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The goal of this clinical trial is to learn which type of oral health education works best to help 12-18-year-old participants with fixed orthodontic appliances (braces) keep their mouths healthy. The main questions it aims to answer are:
Which method of oral hygiene instruction-video-based, written, or face-to-face education-is most effective in improving oral health?
Do these education methods help lower dental plaque and gum inflammation during orthodontic treatment?
Researchers will compare the three groups of participants who receive different types of oral hygiene training to see which method leads to the best oral health results.
Participants will:
Receive one of three types of oral hygiene instruction (video, written, or in-person).
Continue their regular orthodontic care and brushing routine.
Have their oral health checked at different times during the study to measure changes in plaque and gum health.
The study hopes to identify the most effective and practical way to teach young orthodontic patients to keep their teeth and gums healthy while wearing braces.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Face-to-face Oral Hygiene Instruction | Experimental | Participants receive traditional chairside oral hygiene instruction delivered verbally by a trained dentist or oral health educator. Instructions include proper toothbrushing technique, use of fluoride toothpaste, interdental cleaning, and care of orthodontic appliances. |
|
| Video-Based Oral Hygiene Instruction | Experimental | Participants receive oral hygiene instruction using a video and visual demonstration on toothbrushing, interdental cleaning, and care of orthodontic appliances. |
|
| Pamphlet-based Oral Hygiene Instruction | Experimental | Participants receive oral hygiene instruction through a printed educational pamphlet containing text and illustrations about proper toothbrushing technique, interdental cleaning, use of fluoride toothpaste, and care of orthodontic appliances. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Verbal Oral Hygiene Instruction | Behavioral | Participants receive standardized oral hygiene instruction delivered verbally by a trained dental professional at baseline. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Plaque Index (PI) | The Plaque Index (PI) will be measured using the Silness and Löe method to assess the level of dental plaque accumulation. The outcome represents the change in PI scores from baseline to 4-week follow-up among participants in the three intervention groups (verbal, pamphlet, video). Lower scores indicate improved oral hygiene status. The measure evaluates the effectiveness of each instructional method in reducing plaque accumulation in adolescents with fixed orthodontic appliances. | Baseline and 4 weeks after intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry, Tehran University of Medical Sciences | Tehran | 1439955991 | Iran |
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| Pamphlet-Based Oral Hygiene Instruction | Behavioral | Participants receive a standardized printed pamphlet containing text and illustrations about proper toothbrushing technique, interdental cleaning, fluoride toothpaste use, and maintenance of fixed orthodontic appliances |
|
| Video-Based Oral Hygiene Instruction | Behavioral | Participants view a standardized educational video demonstrating proper toothbrushing, interdental cleaning, and care for fixed orthodontic appliances. The video includes animations and real-life demonstrations to ensure consistent delivery of information. |
|
| ID | Term |
|---|---|
| D003731 | Dental Caries |
| D006266 | Health Education |
| ID | Term |
|---|---|
| D017001 | Tooth Demineralization |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
| D000099060 | Adherence Interventions |
| D055118 | Medication Adherence |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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