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Personalized 3D Visualization for Oral Hygiene and Motivation in Adults With Gingivitis

2026년 9월 14일 업데이트: Zeynep AKGÜL, Abant Izzet Baysal University

This study evaluated whether personalized three-dimensional images of possible future changes in the gums could improve oral hygiene and motivation in adults with gingivitis. Gingivitis is inflammation of the gums associated with dental plaque.

Eighty-four adults aged 18-60 years were randomly assigned to three groups of 28 participants. The groups received conventional oral hygiene education, general three-dimensional educational animations, or personalized three-dimensional visualization using models created from their own intraoral scans. All participants received the same nonsurgical periodontal treatment and instruction in toothbrushing and cleaning between the teeth.

The personalized images illustrated possible gum recession and tissue changes if periodontal care and daily plaque control were neglected. They were educational scenarios, not individual predictions of future disease. Personalized visualization was accompanied by a clinician-guided motivational discussion.

Dental plaque, gum inflammation, gum bleeding, and motivation toward dental treatment were assessed before treatment and six weeks later. The study compared these outcomes among the three educational approaches.

연구 개요

연구 유형

중재적

등록 (실제)

88

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

    • Central
      • Bolu, Central, 터키 (Türkiye), 14100
        • Faculty of Dentistry, Bolu Abant İzzet Baysal University, Department of Periodontics

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 성인

건강한 자원 봉사자를 받아들입니다

예

설명

Inclusion Criteria:

  • Adults aged 18-60 years. Systemically healthy. Diagnosis of gingivitis according to the 2017 World Workshop classification. At least 20 natural teeth, excluding third molars. At least 12 years of formal education. Turkish as the native language. Probing depths ≤3 mm. Bleeding on probing at more than 10% of sites. Visible plaque at more than 50% of sites. Provision of written informed consent.

Exclusion Criteria:

  • Dentists or dental students. Previous periodontal treatment or structured oral hygiene education. Use of antibiotics or nonsteroidal anti-inflammatory drugs within the preceding 3 months.

Generalized gingival recession or dentin hypersensitivity. Full-arch fixed or removable prostheses. Acute odontogenic infections. Overhanging or defective restorations, or root caries that could affect oral hygiene practices.

Active orthodontic treatment. Communicable diseases such as hepatitis or HIV infection. Cognitive, systemic, or physical conditions that could interfere with understanding the educational content or performing oral hygiene practices.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 더블

