scholarly journals Usefulness of an app in improving oral hygiene compliance in adolescent orthodontic patients

2015 ◽  
Vol 86 (1) ◽  
pp. 101-107 ◽  
Author(s):  
Francesca Zotti ◽  
Domenico Dalessandri ◽  
Stefano Salgarello ◽  
Mariagrazia Piancino ◽  
Stefano Bonetti ◽  
...  

ABSTRACT Objective:  To evaluate the influence of an app-based approach in a protocol for domestic oral hygiene maintenance in a group of adolescent patients wearing fixed multibracket appliances. Materials and Methods:  Eighty adolescent patients scheduled to start an orthodontic multibracket treatment were randomly divided into two groups of 40. Plaque index (PI), gingival index (GI), white spots (WS), and caries presence were recorded in all patients, and they were instructed regarding domestic oral hygiene maintenance on the day of braces application (t0) and every 3 months (t1, t2, t3, t4) during the first year of treatment. Study group (SG) patients were enrolled in a WhatsApp chat room–based competition and instructed to share monthly with the other participants two self-photographs (selfies) showing their oral hygiene status. Results:  SG patient participation in the chat room was regular and active throughout the observation period. At t2, t3, and t4, SG patients had significantly lower values of both PI and GI and a lower incidence of new WS and caries, compared with the control group. Conclusion:  Integration of new “social” technologies in a standard oral hygiene motivation protocol is effective in improving compliance of adolescent patients and in improving their oral health status during orthodontic multibracket treatment.

2014 ◽  
Vol 85 (4) ◽  
pp. 543-548 ◽  
Author(s):  
T. Brent Bowen ◽  
Daniel J. Rinchuse ◽  
Thomas Zullo ◽  
Mark E. DeMaria

ABSTRACT Objective:  To investigate whether text message reminders regarding oral hygiene have an effect on plaque removal in orthodontic patients. Materials and Methods:  In this randomized, controlled clinical trial, 50 orthodontic patients were assigned to either a text message or control group. Patients in the text message group received 12 text messages over the course of 4 weeks and one text message for 8 weeks thereafter. Photos were taken at baseline (T0), at 4 weeks after baseline (T1), and at 12 weeks after baseline (T2). For each subject, photos of eight teeth were taken and then the area of the tooth and amount of plaque were measured using planimetry. Results:  There was a statistically significant difference in plaque coverage between baseline and both T1 and T2 in the text message group as measured using planimetry. This was demonstrated by comparing the average measurements of the control group and the treatment group. Conclusion:  This study demonstrated that the use of automated text message reminders sent from an orthodontic office was effective in improving oral hygiene compliance in orthodontic patients.


2013 ◽  
Vol 84 (2) ◽  
pp. 208-213 ◽  
Author(s):  
Matthew Eppright ◽  
Bhavna Shroff ◽  
Al M. Best ◽  
Elvi Barcoma ◽  
Steven J. Lindauer

ABSTRACTObjective:To determine if text message reminders regarding oral hygiene compliance have an influence on the level of compliance within an orthodontic population.Materials and Methods:In this prospective, randomized, controlled clinical trial, 42 orthodontic patients were assigned to a text message or control group. Parents of patients assigned to the text message group received a reminder text message one weekday each week. Oral hygiene compliance was measured using bleeding index (BI), modified gingival index (MGI), and plaque index (PI), and visual examination of white spot lesion (WSL) development at baseline (T0), two appointments after baseline (T1), and four appointments after baseline (T2).Results:BI, MGI, and PI scores were significantly lower in the text message group than in the control group at T2.Conclusion:A text message reminder system is effective for improving oral hygiene compliance in orthodontic patients.


2021 ◽  
Vol 11 (2) ◽  
pp. 706
Author(s):  
Andrea Scribante ◽  
Simone Gallo ◽  
Karin Bertino ◽  
Stefania Meles ◽  
Paola Gandini ◽  
...  

