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

Study Overview
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Brief Summary
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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 .

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

Conditions
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Patient Compliance

Intervention / Treatment
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* Other: weekly mobile reminder


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 30 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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: standard care group<br>this group of participants will be used to compare to the intervention group. normal and professional instructions and motivation will be given to them but they will not receive weekly reminders about the importance of adherence to instructions | |
| Experimental: weekly reminder group<br>this group of participants will receive a weekly reminder about the importance of oral hygiene, appliance care, and adherence to recommendations from the dentist. | Other: weekly mobile reminder<br>* a weekly reminder will be sent to participants in the intervention group via mobile internet applications<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 ) | 
| 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 ) | 
| 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 ) | 
| 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 ) | 
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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patient compliance, orthodontic patients, reminder