The Influence of Weekly Reminders on Enhancing Patient Compliance in Patients With Fixed Orthodontic Treatment

Patient Compliance Clinical Trial

Official title:

Influence of Reminder on Enhancing Patient Compliance in Patients With Fixed Orthodontic Appliance Treatment (a Randomized Controlled Clinical Trial)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05331820
• Other study ID #: 1
• Status: Completed
• Phase: N/A
• Start date: November 28, 2021
• Est. completion date: April 1, 2023

Study information

• Verified date: April 2023
• Source: University of Sulaimani
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

this study is a randomized clinical trial to evaluate the effect of sending weekly reminders to patients undergoing fixed orthodontic appliance treatment. two groups will be formed and participants of the study will be divided between the two groups randomly. the intervention group will receive weekly reminders about the importance of oral hygiene and appliance care with adherence to scheduled appointments. the difference between these parameters will be evaluated between the control and intervention groups to describe the importance of weekly reminders to enhance the compliance and cooperation of the patient. the oral hygiene of the patient will include plaque level(plaque index), gingival statue level( bleeding index), and white spot lesion . appliance care will be recorded when in case of bracket failure and appointments missed will also be recorded .

Recruitment information / eligibility

• Status: Completed
• Enrollment: 26
• Est. completion date: April 1, 2023
• Est. primary completion date: March 13, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 15 Years to 30 Years

Eligibility

Inclusion Criteria:

• Patients with a fixed orthodontic appliance
• both gender
• age 15-25 years old
• patient or parent have smartphone and internet connection
• malocclusion of the patient undergoing treatment according to Index of Orthodontic Treatment Need IOTN should be grade 1,2, and 3
• good gingival health.

Exclusion Criteria:

• Patients with a removable appliance
• cleft lip and palate patients
• patients with hypomineralization visible on anterior teeth
• susceptible to periodontal disease
• have diabetes
• handicap patients, a severe malocclusion above IOTN grade 3, ceramic brackets, and a child with parents that cannot read.

Related Conditions & MeSH terms

• Patient Compliance

Intervention

Other:
• weekly mobile reminder
a weekly reminder will be sent to participants in the intervention group via mobile internet applications

Locations

Country	Name	City	State
Iraq	University of Sulaimani	Sulaymaniyah	Kurdistan Region

Sponsors (1)

Lead Sponsor	Collaborator
Shara Qadir Hussein

Country where clinical trial is conducted

Iraq, 

References & Publications (2)

Lima IFP, de Andrade Vieira W, de Macedo Bernardino I, Costa PA, Lima APB, Pithon MM, Paranhos LR. Influence of reminder therapy for controlling bacterial plaque in patients undergoing orthodontic treatment: A systematic review and meta-analysis. Angle Orthod. 2018 Jul;88(4):483-493. doi: 10.2319/111117-770.1. Epub 2018 Apr 17. — View Citation

Mohammed H, Rizk MZ, Wafaie K, Ulhaq A, Almuzian M. Reminders improve oral hygiene and adherence to appointments in orthodontic patients: a systematic review and meta-analysis. Eur J Orthod. 2019 Mar 29;41(2):204-213. doi: 10.1093/ejo/cjy045. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	oral hygiene examination The plaque index system	consists of 4 degree higher score is the worst situation and 0 is the best	during the intervention ( follow up for 6 months )
Primary	oral hygiene examination - Bleeding Index	bleeding on probing . conatains 3 scores 0 - no bleeding; bleeding after 30 seconds; bleeding immediately score 0 is the best and score 2 is the worst	during the intervention ( follow up for 6 months )
Primary	oral hygiene examination white spot lesion	white spot lesion on the tooth will be examined clinically and recorded in photographs	during the intervention ( follow up for 6 months )
Primary	appliance care	bracket failure will be recorded if there is any brackets/"; ] bracket fracture will be recorded at appointments if there is any bracket dislodgments that needs replacement	during the intervention ( follow up for 6 months )
Primary	adherence to appointment	if patient does not come to the appointment it will be recorded as lack of adherence to appointments .	during the intervention ( follow up for 6 months