Impact of a Personalized Video in Oral Hygiene Motivation

Study Overview
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Brief Summary
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Impact of a personalized video in oral hygiene motivation: The study hypothesis is that the use of a personalized oral hygiene video, made available to the patient via a cloud-based system, in conjunction with a text-based two-way recall system will increase patient compliance, hence leading to improvement or oral hygiene.

Detailed Description
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The strategy studied is composite: First, a personalized video of the patient's oral hygiene routine (toothbrushing and interdental hygiene) is recorded and made available to him-her via a cloud-based system. The patient is instructed to view it with his-her smartphone and/or tablet when brushing his-her teeth. Second, the patient is registered in a text-based recall system. This recall system will remind him-her the oral hygiene regimen suited to his-her personal situation and contains a link to his cloud-hosted video. 12 text messages for each patient will be sent over the course of the study (8 weeks). This is a two-way system as patients will be inquired about their compliance to oral hygiene. If the patient declare compliance, he-she will be congratulated (positive reinforcement). If the patient declares non-compliance, he-she will be informed he-she will be offered additional counselling at the next appointment.

Official Title
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Impact of a Personalized Video in Oral Hygiene Motivation

Conditions
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Dental Hygiene

Intervention / Treatment
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* Other: e-health strategy
* Other: Traditional Oral Hygiene Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years old and older, having a good understanding of French language (read, write, speak, listen) With at least 20 teeth, including 4 first molars and 4 first or second premolars (4 interdental sites between premolars and molars) Patient attending an appointment in a centre participating to the trial Patient able to support treatment Patient affiliated to a health insurance scheme Patient giving his informed consent and accepting the modalities of the study Patient agreeing to attend up to 4 appointments dedicated to the study, during 8 weeks after the initial appointment (motivational interview) Patient in possession of an internet-enabled smartphone or tablet Patient has a personal e-mail address Patient agreeing to be registered within the system of text-based recalls for the duration of the study Exclusion Criteria: Patient having previously benefited from a periodontal therapy (less than 1 year ago) or currently enrolled in a periodontal therapy program Patient having previously benefited from an oral hygiene motivation session less than 1 year ago Patient has had a calculus removal procedure less than 1 month ago Patient bears orthodontic appliances (any kind, for 1 or both arches) Patient bears removable dental prosthesis (any kind, for 1 or both arches) Patient allergic to benzoic acid preservatives (or thought to be) Patient has a high risk of infective endocarditis Patient benefiting from antiaggregant or anticoagulation therapy Patient is haemophilic Patient is unable to answer questions Patient is unable (from a cognitive or physical standpoint) to perform toothbrushing twice a day Patient is unable (from a cognitive or physical standpoint) to use interdental brushes and/or dental floss (at least once a day) Patient uses on a regular basis (more than once a week) interdental brushes and/or dental floss in addition to toothbrushing Patient under tutelage or guardianship Patient deaf or blind Non cooperative patient Patient will be changing geographical location (ie. moving away) during the duration of the study, hence compromising follow-up visits

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Allocation : Randomized (with stratification on center and gender) Endpoint Classification : Safety/Efficacy Study Intervention Model : Parallel Assignment Masking : Double blind (Operator, Outcomes Assessor) Primary Purpose : Prevention
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: e-health strategy<br>Assigned intervention: e-health strategy | Other: e-health strategy<br>* First, a personalized video of the patient's oral hygiene routine (toothbrushing and interdental hygiene) is recorded and made available to him-her via a cloud-based system. The patient is instructed to view it with his-her smartphone and/or tablet when brushing his-her teeth. Second, the patient is registered in a text-based recall system. This recall system will remind him-her the oral hygiene regimen suited to his-her personal situation and contains a link to his cloud-hosted video. 12 text messages for each patient will be sent over the course of the study (8 weeks). This is a two-way system as patients will be inquired about their compliance to oral hygiene. If the patient declare compliance, he-she will be congratulated (positive reinforcement). If the patient declares non-compliance, he-she will be informed he-she will be offered additional counselling at the next appointment.<br>|
| Active Comparator: Traditional Oral Hygiene Education<br>Assigned intervention: traditional oral hygiene education | Other: Traditional Oral Hygiene Education<br>* traditional oral hygiene education<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| O'Leary Plaque Control Record | Measures the presence (1) or absence (0) of dental plaque on 6 sites per tooth for all teeth in mouth | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bleeding on Probing Index | Measures the presence (1) or absence (0) of bleeding at the gingival margin up to 30 seconds after the insertion of the periodontal probe in the sulcus | 8 weeks | 
| Patient satisfaction | Measured by a dedicated questionnaire | 8 weeks | 
| Patient motivation | Measured by a dedicated questionnaire | 8 weeks |