Smart Phone Application Reminder for Patients with Fixed Orthodontic Appliance to Improve Oral Hygiene
DOI:
https://doi.org/10.5195/d3000.2024.699Palabras clave:
Fixed orthodontic treatment, Oral hygiene, Smartphone Apps, RemindersResumen
INTRODUCTION: In light of the extensive use of mobile phones and their associated software applications (Apps), as well as the undisputed role of reminders and Apps in behavioral interventions, the goal of this study was to evaluate the usefulness of an application for smartphones (Brush DJ) to enhance oral hygiene compliance in individuals with fixed orthodontic therapy.
MATERIALS AND METHODS: In this prospective study, 82 patients between the ages of 18 and 22 were divided into four groups, two of which (the experimental group and the control group) had just begun fixed orthodontic treatment (called New) and the other two (the experimental group and the control group) were have passed fifth months from the beginning of the treatment (called Old). Patients in the intervention group were asked to use the Brush DJ smartphone App after getting traditional oral hygiene training, compared to patients in the control group who got conventional oral hygiene instruction. At baseline (T0), 4 weeks, 8 weeks, and 12 weeks following the start of the study, the plaque index (PI) and marginal bleeding index (MBI) were measured. Only patients with the software completed a questionnaire to determine how frequently and how long they brushed their teeth each day.
RESULTS: Both New and Old orthodontic cases in the intervention groups showed improvements in PI, whereas the parameter of bleeding showed no significant differences. During the follow-up period, application usage was associated with a higher brushing frequency and duration.
CONCLUSION: Apps might significantly improve the oral hygiene compliance of orthodontic patients by acting as reminders and motivators.
Citas
Zachrisson BU. Oral hygiene for orthodontic patients: current concepts and practical advice. Am J Orthod. 1974 Nov;66(5):487-97. doi: 10.1016/0002-9416(74)90110-9. PMID: 4621247.
Bollen AM, Cunha-Cruz J, Bakko DW, Huang GJ, Hujoel PP. The effects of orthodontic therapy on periodontal health: a systematic review of controlled evidence. J Am Dent Assoc. 2008 Apr;139(4):413-22. doi: 10.14219/jada.archive.2008.0184. PMID: 18385025.
Al-Jewair TS, Suri S and Tompson BD. Predictors of adolescent compliance with oral hygiene instructions during two-arch multibracket fixed orthodontic treatment. The Angle Orthodontist, 2011,81 (3), 525-531.
Cantekin K, Celikoglu M, Karadas M, Yildirim H and Erdem A. Effects of orthodontic treatment with fixed appliances on oral health status: A comprehensive study. Journal of dental science, 2011,6 (4), 235-238.
Rosenbloom RG, Tinanoff N. Salivary Streptococcus mutans levels in patients before, during, and after orthodontic treatment. Am J Orthod Dentofacial Orthop. 1991 Jul;100(1):35-7. doi: 10.1016/0889-5406(91)70046-Y. PMID: 2069145.
Lara-Carrillo E, Montiel-Bastida NM, Sánchez-Pérez L, Alanís-Tavira J. Effect of orthodontic treatment on saliva, plaque and the levels of Streptococcus mutans and Lactobacillus. Med Oral Patol Oral Cir Bucal. 2010 Nov 1;15(6):e924-9. doi: 10.4317/medoral.15.e924. PMID: 20383105.
Boersma JG, van der Veen MH, Lagerweij MD, Bokhout B, Prahl-Andersen B. Caries prevalence measured with QLF after treatment with fixed orthodontic appliances: influencing factors. Caries Res. 2005 Jan-Feb;39(1):41-7. doi: 10.1159/000081655. PMID: 15591733.
Chapman JA, Roberts WE, Eckert GJ, Kula KS, González-Cabezas C. Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2010 Aug;138(2):188-94. doi: 10.1016/j.ajodo.2008.10.019. PMID: 20691360.
Ogaard B. Prevalence of white spot lesions in 19-year-olds: a study on untreated and orthodontically treated persons 5 years after treatment. Am J Orthod Dentofacial Orthop. 1989 Nov;96(5):423-7. doi: 10.1016/0889-5406(89)90327-2. PMID: 2816842.
Shungin D, Olsson AI, Persson M. Orthodontic treatment-related white spot lesions: a 14-year prospective quantitative follow-up, including bonding material assessment. Am J Orthod Dentofacial Orthop. 2010 Aug;138(2):136.e1-8; discussion 136-7. doi: 10.1016/j.ajodo.2009.05.020. PMID: 20691346.