Objective: To investigate the effectiveness of Instagram in improving oral hygiene compliance and knowledge in young orthodontic patients compared to traditional chairside verbal instructions. Design: Single-center, parallel, randomized controlled trial. Setting: Section of Dentistry of University of Pavia. Participants: 40 patients having fixed appliances in both arches were recruited and randomly divided into an intervention (n = 20) and a control group (n = 20). Intervention: At a first appointment, both groups were given verbal instructions and motivated to oral hygiene. In addition, multimedia contents on Instagram were sent weekly to trial participants for six months. Main outcome measures: For all participants, the bleeding index (BI), modified gingival index (MGI), and plaque index (PI) were assessed at baseline (T0), after one (T1), three (T2), and six months (T3). A questionnaire was administered at the beginning (T0) and at the end of the study (T3) to assess participants’ knowledge. Results: In both groups, BI, MGI, and PI significantly decreased (p < 0.05) at T1 (means control group: BI 0.26 ± 0.22, MGI 0.77 ± 0.36, PI 0.53 ± 0.20; means test group: BI 0.24 ± 0.22, MGI 0.65 ± 0.46, PI 0.49 ± 0.21) compared to baseline (means control group: BI 0.56 ± 0.27, MGI 1.23 ± 0.41, PI 0.87 ± 0.23; means test group: BI 0.54 ± 0.26, MGI 1.18 ± 0.39, PI 0.93 ± 0.20) but no significant differences in clinical measures were showed between T1, T2, and T3 (p > 0.05) (intragroup differences). Trial patients demonstrated significant improvements in knowledge with respect to controls comparing scores at T0 and T3 (p < 0.05) but despite this result in the test group clinical outcomes did not report significant intergroup differences at any time (p > 0.05). Conclusions: Presenting multimedia information through Instagram resulted in a significant improvement in knowledge. Therefore, this social media represents an aid to the standard verbal motivation performed by orthodontists towards young patients under an orthodontic treatment.


2018 ◽  
Vol 89 (2) ◽  
pp. 262-267 ◽  
Author(s):  
Mike C. Ross ◽  
Phillip M. Campbell ◽  
Larry P. Tadlock ◽  
Reginald W. Taylor ◽  
Peter H. Buschang

ABSTRACTObjective:To determine whether automated text messages sent daily to adolescent orthodontic patients improves oral hygiene more than weekly reminders.Materials and Methods:A blinded, prospective, randomized controlled trial was designed to evaluate the effects of automated messages on oral hygiene. Subjects were recruited from patients undergoing orthodontic treatment at the Texas A&M University College of Dentistry, Department of Orthodontics. They were being treated with a variety of fixed full appliances in both arches. Subjects were randomly assigned to either a once-a-week text message group or a daily text message group. There were 52 females and 27 males who were 12 to 17 years of age. Oral hygiene was measured at the beginning of the study and again 8.6 ± 0.9 weeks later.Results:The daily reminder group (N = 42) had significantly greater improvements in oral hygiene compliance than the weekly reminder group (N = 37). The daily score decreases were 48%, 21% and 19% for the bleeding index (BI), plaque index (PI), and gingival index (GI), respectively. The weekly score decreases were 27%, 14% and 13% for the BI, PI, and GI. There were no sex differences in hygiene changes during the study. The 42% of patients who completed the survey at the end of the study wanted more frequent messages and reported that messages related to decreasing treatment time were the most effective, while those related to oral hygiene were the least effective.Conclusions:Daily text messages are more effective at improving oral hygiene than weekly text messages.


Author(s):  
Ancy R. J. ◽  
Rekha P. Shenoy ◽  
Praveen S. Jodalli ◽  
Laxminarayan Sonde ◽  
Imran Pasha M.

Background: Chronic kidney disease (CKD) is an increasing health concern worldwide. In addition to systemic changes, kidney disease patients also present with oral complications. The objectives of the study were to assess and compare the oral health status in patients with CKD (with diabetes and without diabetes) undergoing dialysis and not undergoing dialysis aged between (30-70) years and controls in Mangalore, South India.Methods: A descriptive cross-sectional study was conducted among 160 adults with various types of kidney disease and controls, attending a tertiary care hospital in Mangalore. Oral health status was assessed using WHO oral health assessment form for adults 2013. Oral hygiene was assessed by using simplified oral hygiene index and gingival status was assessed by using modified gingival index.Results: Number of decayed teeth was more among controls, and number of missing teeth was more among CKD patients. Diabetic CKD patients who were not on dialysis had highest number of teeth with periodontal pocket and more sextants with loss of attachment. Non-diabetic CKD patients who were on dialysis had more gingival bleeding and gingival inflammation. Multinomial logistic regression analysis showed that CKD patients have more odds of having poor oral health than controls.Conclusions: CKD patients had poor oral hygiene, gingival and periodontal status. In contrast, dental caries was significantly lower in CKD patients than the control group. Good oral health condition mitigates the risk of infection, contributing to a better quality of life among CKD patients.


