attachment loss, tooth loss, furcation defects, bite collapse, tooth migration, radiographic interproximal bone loss (%), and vertical bone loss.

For classification, plaque index, gingival index, bleeding on probing, gingival recession, and clinical attachment level were measured in the patients. The results of the three groups were compared with each other.

Study Overview

• Status: Completed
• Conditions: Periodontal Disease (Diagnosis)
• Intervention / Treatment: Other: Classification

• Study Type: Observational
• Enrollment (Actual): 122

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Bolu, Turkey (Türkiye), 14030
    • Bolu Abant İzzet Baysal Üniversity

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Patients with periodontitis were included in the study.

Description

Inclusion Criteria:

• Participants aged between 18 and 65 years who were diagnosed with periodontitis
• Participants did not have any intellectual disabilities

Exclusion Criteria:

• Individuals with intellectual disability
• Individuals with severe suicidal tendency
• Individuals with dementia
• Individuals with psychosis
• Individuals receiving long-term corticosteroid therapy
• Pregnant or lactating individuals

Individuals who had received periodontal treatment within the past six months

Individuals currently using antibiotics

Individuals with uncontrolled systemic diseases

Study Plan

How is the study designed?

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
İntern group: Fifth-year dental studentswho performed for classification.; Periobrain: Fifth-year dental students using Periobrain for classification.	Other: Classification; Periodontal classifications performed manually and using a mobile application were compared.
Faculty member: Assistant professor who performed the classification.	Other: Classification; Periodontal classifications performed manually and using a mobile application were compared.
Periobrain: Fifth-year dental students using Periobrain for classification.; Faculty member: Assistant professor who performed the classification.	Other: Classification; Periodontal classifications performed manually and using a mobile application were compared.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Periodontal classification	Determination of the stage and grade of periodontitis according to the latest classification.	Baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
periodontal pocket depth (PPD)	Periodontal pocket depth measured in millimeters using a Williams periodontal probe. The distance from the gingival margin to the bottom of the periodontal pocket was recorded at each site.	Baseline
Bleeding on probing (BOP)	Bleeding on probing assessed using a periodontal probe. After gently inserting the probe into the gingival sulcus and moving it laterally along the pocket wall, bleeding was recorded as present (+) or absent (-).pocket and gently moved laterally along the pocket wall. + is maximum and - is minimum. + indicates a worse outcome.	Baseline
Plaque index (PI)	Oral hygiene status assessed using the Plaque Index, which measures dental plaque accumulation adjacent to the gingival margin. Scores range from 0 (no plaque) to 3 (abundant plaque), with higher scores indicating poorer oral hygiene.	Baseline
Gingival index (GI)	Gingival inflammation assessed using the Löe and Silness Gingival Index. Each site was scored on a 0-3 scale, where 0 = normal gingiva and 3 = severe inflammation with edema, redness, and spontaneous bleeding. Higher scores indicate worsening gingival inflammation.	Baseline
Clinical attachment level (CAL)	Clinical attachment level measured in millimeters using a periodontal probe. CAL was calculated as the distance from the cementoenamel junction to the bottom of the periodontal pocket and used to assess periodontal tissue support loss.	Baseline
Gingival recession (GR)	Gingival recession is the apical migration of the gingival margin away from the cemento-enamel junction (CEJ), resulting in the exposure of the root surface of a tooth.	Baseline

Collaborators and Investigators

• Sponsor: Tuğba ŞAHİN

Study record dates

Study Major Dates

• Study Start (Actual): November 20, 2024
• Primary Completion (Actual): December 20, 2025
• Study Completion (Actual): December 25, 2025

Study Registration Dates

• First Submitted: February 15, 2026
• First Submitted That Met QC Criteria: February 15, 2026
• First Posted (Actual): February 20, 2026

Study Record Updates

• Last Update Posted (Actual): February 24, 2026
• Last Update Submitted That Met QC Criteria: February 22, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Keywords: periodontitis; mobile application; classification
• Additional Relevant MeSH Terms: Mouth Diseases; Stomatognathic Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Periodontitis; Disease; Periodontal Diseases
• Other Study ID Numbers: BAIBU-DH-TS-06

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