무기와 개입

참가자 그룹 / 팔
개입 / 치료
활성 비교기: Conventional Method (CM)
Participants received nonsurgical periodontal treatment and conventional face-to-face oral hygiene education supported by practical demonstrations using a dental model and a written information leaflet. Education covered periodontal disease, dental plaque, and daily oral hygiene practices, including the modified Bass toothbrushing technique and appropriate interdental cleaning.
Face-to-face education delivered by a clinician using a dental model and a written information leaflet. The content covered the causes of periodontal diseases, the role of dental plaque, and daily oral hygiene practices. Participants received instruction in the modified Bass toothbrushing technique and appropriate interdental cleaning.
활성 비교기: Three-Dimensional Animation (3DA)
Participants received nonsurgical periodontal treatment and clinician-guided oral hygiene education using DentalMaster three-dimensional educational software. The educational content covered the causes and clinical signs of periodontal diseases, periodontal treatment, and daily oral care. General three-dimensional animations illustrated potential gingival recession, periodontal tissue loss, and tooth loss associated with inadequate plaque control. Participants were instructed in the modified Bass toothbrushing technique and appropriate interdental cleaning.
Clinician-guided oral hygiene education using DentalMaster three-dimensional educational software. The content covered the causes and clinical signs of periodontal diseases, periodontal treatment, and daily oral care. General three-dimensional animations illustrated potential gingival recession, periodontal tissue loss, and tooth loss associated with inadequate plaque control. Participants received instruction in the modified Bass toothbrushing technique and appropriate interdental cleaning.
활성 비교기: Periodontal Disease Prediction (PDP)
Participants received nonsurgical periodontal treatment and clinician-guided education on periodontal disease and daily oral care. Personalized three-dimensional dentogingival models generated from their intraoral scans using the Periodontal Disease Prediction (PDP) system illustrated potential gingival recession and visible tissue changes if periodontal care and plaque control were neglected. Images were presented as conditional educational scenarios, not individualized prognostic predictions. Visualization was accompanied by a motivational discussion addressing personal goals and barriers to oral hygiene. Participants were instructed in the modified Bass toothbrushing technique and appropriate interdental cleaning.
Participants viewed general educational animations about periodontal disease, treatment, and daily oral care, followed by personalized three-dimensional dentogingival models generated from their own intraoral scans using the Periodontal Disease Prediction (PDP) system. The models illustrated potential gingival recession and visible periodontal tissue changes if periodontal care and daily plaque control were neglected. These images were presented as conditional educational scenarios, not individualized prognostic predictions. A clinician-guided motivational discussion addressed personal goals and barriers to oral hygiene. Participants also received instruction in the modified Bass toothbrushing technique and appropriate interdental cleaning.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Change in Full-Mouth Rustogi Modified Navy Plaque Index From Baseline to Week 6
기간: Baseline and 6 weeks
Dental plaque was assessed using the Rustogi Modified Navy Plaque Index (RMNPI) after application of a plaque-disclosing agent. The facial and lingual/palatal surfaces of each eligible tooth were divided into nine areas, scored as 0 for absence of plaque or 1 for presence of plaque. The full-mouth score was calculated as the proportion of assessed areas with plaque, ranging from 0 to 1, with higher scores indicating more plaque. Third molars and teeth with crowns or cervical restorations were excluded. Change was calculated as the week 6 score minus the baseline score; negative values indicate improvement.
Baseline and 6 weeks

2차 결과 측정

결과 측정
측정값 설명
기간
Change in Full-Mouth Gingival Index From Baseline to Week 6
기간: Baseline and 6 weeks
Gingival inflammation was assessed using the Löe and Silness Gingival Index at four sites around each tooth. Scores range from 0 to 3, with higher scores indicating more severe gingival inflammation. A full-mouth mean score was calculated for each participant. Change was calculated as the week 6 score minus the baseline score; negative values indicate improvement.
Baseline and 6 weeks
Change in Full-Mouth Papillary Bleeding Index From Baseline to Week 6
기간: Baseline and 6 weeks
Interdental gingival bleeding was assessed using the Papillary Bleeding Index (PBI). Interdental papillae were scored from 0 to 4 according to the severity of bleeding elicited after probing, with higher scores indicating more severe bleeding. A full-mouth mean score was calculated for each participant. Change was calculated as the week 6 score minus the baseline score; negative values indicate improvement.
Baseline and 6 weeks
Intrinsic Motivation Assessed by the Dental Treatment Motivation Scale
기간: Baseline and 6 weeks
Intrinsic motivation was assessed using the seven-item intrinsic motivation subscale of the Dental Treatment Motivation Scale (DTMS). Each item was rated on a five-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). The mean item score was calculated, ranging from 1 to 5, with higher scores indicating greater intrinsic motivation. Scores were assessed at baseline and week 6 and compared among the three study groups.
Baseline and 6 weeks
Extrinsic Motivation Assessed by the Dental Treatment Motivation Scale
기간: Baseline and 6 weeks
Extrinsic motivation was assessed using the eight-item extrinsic motivation subscale of the Dental Treatment Motivation Scale (DTMS). Each item was rated on a five-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). The mean item score was calculated, ranging from 1 to 5, with higher scores indicating greater extrinsic motivation. Scores were assessed at baseline and week 6 and compared among the three study groups.
Baseline and 6 weeks

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2021년 8월 15일

기본 완료 (실제)

2021년 11월 15일

연구 완료 (실제)

2021년 12월 15일

연구 등록 날짜

최초 제출

2026년 9월 14일

QC 기준을 충족하는 최초 제출

2026년 9월 14일

처음 게시됨 (실제)

2026년 9월 17일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 9월 17일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 9월 14일

마지막으로 확인됨

2026년 9월 1일

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