Completed

NCT Number: NCT06010797

Effect of Pre-treatment Photographs on Oral Hygiene Maintenance in Orthodontic Patients

Dental photography is an essential component of orthodontic treatment. Photographs enable the clinician to keep record of different stages of treatment. Other uses are for treatment planning, communicating with the patients and other specialists, comparison of pre-treatment and post-treatment changes, for research purpose and also for patient's motivation. Images captured before, during and after treatment provide legal protection when necessary. In the orthodontic discipline, at least three extra-oral and five intra-oral photographs are recommended. Extra-oral photographs should correctly reflect patient's appearance and intra-oral photographs should show complete dentition and occlusion.

Oral hygiene is controlled by the patient during orthodontic treatment which requires proper motivation. Motivational methods are classified as chair-side education, message reminders, behavioral modification and Hawthorne effect. Patients' motivation plays an important role in maintaining favorable oral hygiene. A number of studies have shown the effect of motivational methods on oral hygiene improvement. In one of these studies, 80 patients who needed orthodontic treatment were selected and randomly distributed into two equal groups as control group and study group. The study group patients were included in a Whatsapp where they shared their own photographs (selfies) and received text messages, while the control group patients were not included in any Whatsapp group. Baseline PI scoring was 0.48(0.34) in control group and 0.41(0.32) in study group, After 3 months PI scoring was 1.72(0.33) in control group and 1.68(0.40) in study group. Results showed that sharing of selfies improves oral hygiene compliance in Orthodontic patients.

The purpose of this study was to determine probable effect of pre-treatment photographs on oral hygiene maintenance in orthodontic patients. To our knowledge no such study has been done previously. This would help us in making patients understand the importance of oral hygiene maintenance. The results will also be used by other practitioners.

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Key information

Conditions

Oral Hygiene Erythema Erythema Multiforme Gingival Diseases Gingivitis Infections Mouth Diseases Periodontal Diseases Periodontitis Photographs Skin Diseases Skin Diseases, Vesiculobullous Skin and Connective Tissue Diseases Stomatognathic Diseases

Age range

13 year–25 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Rehmat Memorial Dental Postgraduate Teaching Hospital

Abbottabad, Khyber Pakhtaunkha, 22010, Pakistan

About this study

Randomized Controlled Trial Design:

Participants:

Orthodontic patients.

Intervention:

Patients' own pre-treatment dental photographs.

Study group:

Orthodontic patients who are shown dental photographs.

Comparison group:

Orthodontic patients who are not shown dental photographs.

Outcome:

Good oral hygiene measured by plaque index.

Block randomization:

To decrease selection or accidental bias patients were assigned group A or B using block randomization technique. Blocks were created, size of each block was 4 with 2 'A's and 2 'B's. For 2 groups there were 6 possible blocks. From random number table a random sequence of blocks was generated. Patients were then assigned groups according to blocks.

Subjects:

I. Group 1:

Included 30 patients and these patients were shown full extra-oral and intra-oral photographs.

II. Group 2:

Included 30 patients and these patients were not shown any photographs. All subjects received similar oral hygiene instructions. Those in group A were shown their photographs while those in B were not shown any photographs.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients of both genders
Between age 13-25 years

Exclusion criteria

Patients with previous orthodontic treatment
Handicapped patients
Patients with any systemic disease
Generalized periodontal disease
Congenital malformations

Treatment and study plan

Showing Pre-treatment photographs of the patient

Device

Extra-oral and intra-oral dental photographs of patients were taken before starting Orthodontic treatment. Experimental group were shown their photographs while control group were not shown their photographs.

Primary outcomes

Good oral hygiene measured by plaque index

Time frame: 3 months

Plaque scores at T0 and T1 were compared to assess improvement in oral hygiene

Sponsors and collaborators

Lead sponsor

Rehmat Memorial Post Graduate Dental Teaching Hospital

Other

Registry information

Important dates

Study start: 2020
Primary completion: 2021
Study completion: 2021
First posted: Aug 25, 2023
Registry last updated: Sep 5, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed