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The aim of this study is to investigate the efficacy of text message active reminders at different time intervals of oral hygiene instructions in patients with orthodontic fixed appliances.
Participants with orthodontic fixed appliances will be recruited from the university hospital clinics to receive text message reminders of oral hygiene. Four groups of participants will be formulated. Group 1 will be the control group and will not receive text messages. Group 2 will receive messages once a week. Group 3 will receive text message reminders 3 times a week. Group 4 will receive daily reminders. At baseline, after 4 weeks and after 8 weeks, gingival index and plaque index will be measured at each time point and then compared between groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Verbal oral hygiene instructions | Active Comparator | Participants will receive verbal oral hygiene instructions during routine orthodontic visits. |
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| Reminders once a week | Experimental | Participants will receive active reminders once a week. |
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| Reminders three times a week | Experimental | Participants will receive active reminders three times a week. |
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| Daily reminders | Experimental | Participants will receive active reminders daily. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reminders once a week | Behavioral | Participants in this group will receive active oral hygiene reminders through text messaging once a week. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in Plaque Index | Plaque index: 0, no plaque, 1, plaque seen on the tip of the explorer or with disclosing agent, 2. plaque seen with the naked eye, 3, abundance of plaque. | At baseline, 4 weeks and 8 weeks |
| Change in gingival index | Gingival index: 0, normal gingiva, 1, mild inflammation - slight change in color, slight edema and no bleeding on probing, 2, moderate inflammation - redness, edema and glazing and bleeding on probing, 3, severe inflammation - marked redness and edema, ulceration and tendency to spontaneous bleeding. | At baseline, 4 weeks and 8 weeks |
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Inclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Omar H Alkadhi, BDS,MS | Contact | 966505154754 | omar.alkadhi@riyadh.edu.sa | |
| Ahmed A Bahamid, BDS,MS | Contact | +966504461888 | ahmed.bahamid@riyadh.edu.sa |
| Name | Affiliation | Role |
|---|---|---|
| Omar H Alkadhi, BDS,MS | Riyadh Colleges of Dentistry and Pharmacy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Riyadh Elm University | Recruiting | Riyadh | Riyadh Region | 11681 | Saudi Arabia |
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Four groups of participants will be formulated. Each will will receive messages in different time interval starting from none, once a week, three times a week and daily.
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| Verbal oral hygiene instructions | Behavioral | Participants in this group will receive verbal oral hygiene instructions during their regular orthodontic visits every 4 weeks. |
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| Reminders three times a week | Behavioral | Participants in this group will receive active oral hygiene reminders through text messaging three times a week. |
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| Daily reminders | Behavioral | Participants in this group will receive active oral hygiene reminders through text messaging on a daily basis. |
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