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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 .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| standard care group | No Intervention | 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 | |
| weekly reminder group | Experimental | this group of participants will receive a weekly reminder about the importance of oral hygiene, appliance care, and adherence to recommendations from the dentist. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| weekly mobile reminder | Other | a weekly reminder will be sent to participants in the intervention group via mobile internet applications |
|
| 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
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hadi M Ismail, as.professor | University of Sulaimani | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Sulaimani | Sulaymaniyah | Kurdistan Region | Iraq |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29947755 | Background | Mohammed H, Rizk MZ, Wafaie K, Ulhaq A, Almuzian M. Reminders improve oral hygiene and adherence to appointments in orthodontic patients: a systematic review and meta-analysis. Eur J Orthod. 2019 Mar 29;41(2):204-213. doi: 10.1093/ejo/cjy045. | |
| 29664334 | Background | Lima IFP, de Andrade Vieira W, de Macedo Bernardino I, Costa PA, Lima APB, Pithon MM, Paranhos LR. Influence of reminder therapy for controlling bacterial plaque in patients undergoing orthodontic treatment: A systematic review and meta-analysis. Angle Orthod. 2018 Jul;88(4):483-493. doi: 10.2319/111117-770.1. Epub 2018 Apr 17. |
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The initial follow up period for this research is 6 months , if participants agree it may be increased to use in other research for longer follow up.
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| ID | Term |
|---|---|
| D010349 | Patient Compliance |
| ID | Term |
|---|---|
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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the orthodontist did not know the group of their patients .
| 37492635 | Derived | Hussein S, Ismail H. Influence of Reminder on Enhancing Compliance in Patients with Fixed Orthodontic Appliance Treatment (a Randomized Controlled Clinical Trial). Patient Prefer Adherence. 2023 Jul 20;17:1759-1769. doi: 10.2147/PPA.S418109. eCollection 2023. |