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To investigate the effects of using an intra-oral camera (IOC) during supportive periodontal therapy, and oral hygiene mobile text messages (SMS) between appointments on clinical, behavioral and psychological parameters of patients with gingivitis.
Dental hygiene behaviours are of paramount importance for controlling gingival health. There is evidence on the use of IOC and of text messages in boosting motivation, sustainability and clinical efficacy of dental hygiene behaviors. Orchestrating these two technologies is expected to create a coaction effect which could improve behavior change interventions, but the effectiveness of such strategy needs to be inspected.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Dental appointment, one hour and included activities that are normally part of a SPT (Suportive Periodontal Treatment) consultation, as well as specific behavior change techniques, such as the use of reinforcement, goal-setting and feedback considered crucial to the accomplishment of long term behavior change. Moreover, special attention was given to patient communication and words such as 'cleaning' and 'hygiene' were replaced by therapeutic synonyms (e.g. inflamed areas and controlling the inflammation) in order to focus patients´ attention on the varied facets of oral health care and increase their perception of the treatment needs. In this group, the device SOPROCARE® by Acteon and Text Messages were not used. | |
| Intra Oral Camera | Experimental | Dental appointment, one hour and included activities that are normally part of a SPT consultation, as well as specific behavior change techniques, such as the use of reinforcement, goal-setting and feedback. Special attention was given to patient communication and words such as 'cleaning' and 'hygiene' were replaced by therapeutic synonyms (e.g. inflamed areas and controlling the inflammation). In this group, the device SOPROCARE® by Acteon was used in the examination and diagnosis and also for the establishment of therapeutic goals, strategies and skills. |
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| Mobile Text Messages | Experimental | Dental appointment, one hour and included activities that are normally part of a SPT consultation, as well as specific behavior change techniques, such as the use of reinforcement, goal-setting and feedback.. Participants in the SMS group further received a total of 16 messages (SMS). One per week. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mobile Text Messages | Device | Dental inter-proximal control with floss holder and receiving 16 SMS during 4 months. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change from BOMP (Bleeding on Marginal Probing) at 4 & 8 months | Gingival bleeding Index | Baseline, 4 months & 8 months |
| Measure | Description | Time Frame |
|---|---|---|
| HAPA (Health Action Process Approach) behavioral variables questionnaire. | Measures adapted to oral health from previous studies with the HAPA model (Godinho et al. 2015) were used. All the HAPA variables were evaluated using a 7 point Likert-type scale, ranging from totally disagree (1) to totally agree (7), unless otherwise stated. | Baseline, 4 & 8 months. |
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Inclusion Criteria:
Gingivitis BOMP > 0.5 20 teeth (minimum 5 per quadrant) > 18 years old
Exclusion Criteria:
periodontitis (pockets >3), smoking, orthodontics, pregnancy removable partial dentures
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26010304 | Background | Godinho CA, Alvarez MJ, Lima ML, Schwarzer R. Health messages to promote fruit and vegetable consumption at different stages: A match-mismatch design. Psychol Health. 2015;30(12):1410-32. doi: 10.1080/08870446.2015.1054827. Epub 2015 Jul 24. |
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| ID | Term |
|---|---|
| D001519 | Behavior |
| D005891 | Gingivitis |
| ID | Term |
|---|---|
| D007239 | Infections |
| D005882 | Gingival Diseases |
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
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The researcher was blind to the patients
| Intra Oral Camera and Text Messages |
| Experimental |
Dental appointment, one hour and included activities that are normally part of a SPT consultation, as well as specific behavior change techniques, such as the use of reinforcement, goal-setting and feedback. Special attention was given to patient communication and words such as 'cleaning' and 'hygiene' were replaced by therapeutic synonyms (e.g. inflamed areas and controlling the inflammation). In this group, the device SOPROCARE® by Acteon was used in the examination and diagnosis and also for the establishment of therapeutic goals, strategies and skills.Participants also received SMS a total of 16 messages (SMS). One per week. |
|
| Intra Oral Camera | Device | SPT - Appointment with Intra-Oral Camera
|
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| SMS (Short Messages Service) text messages opinion questionnaire | Opinion about receiving SMS and how can it influence the appointment. | At 4 months. |
| Intra Oral Camera opinion questionnaire | Opinion about receiving Intra Oral camera and how can it influence the appointment. | At 4 and 8 months. |
| Self-report Dental Hygiene Behaviors questionnaire. | Level of toothbrushing and dental floss frequency. | Baseline, 4 and 8 months. |
| D009057 |
| Stomatognathic Diseases |