Mehra T, Nanda RS, Sinha PK. Orthodontists' assessment and management of patient compliance. Angle Orthod. 1998 Apr;68(2):115-22. doi: 10.1043/0003-3219(1998)068<0115:OAAMOP>2.3.CO;2. PMID: 9564420.
Derks A, Kuijpers-Jagtman AM, Frencken JE, Van't Hof MA, Katsaros C. Caries preventive measures used in orthodontic practices: an evidence-based decision? Am J Orthod Dentofacial Orthop. 2007 Aug;132(2):165-70. doi: 10.1016/j.ajodo.2005.10.028. PMID: 17693365.
Kerbusch AE, Kuijpers-Jagtman AM, Mulder J, Sanden WJ. Methods used for prevention of white spot lesion development during orthodontic treatment with fixed appliances. Acta Odontol Scand. 2012 Dec;70(6):564-8. doi: 10.3109/00016357.2011.640282. Epub 2012 Jan 18. PMID: 22250977.
Geiger AM, Gorelick L, Gwinnett AJ, Benson BJ. Reducing white spot lesions in orthodontic populations with fluoride rinsing. Am J Orthod Dentofacial Orthop. 1992 May;101(5):403-7. doi: 10.1016/0889-5406(92)70112-N. PMID: 1590288.
Geiger AM, Gorelick L, Gwinnett AJ, Griswold PG. The effect of a fluoride program on white spot formation during orthodontic treatment. Am J Orthod Dentofacial Orthop. 1988 Jan;93(1):29-37. doi: 10.1016/0889-5406(88)90190-4. PMID: 3276146.
Abdulbaqi HR, Abdulkareem AA, Alshami ML, Milward MR. The oral health and periodontal diseases awareness and knowledge in the Iraqi population: Online-based survey. Clin Exp Dent Res. 2020 Oct;6(5):519-528. doi: 10.1002/cre2.304. Epub 2020 Jun 26. PMID: 32592312; PMCID: PMC7545227.
Almog DM, Devries JA, Borrelli JA and Kopycka-Kedzierawski DT. The Reduction of broken appointment rates through an automated appointment confirmation system. Journal of Dental Education, 2003,67 (9), 1016-1022.
Schluter P, Lee M, Hamilton G, Coe G, Messer-Perkins H and Smith B. Keep on brushing: a longitudinal study of motivational text messaging in young adults aged 18–24 years receiving work and income support. Journal of Public Health Dentistry, 2015,75 (2), 118-125.
Whittaker H, Phillippa-Touchais A, Touchais G, Voutsaki S and Wright J. Some thoughts on Middle Helladic religious beliefs and ritual and their significance in relation to social structure. Mesohelladika: The Greek Mainland in the Middle Bronze Age 2010, 535-543.
Dennison L, Morrison L, Conway G, Yardley L. Opportunities and challenges for smartphone applications in supporting health behavior change: qualitative study. J Med Internet Res. 2013 Apr 18;15(4):e86. doi: 10.2196/jmir.2583. PMID: 23598614; PMCID: PMC3636318.
Al-Anezi SA, Harradine NW. Quantifying plaque during orthodontic treatment: Angle Orthod. 2012 Jul;82(4):748-53. doi: 10.2319/050111-312.1. Epub 2011 Nov 1. PMID: 22044115; PMCID: PMC8845533.
Deleuse M, Meiffren C, Bruwier A, Maes N, Le Gall M, Charavet C. Smartphone application-assisted oral hygiene of orthodontic patients: a multicentre randomized controlled trial in adolescents. Eur J Orthod. 2020 Feb 1:cjz105. doi: 10.1093/ejo/cjz105. Epub ahead of print. PMID: 32006440.
Firth F, Bennani F, Stacknik S and Farella M. Orthodontic patient co-operation: a review of the clinician’s role in predicting and improving patient compliance. Australasian Orthodontic Journal. 2019,35(1), 5-12.
Patil S, Hedad IA, Jafer AA, Abutaleb GK, Arishi TM, Arishi SA, Arishi HA, Jafer M, Gujar AN, Khan S, Raj AT. Effectiveness of mobile phone applications in improving oral hygiene care and outcomes in orthodontic patients. J Oral Biol Craniofac Res. 2021 Jan-Mar;11(1):26-32. doi: 10.1016/j.jobcr.2020.11.004. Epub 2020 Nov 17. PMID: 33344158; PMCID: PMC7736984.
Lally P, Van Jaarsveld CH, Potts HW and Wardle J. How are habits formed: Modelling habit formation in the real world. European journal of social psychology. 2010, 40(6), 998-1009.
Stawarz K, Cox AL, Blandford A. Beyond self-tracking and reminders: designing smartphone apps that support habit formation. In Proceedings of the 33rd annual ACM conference on human factors in computing systems. 2015 ,pp. 2653-2662.
