The effect of using mobile applications for improving oral hygiene in patients with orthodontic fixed appliances: a randomised controlled trial

Alkadhi, Omar Hamad; Zahid, Mohammed N.; Almanea, Read S.; Althaqeb, Husam K.; Alharbi, Turki H.; Ajwa, Nancy

doi:10.1080/14653125.2017.1346746

Cited by 79 publications

(105 citation statements)

References 24 publications

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“…The participants' oral hygiene was signi cantly improved by the 'Oral and Denture Guide' PWA compared with that of the control group. This nding was in agreement with the ndings from the studies on oralhygiene focused applications [14,16]. Although no signi cant difference was found in the PI score between the PWA and control groups, gingival status may be a more reliable measurement of improvement in oral hygiene [38].…”

Section: Discussionsupporting

confidence: 91%

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Effect of Educational Progressive Web Application on Patient’s Oral and Denture Knowledge and Hygiene: A Randomised Controlled Trial

Lim

Tarib³

et al. 2020

Preprint

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Background: Patient dental education is crucial for the prevention of oral diseases. Effective conveyance of post-denture delivery instructions is beneficial for promoting good oral and denture hygiene. This study aimed to evaluate the effect of a novel progressive web application (PWA) on the patient’s oral and denture knowledge and hygiene. The patient’s acceptance of this new educational approach was also assessed.Methods: A parallel randomised controlled trial was conducted at the Faculty of Dentistry, Universiti Kebangsaan Malaysia. A total of 52 cobalt–chromium removable partial denture wearers aged 25–75 years were randomised into two groups. The participants in the PWA group were educated using PWA, whereas those in the control group were educated verbally, accompanied by a practical demonstration of hygienic procedures. A questionnaire was provided to evaluate the changes in the participants’ knowledge score at baseline, immediately after education and at 3 months after education. A blinded single examiner conducted the clinical assessment of plaque index (PI), gingival index (GI) and denture plaque (DP) scores at baseline (D0) and at 1 month (D30) and 3 months after education (D90). The patients’ acceptance of PWA was explored through usage logs and a feedback form. Data were analysed using two-way mixed ANOVA, Mann–Whitney U test and Friedman test.Results: A total of 49 participants were analysed. The PWA and control groups showed significant improvement in knowledge scores and oral and denture hygiene indices (p < 0.001) after education. The PWA group demonstrated lower PI, GI and DP scores than the control group at D30 and D90. However, only the GI was significantly lower (p = 0.008) at D90. In addition, 92% of the participants used PWA at least once after being introduced to it.Conclusions: PWA was effective in improving the patients’ oral and denture knowledge and hygiene. The participants also found it as a useful reference material for denture care. Thus, PWA is a viable option for providing post-denture delivery instructions.Trial registration: ClinicalTrials NCT04358172. Retrospectively registered on 21/04/2020. https://clinicaltrials.gov/ct2/show/NCT04358172

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Section: Discussionsupporting

confidence: 91%

“…The mobile applications used in educating and motivating orthodontic patients to practise good oral hygiene showed excellent results [14][15][16]. Thus, they could be potentially used as a tool for chairside education and a take-home reference material for partial denture wearers.…”

Section: Introductionmentioning

confidence: 99%

Effect of Educational Progressive Web Application on Patient’s Oral and Denture Knowledge and Hygiene: A Randomised Controlled Trial

Lim

Tarib³

et al. 2020

Preprint

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“…Current awareness of apps is poor, despite this finding, 87% of participants in this study reported that they would be willing to use an app to aid with treatment. A number of studies (Zotti et al 2015, Li et al 2016, Alkadhi et al 2017, Lima et al 2018 have shown apps to be effective in orthodontics, however, there are a number of limitations of apps. Given the availability of apps targeted at orthodontic patients, there is a need to assess the quality of these apps and if appropriate navigate patients towards high quality, effective apps.…”