2021 ◽  
Vol 10 (22) ◽  
pp. 1667-1671
Author(s):  
Arya S. Prasad ◽  
Arvind Sivakumar

BACKGROUND Oral hygiene maintenance is a crucial factor for successful orthodontic therapy. Oral hygiene compliance is a must to maintain better oral hygiene and plaque control in orthodontic patients. To get good oral hygiene compliance the information has to reach the patients in a proper way. The purpose of this study was to determine whether audio - visual aids help in improving oral hygiene status in orthodontic patients. METHODS A prospective randomized control trial study was done on 30 subjects, who underwent fixed orthodontic appliances selected from the out-patient department of Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospitals, (SIMATs), Chennai. They were divided randomly into two groups based on a computer - generated randomization chart: group 1 – experimental group (audio - visual aids group), group 2 – control group (verbal instruction) respectively. Group 1 subjects received oral hygiene instruction through videotape instructions and group 2 received verbal and written instructions. RESULTS The results were assessed with respect to plaque index scores of both groups. A parametric intragroup comparison (paired ‘t’ test) was done to compare the before and after plaque score of each group and student independent sample ‘t’ test to compare both groups. The plaque score for the verbal group was found to be 0.666 + / - 0.417 and for the audio - visual group it was 1.211 + / - 0.261. A statistically significant P - value (< 0.05) was found between the groups. CONCLUSIONS Patients who were given instructions through audio - visual aids had better improvement in plaque scores than patients who were given instructions verbally. KEY WORDS Audio - Visual Aids, Dental Plaque Index, Oral Hygiene, Oral Hygiene Index, Orthodontic Appliance


Author(s):  
Manoj Kumar Sharma ◽  
Stuti Mohan ◽  
Sunny Tandon ◽  
. Ashutosh ◽  
Sushant Bhatnagar

This study was conducted to evaluate the influence and cooperation of Orthodontic patients to wear removable retainer by sending reminder text messages. 54 orthodontic patients (24 males and 30 females) aged between 18 to 25 year were enrolled for the study. Patients were randomly divided into two groups: an Experimental group (27 patients) who received timely reminder text messages and a Control group (27 patients) who did not receive any messages. Text Messages were sent thrice a week for a period of 6 months. Two measurements were calculated on plaster models i.e. Inter canine width and extraction spaces at three time intervals during the observation period. The plaster models were made at the time of insertion of retainer (T0) after 3 month of wearing the retainer (T2) and then after 6 months (T3). A statistically significant differences were observed in the intra- and intergroup comparisons. Group 1(Control) showed increase in both inter canine width and extraction spaces. Whereas Group 2 showed non-significant differences for both parameters. It was concluded from the results that reminder text messages had a positive influence on patient compliance regarding wearing the removable retainer after completion of fixed orthodontic treatment.


2019 ◽  
Vol 7 (2) ◽  
pp. 60
Author(s):  
Marco Mascitti ◽  
Erminia Coccia ◽  
Arianna Vignini ◽  
Luca Aquilanti ◽  
Andrea Santarelli ◽  
...  

The aim of this study was to compare the oral health status and salivary antioxidant system between patients diagnosed with anorexia nervosa (AN) and healthy controls. A total of 25 female AN patients and 25 matched healthy controls were enrolled. Clinical parameters and saliva samples were collected for each patient. Two questionnaires to investigate oral health and hygiene were administered. Superoxide Dismutase (SOD) activity and High Reactive Oxygen Species (hROS) were evaluated. Salivary concentration of SOD was significantly higher in subjects with AN compared with control group (1.010 ± 0.462 vs. 0.579 ± 0.296 U/mL; p = 0.0003). No significant differences between groups were identified for hROS (233.72 ± 88.27 vs. 199.49 ± 74.72; p = 0.15). Data from questionnaires indicated that, although most of the patients recognized the oral hygiene importance in maintaining a good oral health, more than half of them had poor oral hygiene. Altered biochemical composition of saliva in patients with AN could be interpreted as an effective defence mechanism against oxidative stress. Moreover, despite the discrepancy between clinical findings and perception of the oral health in AN population arose, the quality of life of these patients appears not to be significantly affected by their dental condition.


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