Hussein SR and Hassan BA. Assessment of Gingival Health Status among Patients with Fixed Orthodontic Appliance. Polytechnic Journal. 2021,11(1), 38-41.
Kawsar MA, Islam MR, Rezwana R, Prodhan MR, Habib MA and Abdullah MK. Gingival Bleeding Index Status Among Orthodontic Patients Treated with Fixed Orthodontic Appliances in a Tertiary Level Hospital. KYAMC Journal.2018, 9(3), 129-132.
Hadzic S, Gojkov-Vukelic M, Pasic E, Jahic IM, Muharemovic A, Redzepagic-Vrazalica L, Jeleskovic A, Nakas E. Evaluation of Periodontal Changes in Patients Before, During, and After a Fixed Orthodontic Therapy. Mater Sociomed. 2022 Jun;34(2):121-125. doi: 10.5455/msm.2022.34.121-125. PMID: 36199847; PMCID: PMC9478536.
Eppright M, Shroff B, Best AM, Barcoma E, Lindauer SJ. Influence of active reminders on oral hygiene compliance in orthodontic patients. Angle Orthod. 2014 Mar;84(2):208-13. doi: 10.2319/062813-481.1. Epub 2013 Sep 12. PMID: 24028316; PMCID: PMC8673795.
Aljohani SR, Alsaggaf DH. Adherence to Dietary Advice and Oral Hygiene Practices Among Orthodontic Patients. Patient Prefer Adherence. 2020 Oct 20;14:1991-2000. doi: 10.2147/PPA.S277034. PMID: 33116442; PMCID: PMC7586054.
Buthelezi NL and Madiba TK. Oral hygiene habits and status of orthodontic patients attending the University of Pretoria, Oral and Dental Hospital. South African Dental Journal. 202176(3), 130-135.
Pandey V, Chandra S, Dilip Kumar HP, Gupta A, Bhandari PP, Rathod P. Impact of dental neglect score on oral health among patients receiving fixed orthodontic treatment: A cross-sectional study. J Int Soc Prev Community Dent. 2016 Mar-Apr;6(2):120-4. doi: 10.4103/2231-0762.178752. PMID: 27114950; PMCID: PMC4820570.
Farhadifard H, Soheilifar S, Farhadian M, Kokabi H, Bakhshaei A. Orthodontic patients' oral hygiene compliance by utilizing a smartphone application (Brush DJ): a randomized clinical trial. BDJ Open. 2020 Nov 20;6(1):24. doi: 10.1038/s41405-020-00050-5. PMID: 33298841; PMCID: PMC7680123.
Pinto AS, Alves LS, Zenkner JEDA, Zanatta FB, Maltz M. Gingival enlargement in orthodontic patients: Effect of treatment duration. Am J Orthod Dentofacial Orthop. 2017 Oct;152(4):477-482. doi: 10.1016/j.ajodo.2016.10.042. PMID: 28962731.
Andlin-Sobocki A, Bodin L. Dimensional alterations of the gingiva related to changes of facial/lingual tooth position in permanent anterior teeth of children. A 2-year longitudinal study. J Clin Periodontol. 1993 Mar;20(3):219-24. doi: 10.1111/j.1600-051x.1993.tb00347.x. PMID: 8450088.
Van Leeuwen MPC, Van der Weijden FA, Slot DE, Rosema MAM. Toothbrush wear in relation to toothbrushing effectiveness. Int J Dent Hyg. 2019 Feb;17(1):77-84. doi: 10.1111/idh.12370. Epub 2018 Nov 19. PMID: 30326176; PMCID: PMC7379636.
Beals D, Ngo T, Feng Y, Cook D, Grau DG, Weber DA. Development and laboratory evaluation of a new toothbrush with a novel brush head design. Am J Dent. 2000 Mar;13(Spec No):5A-14A. PMID: 11763943.
Creeth JE, Gallagher A, Sowinski J, Bowman J, Barrett K, Lowe S, Patel K, Bosma ML. The effect of brushing time and dentifrice on dental plaque removal in vivo. J Dent Hyg. 2009 Summer;83(3):111-6. Epub 2009 Aug 14. PMID: 19723429.
Underwood B, Birdsall J, Kay E. The use of a mobile app to motivate evidence-based oral hygiene behaviour. Br Dent J. 2015 Aug 28;219(4):E2. doi: 10.1038/sj.bdj.2015.660. PMID: 26315196.
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2024 Ali Abdulkadhum Jassim, Mehdi Abdulhadi Mehdi Alrubayee , Shakeel Kazmi
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.