Section: Resultsmentioning

confidence: 99%

Patient awareness of orthodontic mobile phone apps

2019

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IntroductionMobile phone applications (apps) can be engaging, accessible and versatile and have the potential to improve patient care. In 2017, 354 orthodontic apps were reported to be available, many of these are targeted at patients, however, the awareness and usage amongst orthodontic patients was unreported. AimThe primary aim of this study was to assess patients' current awareness of the availability of orthodontic apps. MethodsOne hundred orthodontic patients (50 new and 50 in treatment) completed a questionnaire designed to explore their awareness, access to and utilisation of orthodontic apps and social media to support orthodontic treatment. Furthermore, their willingness to engage with and use an app to aid with orthodontic treatment was explored. There were no age restrictions or exclusion criteria. ResultsNinety percent of patients had access to a smartphone, of which, 73% belonged to them (rather than a parent/relative). Apple was the most popular platform (56%) followed by Android (26%). Only 7% of patients were aware that apps were available to help with orthodontic treatment and no patients had previously used an app related to orthodontics.However, 87% of patients stated that they would be willing to use an app to support treatment. Twenty one percent of patients had previously looked up information on social media, YouTube being the most popular platform. ConclusionCurrent awareness of the availability of apps is poor, despite this finding, 87% of patients reported they would be willing to use an app to aid with orthodontic treatment. Given the availability of apps targeted at orthodontic patients, there is a need to assess the quality of these apps and if appropriate navigate patients towards high quality, effective apps.

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“…Alkadhi et al stated that PI and GI all significantly decreased after 4 weeks of using active reminders of oral hygiene instructions and this showed us the importance of four-week periodontal recall was enhanced the periodontal tissue health. 33 In the literature, it was seen that there was no uniformity in terms of the frequency of the intervention in a prophylaxis regime and OHI frequency varied between 3 weeks and 4 months. 34 The aim of our study was to evaluate the longterm possible effects of periodontal recall consisting of one-month or three-months intervals from the beginning of the fixed orthodontic treatment on gingival health.…”

Section: Discussionmentioning

confidence: 99%

Effects of Two Different Periodontal Recall Programs on Oral Hygiene and Gingival Health of Patients Undergoing Fixed Orthodontic Treatment:

Uslu¹,

Köse²,

Köse³

2019

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Bu çalışmanın amacı iki farklı periodontal takip programının, sabit ortodontik tedavi gören hastaların dişeti sağlığı üzerindeki etkilerini karşılaştırmaktır. Gereç ve Yöntem: Ortodontik tedavi gören 54 hasta (25 kadın and 29 erkek, ortalama yaş: 15,19 ± 0,4 yıl) Grup 1 ve Grup 2 olarak iki eşit gruba ayrıldı. Dört haftalık aralıklardan oluşan periodontal takip programı için Grup 2 seçilirken, Grup 1 için üç aylık aralıklardan oluşan periodontal takip programı seçildi. Periodontal parametreler (Plak İndeksi, Gingival İndeks ve Sondlamada Kanama) başlangıçta ve 1 yıl boyunca tüm takip randevularında kaydedildi. Bulgular: Her iki grupta da başlangıçtan ilk takip randevusuna kadar tüm periodontal parametrelerde anlamlı artış gözlendi (P<0,01). Grup 2'deki plak indeksi, gingival indeks ve sondlamada kanama Grup 1'e göre tüm takip randevularında anlamlı düzeyde düşüktü (P<0,01). Sonuç: Bu çalışma ortodontik tedavi gören hastalarda periodontal sağlık yönünden dört haftalık aralıkları içeren periodontal takip programının üç aylık aralıklarla takip edilen programa göre daha başarılı olduğunu vurgulamaktadır.

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The effect of using mobile applications for improving oral hygiene in patients with orthodontic fixed appliances: a randomised controlled trial

Abstract: PI and GI all significantly decreased after 4 weeks of using active reminders of oral hygiene instructions on mobile application compared to verbal oral hygiene instructions. The study was registered at clinicaltrials.gov with number: NCT03109769.

Cited by 79 publications

References 24 publications

Effect of Educational Progressive Web Application on Patient’s Oral and Denture Knowledge and Hygiene: A Randomised Controlled Trial

Effect of Educational Progressive Web Application on Patient’s Oral and Denture Knowledge and Hygiene: A Randomised Controlled Trial

Patient awareness of orthodontic mobile phone apps

Effects of Two Different Periodontal Recall Programs on Oral Hygiene and Gingival Health of Patients Undergoing Fixed Orthodontic Treatment:

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